Chronic Kidney Disease Flashcards
1
Q
Intervention to preserve residual kidney function:
A
Avoid nephrotoxins
Avoid hypovolaemia
PD as initial dialysis option - avoidance of PD peritonitis
RAAS blockade
HTN control
Maintainence of transplant immunosuppression
2
Q
Onset of diabetic nephropathy in Type 1 DM
A
5-15 years (and usually associated with diabetic retinopathy)
Generally at 10 years for Type II (but can be present at diagnosis)
3
Q
Definition of macroalbuminuria in men vs women:
A
Men: urine ACR >25mg/mmol, AER >300mg/24 hours
Women: urine ACR >35 mg/mmol, AER >300mg/24 hours
4
Q
Interventions to slow the progression of diabetic nephropathy
A
- BP control
- ACE inhibitors
- Glycaemic control
- Smoking cessation
- Lipid control
5
Q
Drugs that can be cleared by haemodialysis
A
BLAST Barbiturates Lithium Alcohol (ethylene glycol, methanol) Salicylates Theophylline