Chronic Kidney disease/ESRD

Question 1

CKD is altered renal function or structure for how many months or more?

Answer 1

3 months

Question 2

Pathology behind CKD?

Answer 2

ANG 2 released and causes constriction

inflammatory cells change structure of glomerulus (sclerosis), GFR decreases

Question 3

Stages of CKD

Answer 3

1: normal GFR (greater than 90)
2: mild decrease 60-89
3: moderate 30-59
4: severely 15-29
5. ESRD less than 15

Question 4

How will a patient present?

Answer 4

anemia, fatigue
CVD *#1 cause of mortality in esrd*
GI problems 
bone pain, fx
sleep is off, confusion

Question 5

What can PT address?

Answer 5

fatigue 
exercise (use RPE) 
monitor vitals/labs 
careful with fluid restrictions and shunt in arm/leg(no BP)
slower progression