Chronic Kidney Disease Flashcards
What is the progression of CKD
diuretic into oliguria
What are the stages of CKD
Stage 1: GFR > 90 Stage 2: GFR 60 – 90
Stage 3: GFR 30 -59
Stage 4: GFR 15 – 30
Stage 5: GFR < 15
What stage does bad symptoms usu start
4
What are the s/s of stage 4 CKD
HA Nocturia polyuria mild anemia weakness and fatigue
What are the s/s of stage 5 CKD
confussion increased BP edema SOB ammonia smellign breathe mouth and gum ulcers anorexia itchy dry skin anemia bone pain
Who needs dialysis
acid base problems electrolyte probs intoxication overload of fluids uremic symptoms
What is disequalibrium sydrome
as you enter the oliguric phase shit like sodium builds up in the blood pulling fluid out of the cells but the bod has adjusted to this, but dialysis was started too fast causing swelling in the cells like brain cells
What should you tell to dialysis patients just starting out
don’t be surprised if you have some twitching at first
What is the big weakness of hemodialysis
the older the more fragile your vessels so massive amounts of fluids can cause damage
What is the biggest weakness of peritoneal dialysis
infection
