chronic kidney disease Flashcards

1
Q

where does EPO come from

A

fibroblasts in kidney and the liver

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2
Q

trend of EPO in chronic kidney disease

A

initially there is a spike which then falls

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3
Q

what disease can giving EPO cause

A

polycythemia

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4
Q

what is polycythemia

A

vol of RBC increases

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5
Q

what does polycythemia carry the risk of

A

stroke

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6
Q

elevated urea symptoms

A
Itchiness
Lethargy
Confusion
Nausea and vomiting 
Encephalopathy flap
Anorexia
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7
Q

why might people become anorexic with high urea

A

people are put off meat

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8
Q

why might you be breathless in CKD

A

acidosis

oedema

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9
Q

what is given for metabolic acidosis

A

bicarbonate

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10
Q

ACE inhibitor affect on which vessel

A

dilates the efferent

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11
Q

what is given for oedema

A

furosemide

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12
Q

which does vit D supplements cause

A

itch as they also increase phosphate

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13
Q

CKD patient has diarrhoea what should be stopped

A

ACE, ARBs, diuretics, metformin and NSAIDs

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14
Q

what happens if a CKD is ill and you dont stop metformin

A

lactic acidosis

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