Hello Doctor,
My grandma has been feeling very nauseous due to the medication she is taking for her kidney disease. She is 75 years old, has high blood pressure, and also has kidney disease. Her doctor mentioned that her hemoglobin levels are low, and she needs a blood transfusion. I want to find out what kind of nausea medication would be safe for her condition. She is currently in the Philippines, and I am trying to explore the best care options for her.
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
1. Nausea in patients with kidney disease can sometimes be due to uremia, which occurs when waste products build up in the blood due to reduced kidney function. It’s important to determine whether the nausea is from the medication or underlying kidney-related issues.
2. Primperan (Metoclopramide) can be used to help with nausea, but before starting, an ECG should be performed to check for any cardiac risks, especially given her age and history of high blood pressure. Some anti-nausea medications can affect heart rhythm, so it’s crucial to ensure they are safe for her.
3. Additionally, since she has low hemoglobin and needs a blood transfusion, monitoring her kidney function, electrolytes, and overall hydration status is essential. If her nausea persists or worsens, consulting her nephrologist for further evaluation and possible medication adjustments would be recommended.
Thanks
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