chronic kidney disease

Question 1

RAA system (normal)

Answer 1

sympathetic stimulation= decreased Perfusion= decreased Na= renin secreted from kidneys=increased BP

Question 2

Damaged or decreased GFR

Answer 2

3mo; 10 ml=end stage need transplant or dialysis/uremic (multiple body systems affected)

Question 3

stage one

Answer 3

asymptomatic, 1mil to 20,000 nephrons can still function

Question 4

stage 2

Answer 4

25% normal gfr, BUN/CR^, fatigue, pruritus, poly/nocturia cant concentrate urine

Question 5

Stage 3

Answer 5

GFR 5-10%, uremic, NO adl’s

Question 6

Leading causes of chronic kidney disease

Answer 6

htn diabetes

Question 7

Urinary

Answer 7

retention, diuretic therapy, after dialysis=anuria

Question 8

metabolic

Answer 8

BUN/Cr^, Bun=n/v, lethargy, decreased LOC

Question 9

elctrolyte, acid/base

Answer 9

metabolic acidosis, ^K, sodium retention=edema,HTN,HF, (

Question 10

Carb/triglyceride

Answer 10

^sugar/insulin(=triglyceride); uremia= decreased insulin need bc cant be excreted by kidneys

Question 11

Hematologic

Answer 11

suppressed

Question 12

CV

Answer 12

CVD= death bc of htn and fluid retention ; give htn meds

Question 13

Increased K treatment

Answer 13

kayexelate, calcium gluconate, insulin, dialysis if dysrhythmias

Question 14

Anemia treatment

Answer 14

epogen

Question 15

what to restrict

Answer 15

high protein, water, na, k, phosphate, nsaids, mag based laxatives/antacids,

Question 16

other s/s

Answer 16

yello skin, frost, decreased fertility/libido, preri neurop, foot drop, aterix, s/s of hypothyroidism but NORMAL t3/t4