CKD disease part 1 Flashcards
What can a pt do to minimize risk of kidney disease?
Have well-controlled diabetes, kidney friendly diet like,losing weight,_______________
Hydration
How to assess if someone has chronic kidney disease? look at urine and presence of albumin which is indicating that glomerulus is not filtering as appropriate and letting out bigger items than we would like, we look eGFR and presence of albumin in there urine and it has to be there for how long?
3 months
What equation do we use to calculate GFR? 2021 CKD Epi
Someone w/CKD has persistent elevated ______________or reduced eGFR in the presence of albuminuria for at least 3 months
serum creatinine
There’s also different markers of kidney damage so in additon to albuminuria you could have presence of structural abnormalities so maybe you have scar tissue due to damage of diabetes or different sediment abnormalities
Any patient with a kidney transplant will always have chronic kidney disease
Patient with a GFR of less than __________ indicates chronic kidney disease and plus or minus a marker of kidney damage present for greater than 3 months
less than 60
At earlier stages of CKD patients won’t have symptoms but at later stage disease there are more symptoms
How long is the wait for someone waiting for a kidney? 7 years is the average wait time
Living donor is best chance of getting a kidney transplant and if we you wait for a deceased donor they do alot of matching they have to make sure that everything looks perfect. If you have a living donor and even if you don’t match exactly they can enter you into a donor swap program and so you could have a good match for somebody else and somebody else might have a good match for you and you could swap kidneys
Stage of chronic kidney disease there is GFR less than 60 and presence of albuminuria for at least 3 months
G5 (ESRD) if requiring dialysis so GFR is what?
less than 15
G4 GFR is what?
15-29
G3b GFR is what?
30-44
G3a GFR is what?
45-59
G2 GFR is what?
60-89
G1 GFR is what?
greater than 90
What pt would be G1?
patient had a transplant or pt has high protein levels so something else is going on in the body thatis indicating that albuminuria level is increased so you could have stage G2A3 in the pt, so their kidney function in the GFR may not have dropped but the presence of albuminuria is what ends up placing them into classification for chronic kidney disease