Chronic Kidney Dz

Question 1

What is chronic kidney dz?

Answer 1

• structural or functional abnormalities of the kidney w/ or w/o decreased GFR
• OR presence of GFR < 60 mL/min for 3 months w/ or w/o other signs of kidney damage

Question 2

Signs and Sxs of Chronic Kidney Dz

Answer 2

• some pts remain asymptomatic
• fatigue, malaise, edema
• cardiac: HTN, HF, pericarditis, CAD
• GI: anorexia, N/V
• skin: pruritus, pallor
• seizures

Question 3

What are some reversible causes of CKD?

Answer 3

• urinary obstruction

- toxic effects of meds (ACE, ARB, NSAID, aminoglycosides)

Question 4

Management of CKD

Answer 4

-identify and tx HTN, proteinuria, glucose control

Question 5

What are renal replacement options for CKD pts?

Answer 5

• hemodialysis: 3-4 hr/day, 3+ days/wk
• peritoneal dialysis: insert and remove fluid through peritoneum
• transplant