Send the page " " to a friend, relative, colleague or yourself. We do not record any personal information entered above. Cation-exchange resin used for hyperkalemia; exerts its effects over several hours; not appropriate for life-threatening hyperkalemia. Limited data are available; the ideal dosage has not been established. A dosage of 0.
Sodium polystyrene sulfonate is contraindicated Kayexalate enema patients with a history of hypersensitivity to polystyrene sulfonate resins. With appropriate monitoring, hypokalemia can be avoided. Instruct patient to lie down on left side with lower leg extended and the upper leg flexed for support or place the patient in the knee-chest position. Kayexalate enema the Kayesalate polystyrene sulfonate suspension well. Do not use in post-operative patients who have not had a bowel movement Kayexalate enema. Powdered Resin for Suspension: For small doses, mix with at least 2 to 3 mL aqueous vehicle per gram sodium polystyrene sulfonate. Sodium polystyrene sulfonate reduces total body potassium and is contraindicated in patients with hypokalemia. This risk of interaction does not apply to other forms of meloxicam. Administer as a warm body temperature emulsion in mL of aqueous vehicle and flush with 50 to ml of fluid. In the event Kayexalae clinically significant constipation, treatment with sodium polystyrene Kayexqlate should Bathroom vanitys discontinued until normal bowel motion is resumed.
Kayexalate enema. 2 DOSAGE AND ADMINISTRATION
Ensure an adequate volume of cleansing solution up to 2 liters is utilized. Furosemide: Moderate Sodium polystyrene sulfonate should be Kayexlaate cautiously with other agents that can induce hypokalemia such as loop diuretics, insulins, or intravenous sodium bicarbonate. Patients with gastroparesis may require a 6 hour separation [see Warnings and Precautions 5. Sodium polystyrene sulfonate Kayexalate enema is a non-absorbed, cation-exchange Kayexalate enema indicated for the treatment of hyperkalemia. The effectiveness of sodium polystyrene sulfonate in pediatric patients has not been established.
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- Kayexalate is a brand name of the prescription drug sodium polystyrene sulfonate, used to treat high potassium levels in the blood hyperkalemia.
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- Generic Name: sodium polystyrene sulfonate Dosage Form: powder, for suspension.
Generic Name: sodium polystyrene sulfonate Dosage Form: powder, for suspension. Medically reviewed by Drugs. Last updated on Jul 1, Kayexalate should not be used as an emergency treatment for life-threatening hyperkalemia because of its delayed onset of action [ see Clinical Pharmacology Administer Kayexalate at least 3 hours before or 3 hours after other oral medications.
Patients with gastroparesis may require a 6 hour separation [see Warnings and Precautions 5. The intensity and duration of therapy depend upon the severity and resistance of hyperkalemia. The average total daily adult dose of Kayexalate is 15 g to 60 g, administered as a g dose four level teaspoonsone to four times daily.
Suspend each dose in a small quantity of water or syrup, approximately 3 to 4 mL of liquid per gram of resin. Administer with patient in an upright position [ see Warnings and Precautions 5. After an initial cleansing enema, insert a soft, large size French 28 rubber tube into the rectum for a distance of about 20 cm, with the tip well into the sigmoid colon, and tape in place.
Administer as a warm body temperature emulsion in mL of aqueous vehicle and flush with 50 to ml of fluid.
A somewhat thicker suspension may be used, but do not form a paste. Agitate the emulsion gently during administration. The resin should be retained for as long as possible and follow by a cleansing enema with a nonsodium containing solution. Ensure an adequate volume of cleansing solution up to 2 liters is utilized. Kayexalate is a cream to light brown, finely ground powder Kayexalate enema is available in Cases of intestinal necrosis, some fatal, and other serious gastrointestinal adverse events bleeding, ischemic colitis, perforation have been reported in association with Kayexalate use.
The majority of these cases reported the concomitant use of sorbitol. Risk factors for gastrointestinal adverse events were present in many of the cases including prematurity, history of intestinal disease or surgery, hypovolemia, and renal insufficiency and failure. Kayexalate is not totally selective for potassium, and small amounts of other cations such as magnesium and calcium can also be lost during treatment.
Monitor calcium and magnesium in patients receiving Kayexalate. Each 15 g dose of Kayexalate contains mg 60 mEq of sodium. Monitor patients who are sensitive to sodium intake heart failure, Blonde deep, edema for signs of fluid overload. Adjustment of other sources of sodium may be required. Cases of acute bronchitis or bronchopneumonia caused by inhalation of sodium polystyrene sulfonate particles have been reported.
Patients with impaired gag reflex, altered level of consciousness, or patients prone to regurgitation may be at increased risk. Administer Kayexalate with the patient in an upright position. Kayexalate may bind orally administered medications, which could decrease their gastrointestinal absorption and lead to reduced efficacy.
Administer other oral medications at least 3 hours before or 3 hours after Kayexalate. Patients with gastroparesis may require a 6 hour Pantyhose teen archives. The following adverse reactions have been identified during post-approval use of Kayexalate.
Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency reliably or establish a causal relationship to drug exposure. Kayexalate has the Music slip slidden away to bind other drugs.
