Chronic Kidney Disease Flashcards
What GFR range is classified as stage 1
mor or equal than 90
What stage of CKD is GFR range of 60-89
2
what stage of CKD is GFR rate of 30-59
3
what stage of CKD is GFR of 15-29
4
what stage of ckd is GFR <15
5
what stage of CKD is classified as renal failure
stage 5
what stage of CKD would you prepare for renal replacement therapy
4
what is the definition of CKD
either functional or structural
kidney damage or a glomerular filtration
rate (GFR) less than 60 mL/min per
1.73m2
for at least 3 months
3 MAIN causes of CKD
type 2 DM, HPT, HIV
What medication is causing ckd
PPI (proton pump inhibitor)
how long after diabetes diagnosis are patients at risk of getting diabetic nepropathy
15-25 yrs
Are kidneys in diabetic patients hyper/hypofiltrating
hyper
what feature does some HIV patients with CKD get
proteinuria (around 5%)
what is the primary prevention of CKD
healthy lifestyles in terms of Obesity, smoking, hpt. Educational programmes also help
How do you implement/promote healthy lifestyles
healthy eating in school, compulsory sport, anti-smoking campaigns, PREVENT HIV
What should be done at a community health care centre for early detection
Routine BP checks, glucose checks for tho those at risk for DM, voluntary HIV testing
what is the goal BP for patients + DM patients to reduce risk
Normal patients: <140/90, DM <130/80
what should the HBA1C% be
<7%
what should the fasting glucose be in screening tests
<7mmol/L
when should statin therapy be considered when screening
if LDL is more than 3 mmol/L or total cholesterol>5mmol/L
what patient profiles should have dipsticks as screening tests and how often
diabetics, hpt, HIV+, >65. They should have it anually
what test should diabetics with negative proteinuria test on dipsticks have
spot urine test for microalbuminuria
what 2 characteristics are needed to classify CKD
GFR<60 and/or overt proteinuria/haematuria
what characteristic do diabetics need on spot urine test to be in early CKD
microalbuminuria
