CDN Renal Pharmacology for Dialysis Nurses 3

Question 1

Which medication used to lower blood pressure is dialyzable and may require supplemental dosing after hemodialysis?

Accepted Answer

Atenolol

Answer

Amlodipine

Answer

Lisinopril

Answer

Carvedilol

Question 2

Sodium bicarbonate is sometimes given to a dialysis patient prior to an emergency session. What is the indication?

Accepted Answer

Hyperkalemia with severe acidosis

Answer

Hypernatremia

Answer

Hypocalcemia

Answer

Fluid overload

Question 3

A dialysis patient develops severe hypocalcemia during a session using a low-calcium dialysate. What is the preferred treatment?

Accepted Answer

IV calcium gluconate

Answer

Oral calcium carbonate

Answer

Increasing dialysate phosphorus

Answer

Administering parathyroid hormone

Question 4

Which drug class is commonly used to treat restless leg syndrome in dialysis patients?

Accepted Answer

Dopamine agonists

Answer

SSRIs

Answer

Antihistamines

Answer

Beta-blockers

Question 5

Gabapentin requires significant dose reduction in dialysis patients primarily because of:

Accepted Answer

Renal elimination and accumulation causing CNS toxicity

Answer

Increased hepatic metabolism

Answer

Reduced GI absorption

Answer

Protein binding changes

Question 6

Which medication is used to treat pruritus (itching) in dialysis patients refractory to antihistamines?

Accepted Answer

Naltrexone or difelikefalin

Answer

Diazepam

Answer

Ondansetron

Answer

Methylprednisolone