- Renal diet (Na < 4 gm, protein 1 gm/kg)
 
- Fluids: D5 1/4 NS for total fluid < 1 liter qd (for insensible losses);
 
- Daily Wts;
 
- Useful Medications:
 
 
 
 
- 1,25 OH Vit D, MVI, Ca acetate (if appropriate)
 
 
 
 
- Erythropoietin 25-500 U per Kg wt;
 
 
 
 
- Zantac 150 mg PO qhs;
 
 
 
 
- MVI qd (loss of water soluble vits with dialysis)
 
 
 
 
- DDAVP w/ bleeding
 
 
 
 
- Calcium Supplements:
 
 
 
 
 
 
 
 
- Ca Acetate 669 mg PO qAC, or CaCO3 0.5 to 1.5 gm tid w/ meals;
 
 
 
 
 
 
 
 
 
 
- binds more Phosphorous than Ca Carbonate;
 
 
 
 
 
 
 
 
- Ca Carbonate: may need upto 8-12 gm/day;
 
 
 
 
 
 
 
 
- PhosLo 1 tab qAC,

 
- Harmful Meds:
 
 
 
 
- KCL, Mg, PO4;
 
 
 
 
- sulfonamides (w/ anemia)
 
 
 
 
- amphogel & basaljel as these are associated with osteodystrophy;
 
 
 
 
- demerol

 
- Decrease Dosage:
 
 
 
 
- Digoxin
 
 
 
 
- Gentamicin
 
 
 
 
- Betalactams
 
 
 
 
- Phenothiazines
 
 
 
 
- Insulin (decr renal catabolism)
 
 
 
 
- Atenolol
 
 
 
 
- Procainamide
 
 
 
 
- H2 Blockers
 
 
 
 
- Limit milk intake;

- Labs:
 
 
 
 
- Chem 7, Ca, Mg, Phos qd, Alk Phos qod;
 
 
 
 
- Dextrose Stick qAc and qHs
 
 
 
 
- CBC q weekly (Hct > 25 w/ bleeding);
 
 
 
 
- Urine Analysis qod /UCx
 
 
 
 
- Urine Lites q24
 
 
 
 
- 2 hr CrClr q12
 
 
 
 
- Urine-Myo-Heme q12