Kidney

Question 1

Methenamine mandelate

Answer 1

UTIs, pyelonephritis, cystitis. Effective when urine pH less than 5.5. Avoid milk (alkaline). Don’t take with formaldehyde and sulfamethizole.

Question 2

Mucomyst (acetylcysteine)

Answer 2

Given pre-procedure for cardiac catheterization to protect kidneys so they can excrete the iodine dye. Antidote for acetaminophen OD.

Question 3

Nephrotic syndrome

Answer 3

Diuretics, ACEI (block aldosterone secretion), prednisone to dec inflammation and shrink holes so protein can’t get out. Lipid lowering agents. Protein Inc. Na dec. anticoagulation therapy. Dialysis

Question 4

Kidney stones (urolithiasis)

Answer 4

Ketorolac (toradol) for short term pain relief up to 5 days, ondansetron for n/v, hydromorphone for pain

Question 5

Phenazopyridine

Answer 5

Urinary analgesic and spasmolytic. Will not get rid of bacteria. SE- headache and vertigo, yellowing of skin or sclera indicates medication accumulation due to kidney injury