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- 100 mg Metoprolol PO
- Sevelamer 800 mg PO
- 5000 units subcutateous heparin
- docustate sodium 100 mg PO
Hypotension is a concern with hemodialysis, therefore administering a large dose of an antihypertensive just before dialysis could cause an unsafe drop in BP and/or prevent them from removing as much fluid as planned. Phosphate binders (Sevelamer), stool softeners (docusate sodium), and a subcut heparin for DVT prophylaxis are all appropriate orders.
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