CKD Flashcards

1
Q

A reduction in the glomerular filtration rate (GFR) and/or urinary abnormalities or structural abnormalities of the renal tract

A

CKD

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2
Q

The severity of CKD is classified from __ depending upon the level of GFR

A

1 to 5

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3
Q

CKD is more prevalent in

A

Elderly population

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4
Q

CKD rank in cause of death

A

9th

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5
Q

What happens to kidney as CKD progress

A

Shrinks

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6
Q

Causes of CKD

A
  1. Type 1 & 2 Diabetes
  2. HBP
  3. Polycystic kidney dx
  4. Obstruction of the urinary tract
  5. Glomerulonephritis
  6. Vesicoureteral
  7. Pyelonephritis
  8. Interstitial nephritis
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7
Q

An inflammation of the kidney’s filtering units

A

Glomerulonephritis

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8
Q

A reflux, a condition that causes urine to back up into your kidneys

A

Vesicoureteral

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9
Q

Risk Factors of CKD

A
  1. Diabetes
  2. High blood pressure
  3. Heart and blood vessel (cardiovascular) disease
  4. Smoking
  5. Obesity
  6. Being African-American, Native American or Asian-American
  7. Family history of kidney disease
  8. Abnormal kidney structure
  9. Older age
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10
Q

Kidney damage with normal or ^GFR

A

> _90

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11
Q

Kidney damage with mild|GFR

A

60-89

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12
Q

Moderate |GFR

A

30-59

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13
Q

Severe |GFR

A

15-29

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14
Q

Kidney Failure

A

<15 or dialysis

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15
Q

Intensive therapy in patients with

A

type 1 and type 2 diabetes

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16
Q

Intensive therapy in patients with type 1 and type 2 diabetes reduces__ , including __

A

microvascular complications
nephropathy

17
Q

Intensive therapy can include __ and involves blood sugar testing at least three times daily

A

insulin or oral drugs

18
Q

REDUCES SERUM PHOSPHORUS LEVELS IN THE BODY

A

PHOSPHATE SCAVENGERS (SEVELAMER)

19
Q

FOR TREATMENT OF ANEMIA

A

IRON PRODUCTS (FERROUS SULFATE, IRON DEXTRAN IV)

20
Q

SUPPORTIVE THERAPIES

•The primary goal of lipid-lowering therapies in CKD is to decrease the risk for progressive atherosclerotic cardiovascular disease.

•A secondary goal is to reduce proteinuria and renal function decline seen with administration of statins (3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors).

A
21
Q

A low-protein diet __ can delay progression of CKD in patients with or without diabetes, although the benefit is relatively sma

A

(0.6 to 0.75 g/kg/day)

22
Q

Non-Pharmacologic Treatment of CKD

A

• A low-protein diet (0.6 to 0.75 g/kg/day) can delay progression of CKD in patients with or without diabetes, although the benefit is relatively small.

•Low salt diet

•Smoking cessation

23
Q

TREATMENT OF HYPERPHOSPHATEMIA

A

CALCIUM SALTS (CALCIUM CARBONATE, CALCIUM ACETATE)

24
Q

PREVENTION AND TREATMENT OF SECONDARY HYPERPARATHYROIDISM

A

VITAMIN D ANALAOGUES (CALCITRIOL)

25
Q

STIMULATES ERYTHOPOETIN PRODUCTION

A

HEMATOPOIETIC GROWTH FACTORS (EPOETIN, DARBOPOIETIN)

26
Q

An inflammation of the kidney’s tubules and surrounding structures

A

Interstitial nephritis

27
Q

Recurrent kidney infection, also called

A

Pyelonephritis

28
Q

Recurrent kidney infection, also called

A

Pyelonephritis

29
Q

Kidney damage decreases GFR of __ for 3 mos or more

A

<60 mL/min