Sevelamer Overview and Management
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Questions and Answers

What classification is sevelamer (Renagel)?

Phosphate binder

What is the mechanism of action for sevelamer (Renagel)?

Binds phosphate in the GI tract, preventing its absorption.

What are indications for sevelamer (Renagel)?

Hyperphosphatemia related to ESRD & chronic renal failure.

What route is sevelamer (Renagel) given?

<p>PO</p> Signup and view all the answers

What are contraindications for sevelamer (Renagel)?

<p>Bowel obstruction and hypophosphatemia.</p> Signup and view all the answers

What are adverse effects of sevelamer (Renagel)?

<p>Nausea, vomiting, diarrhea, and constipation.</p> Signup and view all the answers

What labs should be monitored for sevelamer (Renagel)?

<p>Periodically monitor phosphate levels.</p> Signup and view all the answers

What are 2 priority assessments for sevelamer (Renagel)?

<ol> <li>Ensure it is taken with meals; 2) Never chew or open capsules.</li> </ol> Signup and view all the answers

Study Notes

Sevelamer (Renagel) Overview

  • Sevelamer is classified as a phosphate binder, used primarily in the management of elevated phosphate levels.
  • It works by binding phosphate in the gastrointestinal tract to prevent its absorption into the bloodstream.

Indications and Usage

  • Prescribed for managing hyperphosphatemia related to end-stage renal disease (ESRD) and chronic renal failure.
  • Typically administered orally, ensuring patient compliance with dosing.

Contraindications

  • Not suitable for patients with bowel obstruction, as phosphate is excreted via feces.
  • Should be avoided in individuals with hypophosphatemia due to the risk of exacerbating low phosphate levels.

Adverse Effects

  • Common side effects include nausea, vomiting, diarrhea, and constipation, which may impact patient adherence.

Monitoring and Assessments

  • Regular monitoring of phosphate levels is crucial to evaluate treatment efficacy.
  • Two priority assessments include ensuring the medication is taken with meals and instructing patients not to chew or open capsules to maintain efficacy and safety.

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Description

This quiz covers Sevelamer, a phosphate binder used in the management of elevated phosphate levels, particularly in patients with end-stage renal disease. Learn about its indications, contraindications, adverse effects, and the importance of monitoring phosphate levels for effective treatment. Test your understanding of this essential medication.

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