Chronic renal conditions Flashcards
Ix CKD
estimated GFR
proteinuria : ACR
haematuria
> urine dipstick
> microscopy
renal USS
BP
HBA1C
lipid profile
g score based?
eGFR
G5 ; CKD
<15
G4?
15-29
g3?
45-59
30-44
30-60
G1?
> 90
G2?
60-89
Accelerated progression is a sustained decline in the eGFR
in 1 year
25%
15mL /min/1.73 m^2
BP target for CKD?
<130/80
ACR >70
what medication can help w disease progression of CKD?
ACEi
SGLT-2 inhibitors
primary prevention of CVD statin dose?
atorvastatin 20mg
renal bone disease
vitamin D
low phosphate diet
phosphate binders
renal bone disease
High serum phosphate
Low vitamin D activity
Low serum calcium
Osteomalacia
increased turnover of bones without adequate calcium supply
Osteosclerosis
inadequate mineralisation of new bone due to low calcium