Question

The nurse is caring for a client with renal insufficiency and reflux issues. What would be...

The nurse is caring for a client with renal insufficiency and reflux issues. What would be the safest way to manage hyperacidity in a client with renal failure?

Answers:

A Aluminum hydroxide (Amphojel)

B Effervescent Aspirin (Alka Seltzer)

C Calcium Carbonate (TUMS)

D Aluminum-magnesium (Gaviscon)

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Answer #1

Answer is option B

Effervescent Aspirin is safest for renal patient with gastric reflux.

Proton Pump Inhibitors (PPIs) are very effective in relieving symptoms and healing the esophageal lining in most CKD patients with GERD so Nephrologists often prescribe PPIs for long-term management of acid reflux. However, studies show people who take PPIs long-term or in high doses are more likely to have hip, wrist, and spinal fractures. Hence, you should remain vigilante

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