Chronic Kidney Disease Flashcards
1
Q
5 functions of the kidney
A
Fluid Balance Produces EPO Acid-Base Balance Toxin Excretion Regulates osmolarity
2
Q
Creatinine
A
waste product of muscle metabolism
purely excreted by kidneys
longstanding measure of kidney function
3
Q
Proteinuri/ Albuminuria
A
leaking into the urine
(urine dipstick - doesn’t quantify or take into account concentration)
Albumin/Creatine ratio
4
Q
CKD Staging
A
Stage 1 >90
Stage 2 60-89
Stage 3a 45-59
5
Q
CKD treatment
A
Control diabetes - HbA1C <7%
Control BP - 140/90
6
Q
Natural History of Diabetic Nephropathy
A
Hyperfiltration
Proteinuria
Decline in eGFR
End Stage Renal Disease
7
Q
Aneamia
A
- Reduced EPO production
- Build up of Hepcidin- reduces uptake of iron from the gut - give IV
8
Q
Renal Replacement Therapy
A
Haemodialysis
Peritoneal Dialysis
Kidney Transplant
Conservative/ Palliative Care
9
Q
Dialysis instead of transplant?
A
Age >65, eGFR <15
