Thursday, April 8, 2010

Pharm Help !!a old women has fatigue lathargy and comfunsion. She has a h/o diabetes mellitus and hypertension

Pharm Help !!a old women has fatigue lathargy and comfunsion. She has a h/o diabetes mellitus and hypertension?
her lethargy is increasing and her urine output is decreasing. why would the md order the following med. i have to know the reason for each folic acid ferrous sulfate epogen renagel calcium carbonate
Diabetes - 1 Answers
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Kidney failure (casued by the diabetes) will cause the lethargy, confusion, and reduced urine output. Renagel is a medication to help treat kidney disease. Kidney disease ALSO causes anemia. Ferrous Sulfate would seems to be an iron supplement to help fight anemia. It may ALSO be that the patient is experiencing Ketoacidosis. This is where the buildup of Ketones (caused by badly uncontrolled diabetes) causes the blood to turn acidic. Calcium Carbonate would seem to be an "anti-acid" to help reduce blood acidity. Don't know about Folic Acid in this cae.

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