CKD disease part 2 Flashcards
Who are pt’s at risk for chronic kidney disease? Pts that have what sort of disease states?
Hypertension and ________
Hypertension and diabetes
Adults risk for CKD
Test GFR to see if their GFR is less than 60
ACR is greater than 30
Cockcroft and Gault equation we use for Drug-Dosing
Alot of medications are moving over to eGFRs as their package insert for drug dosing and that’s through MDRD/CKD-EPI equation
What do we put pts on for risk of kidney progression?
ACEs and ____________
ACE and ARBs are renal protective in pts with chronic kidney disease so it regulates a pt’s blood pressure so minimizes the chances of blood pressure spikes
*Abnormal loss of albumin in the urine**
Earliest and one of the most common markers of glomerular disease
High albuminuria associated with increased risk for CKD complications
* Threshold of albumin excretion rate (AER) of ≥ 30
mg/24 hrs.
Staging of CKD-Albuminuria
A1 less than ________
A1 less than 30
A2 is _________
30-300
A3 is greater than
greater than 300
What is the CKD stage for patient GJ with an eGFR of 23ml/min2
and an AER of 346mg/24hr?
stage G4,A3
What is the CKD stage for patient RT with an eGFR of 55ml/min2
and an AER of 34mg/24hr?
stage G3a,A2
When we are thinking about chronic kidney disease progression so the initial damage is going to be dependent on what the causes of the chronic kidney disease? pts with hypertension and pts with diabetes are at increased risk of development of chronic kidney disease there’s other sorts of conditons that pts can have as well so there are things like FSGS or polycystic kidney disease which are related to genetic abnormalities that might run in families so thats not necessarily as common
polycystic kidney diseases causes enlarged kidneys with large cysts on it that have to be removed so when they are doing transplant they have to remove those or make sure patients aren’t at risk for infection
