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I.

Discharge Planning
MEDICATION Educate the client’s significant others and ● The kidneys help to make red
patient itself regarding the proper blood cells in the body.
administration of the prescribed ● The doctor often prescribes
medications: iron sucrose (Venofer) to
patients who are starting
● Red blood cell stimulating agent dialysis. It replaces the iron in
- Darbepoetin (aranesp) the body.
- erythropoietin (eprex) ● Medications called phosphate
binders also help with the
● Iron build-up of phosphate in the
● Phrosphate binders blood.They bind dietary
phosphate in the gut and
● Vitamin B and C (replavite) prevent it from being
absorbed.
● Calcitriol (rocaltrol) ● Some vitamin B and C are
● Antibiotics lost during dialysis.The
multivitamin called Replavite
● Uremol cream provides these vitamins. Take
Replavite after dialysis for
best results
● Calcitriol is the active form of
vitamin D. Your doctor may
prescribe calcitriol to increase
calcium levels in the blood,
which keeps bones healthy.
● For patients on hemodialysis,
antibiotics can build up
because the kidney isn’t able
to fully remove them from the
body. Tell your doctor and
pharmacist that you are on
dialysis when being
prescribed antibiotics
● Some patients on dialysis
become very itchy. This
happens because substances
build up in the body that were
normally removed by the
kidneys

EXERCISE\ ● Advice the patient to exercise his ● Exercises help the fistula get
ENVIRONMENT fistula stronger and bigger. This
● Encourage the patient to exercise makes blood flow from the
regularly for 30 minutes at least 3 artery to the vein. Over time,
times each week. This may include: this makes the vein wall grow
• Walking bigger and stronger.
• Treadmill use ● Benefits will include lighter

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