Chronic kidney disease

Question 1

Where are the kidney’s located regarding the spine?

Answer 1

T12-L3

Question 2

What is the function of the kidney’s?

Answer 2

To filter and eliminate waste products through urine

Question 3

How much cardiac output do the kidney’s recieve?

Answer 3

20-25%

Question 4

What consists of a nephron?

Answer 4

Glomerulus 
Proximal convoluted tubule
Nephron loop
Distal convoluted tubule
Collecting duct
Urine storage and elimination

Question 5

What eGFR levels are considered to be chronic kidney disease?

Answer 5

<60ml/min/1.73m

Question 6

What albuminuria levels are considered to be chronic kidney disease?

Answer 6

> 30mg/g

Question 7

What is the prevalence of CKD?

Answer 7

1 in 10

Question 8

What is the biggest contributor to kidney failure?

Answer 8

Obesity

Question 9

What are common symptoms in uraemic patients?

Answer 9

Weakness, hypertension, myocardial dysfunction, anorexia, anaemia, fatigue

Question 10

What is the difference between haemodialysis and peritoneal dialysis?

Answer 10

Haemodialysis are longer periods done through the arm. Peritoneal dialysis is done at home and through the abdomen

Question 11

True or false, patients on haemodialysis have a greater QoL

Answer 11

False

Question 12

True or false, patients with end stage renal disease should be able to do an exercise stress test.

Answer 12

False, they probably won’t reach 85% HR, do a 6MWT instead

Question 13

When should you exercise with someone on dialysis?

Answer 13

Not right when they walk in, or when they are nearly done (too much or too little fluid)

Question 14

True or false, CKD patients can do HIIT

Answer 14

True, with medical clearance

Question 15

What are some contraindications for end stage renal disease (specific to this condition)

Answer 15

Electrolyte abnormalities
Recent changes to ECG
Weight gain >4kg since last visit or last dialysis
Pulmonary congestion
Peripheral oedema