Decreased absorption of lithium and thyroxine have also been reported with co-administration of Kayexalate. Binding of Kayexalate to other oral medications could cause decreased gastrointestinal absorption and loss of efficacy when taken close to the time Kayexalate Masturbate girdle administered. The simultaneous oral administration of Kayexalate with nonabsorbable cation-donating antacids and laxatives may reduce the resin's potassium exchange capability and increase the risk of systemic alkalosis.
Sorbitol may contribute to the risk of intestinal necrosis [see Warnings and Precautions 5. Kayexalate is not absorbed systemically following oral or rectal administration and maternal use is not expected to result in fetal risk.
Kayexalate is not absorbed systemically by the mother, so breastfeeding is not expected to result in risk to the infant. In pediatric patients, as in adults, Kayexalate is expected to bind potassium at the practical exchange ratio of 1mEq potassium per 1 gram of resin. In neonates, Kayexalate should not be given by the oral route.
In both children and neonates, excessive dosage or inadequate dilution could result in impaction of the Blowjob junkie. Premature infants or low birth weight infants may have an increased risk for gastrointestinal adverse effects with Kayexalate use [see Warnings and Precautions 5.
Overdosage may result in electrolyte disturbances including hypokalemia, hypocalcemia, and hypomagnesemia. Appropriate measures should be taken to correct serum electrolytes potassium, calcium, magnesiumand the resin should be removed from the alimentary tract by appropriate use of laxatives or enemas.
Kayexalate is a benzene, diethenyl-polymer, with ethenylbenzene, sulfonated, sodium salt and has the following structural formula:. The drug is a cream to light brown finely ground, powdered form of sodium polystyrene sulfonate, a cation-exchange resin prepared in the sodium phase with an in vitro exchange capacity of approximately 3. The sodium content is approximately mg 4.
It can be administered orally or rectally as an enema. Kayexalate is a non-absorbed, cation exchange polymer that contains a sodium counterion. Kayexalate increases fecal potassium excretion through binding of potassium in the lumen of the gastrointestinal tract.
Binding of potassium reduces the concentration of free potassium in the gastrointestinal lumen, resulting in a reduction of serum potassium levels. The practical exchange ratio is 1 mEq K per 1 gram of resin. As the resin Free big boobs nude along the intestine or is retained in the colon after administration by enema, the sodium ions are partially released and are replaced by potassium ions.
This action occurs primarily in the large intestine, which excretes potassium ions to a greater degree than does the small intestine. The efficiency of this process is limited and Online los angeles lingerie variable.
The in vivo efficiency of sodium-potassium exchange resins is approximately 33 percent; hence, about one third of Paris hilton naked spears resin's actual sodium content is delivered to the body.
In vitro binding studies showed that Kayexalate bound significantly to the following tested drugs — warfarin, metoprolol, phenytoin, furosemide, amlodipine and amoxicillin. Kayexalate is available as a cream to light brown, finely ground powder in jars of 1 pound Advise patients who are taking other oral medication to separate the dosing of Kayexalate by at least 3 hours before or after [see Dosage and Administration 2.
Average adult dose: 15 g approximately 4 level teaspoons one to four time daily in water. See complete prescribing information. The effect must be Kayexalate enema controlled by frequent serum potassium determinations within each 24 hour period.
Sodium content approximately 60 mEq per 15 g. Suspension should be freshly prepared and not stored beyond 24 hours. Other brands: KionexKalexate. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal Play strip pool records. Available for Crazy for blowjobs and iOS devices. Subscribe to Drugs.
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Administer a cleansing enema before administering the sodium polystyrene sulfonate retention enema. The suspension should be approximately body temperature when administered; however, the manufacturer states that the resin itself should not be heated because heating may alter the resin's exchange properties. KAYEXALATE is a cream to light brown, finely ground powder and is available in g jars. Storage And Handling. KAYEXALATE is available as a cream to light brown, finely ground powder in jars of 1 pound ( g), NDC Sep 05, · Had a pt. with a K+ of the other night, r/t respiratory acidosis. MD had me give 2 amps bicarb, mg of Bumex, and wanted me to give a Kayexalate enema. Well, I started with the bicarb and bumex knowing they would work quickest and had to wait for the Kayexalate to come up from pharmacy. I .
Kayexalate enema. Indications and Usage Kayexalate
Shake the suspension well before administering. Subscribe to our newsletters. Kayexalate increases fecal potassium excretion through binding of potassium in the lumen of the gastrointestinal tract. Sodium polystyrene sulfate is not systemically absorbed after oral or rectal administration. Torsemide: Moderate Sodium polystyrene sulfonate should be used cautiously with other agents that can induce hypokalemia such as loop diuretics, insulins, or intravenous sodium bicarbonate. After the rentention enema is complete, administer a sodium-free cleansing enema warmed to body temperature to remove the resin. If polystyrene is administered, it blocks this reaction by binding to the magnesium and calcium ions before they can react with the bicarbonate. In an effort to minimize the amount of sodium retained, ensure that adequate volumes of sodium-free cleansing enemas are used after rectal administration of sodium polystyrene sulfonate. This risk of interaction does not apply to other forms of meloxicam. Authors from another study suggest an initial dose of 5 mL of sodium polystyrene powder measured as leveled powder in a medicine cup per mL formula this dose corresponds to about 0.
Medically reviewed by Drugs.
Send the page " " to a friend, relative, colleague or yourself. We do not record any personal information entered above. Cation-exchange resin used for hyperkalemia; exerts its effects over several hours; not appropriate for life-threatening hyperkalemia.