Nephrology Book

http://www.fpnotebook.com/

Cation-Exchange resin

Aka: Cation-Exchange resin, Kayexalate, Sodium Polystyrene Sulfonate
Advertisement
  1. Indications
    1. Symptomatic Hyperkalemia
  2. Mechanism
    1. Each gram of Kayexalate binds 1 meq/L Potassium
  3. Precautions
    1. Risk or Fluid Overload
  4. Contraindications
    1. Congestive Heart Failure
    2. Severe Hypertension
  5. Dosing
    1. Oral
      1. Kayexalate 15-30 g PO in 50-100 ml of 20% Sorbitol
      2. May be repeated every 3-4 hours up to 4-5 doses/day
    2. Retention Enema
      1. Kayexalate 30-60 grams
      2. Dissolve in 200 ml of 20% Sorbitol or 20% D5W
      3. Retained for 30-60 min (use inflated rectal catheter)
      4. May repeat every 6 hours up to 4 doses per day
Medication Costs
Kayexalate (on 2/9/2012 at DrugStore.com)
Kayexalate Powder # for $403.92
Sodium Polystyrene Sulfonate (on 2/9/2012 at DrugStore.com)
Sodium Polystyrene Sulfonate Powder #454 for $142.97 ($0.31/unit)
FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See Needy Meds for financial assistance information.

Kayexalate (C0124498)

Concepts Organic Chemical (T109) , Pharmacologic Substance (T121)
MSH C003321
English Kayexalate, kayexalate
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Navigation Tree