
Safest bowel prep for eGFR <15?
A) Sodium phosphate
B) PEG
C) Magnesium citrate
D) Picosulfate + Mg
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The answer is
B) PEG
Polyethylene glycol (PEG) is iso-osmolar, non‑absorbable, and does not cause fluid or electrolyte shifts. It is the only safe option in severe chronic kidney disease (eGFR <15) or dialysis patients.
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