A medication which needs to be discontinued in a uremic patient is:
  1. Epogen
  2. Kayexelate
  3. Humulin
  4. Triamterene
Explanation
Answer: D - A medication which may need to be discontinued in uremia is Triamterene, a potassium-sparing diuretic. Because serum potassium levels are high in uremia, use of potassium-sparing diuretics such as Triamterene is contraindicated. Epogen stimulates red blood cell production, Kayexelate is a potassium-binder, and Humulin is synthetic insulin, all of which may be indicated for use in uremia.
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