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Renal and Liver Trx

Treatments

QuestionAnswer
How to delay the progression of CKD? use an ACEi or ARB
When can you use SGLTi for CKD? when eGFR >20
List the trx for patients who are persistent in albuminuria and diabetes? 1. SGLT-i 2. ACE or ARB (maxed dosed) 3. Finerenone ( if eGFR > 25)
Treatment for hyperphosphatemia? phosphate binders
Treatment for Vit D Deficiency & Secondary Hyperparathyroidism for patients with severe CKD (4-5)? Vitamin D analogs
Treatment for Vit D deficiency & Secondary Hyperparathyroidism in patients on dialysis? Calcimimetics
Treatment of Hyperkalemia? 1. Stabilize Heart 2. Move it ( K intracellularly) 3. Remove it (eliminate K from the body)
Treatment for metabolic acidosis? -sodium bicarbonate -Sodium citrate/citric
Treatment for HCV? first line DAA: -epclusa -mayvret
Combination treatment for HCV? -ribavirin & DAA
Treatment for HBV? first line: NRTI - TDF, TAF, Baraclude or Interferon Alfa
Natural product treatment to Liver Disease: milk thistle
Treatment for Alcohol Associated Liver Disease to PREVENT relapse: 1. naltrexone 2. disulfram 3. acamprosate
Treatment for Alcohol Induced Liver Disease for SEVERE withdrawal symptoms: benzodiazepines
Proper Nutrition for Liver recovery? -Vit B1 (thiamine) -
Treatment for Variceal Bleeding? octreotide
Treatment for Portal Hypertension? NSBB
Treatment for Hepatic Encephalopathy? -lactulose (first line for trx and prevention) -rifaximin (used as an add on for pt with mental no improvement to mental status)
Treatment for Ascites: -restrict dietary sodium -diuretics to remove access fluid -Furosemide & Spironlactone (40:100)
Treatment for Ascites in severe cases? Albumin
Treatment for SBP? ceftriaxone
Secondary PHX for SBP? -ciprofloxacin or bactrim
Created by: NAPLEX24
 

 



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