CKD Flashcards
1
Q
Define CKD
A
Presence of kidney damage with;
abnormal albumin excretion or decreased renal function quantified by a reduced eGFR for more than 3 months
2
Q
What are the causes of CKD?
A
Diabetes HTN Glomerulonephritis Renovascular disease Polycystic kidney disease Obstructive nephropathy Chronic/recurrent pyelonephritis
3
Q
What are some complications of CKD?
Which of the complications is the number 1 cause of mortality?
A
Anaemia of chronic disease Mineral and bone disease Secondary and tertiary hyperparathyroidism HTN CVS disease (No.1) Malnutrition Dyslipidaemia
4
Q
What are the principles of CKD management (OP)?
A
Treat underlying disease
Reduce CVS risk
Reduce progression
Prevent or treat complications
5
Q
How would you reduce CVS risk in a pt with CKD?
A
Statin BP control Improve DM control Advise weight loss Advise exercise STOP SMOKING
6
Q
How would you reduce progression of CKD?
A
Reduce proteinuria-ACEi/ARB
Monitor blood tests
Control BP
7
Q
How would you prevent/treat complications of CKD?
A
Dietary advice regarding low phosphate/low potassium diet Phosphate binders IV iron/folate/vit B12 replacement EPO Replace VIT D Dietician input
8
Q
Define the stages of CKD according to GFR
A
Stage 1= greater than or equal to 90 Stage 2= 60-89 Stage 3= 30-59 Stage 4= 15-29 Stage 5= <15
