CKD2 Flashcards
what is the sodium restriction amount for controlling CKD progression
less than 2 g per day
what seemingly irrelevant thing should be evaluated in adults with newly identified CKD
lipid profile
who should use statin or statin/ezetimibe combinations as 1st line for dyslipidemia control w/ CKD
people over 50 w/ a GFR less than 60
why should NSAIDs be avoided in CKD
effect affarant arterioles
what meds should be avoided in CKD
- NSAIDs
- K supplements
- Enemas w/ phosphorous
- med’s with Magnesium or Al
whats the formula for BSH
what is preferred BSH/BMI in CKD
square root((height (cm) x wt)/3600) 20-25
at what GFR do complications usually start
below 60
what are two important CKD complications
anemia
CKD-mineral and bone disorder
what causes anemia in CKD
primarily reduced erythropoietin production in kidneys
what is the hemoglobin levels to diagnosis anemia
less than 13.5 in males
less than 12 in females
what is responsible for storage of iron
serum ferritin
what is the protein that carries iron
TSAT
what are normal TIBC levels
250-450
what do elevated TIBC levels mean
iron deficiency
what are normal serum ferritin levels
200-380
what are normal serumiron levels
35-165
what vitamin deficiencies can cause anemia
vitamin B12
folate levels
what are goal hemoglobin levels in anemic pt’s with CKD
11-12
ESA’s should not be used be used to maintain an Hgb level above what?
11.5
what are the TSAT goal levels in anemic CKD pts
greater than 20
what are the goal serum levels in anemic pts with CKD
greater than 100
what should be monitored during iron replacement therapy
TSAT
serum ferritin
Hemoglobin
what are the PO doses of iron therapy for stage 3-5 CKD
200 mg elemental iron/day
what is the IV dose for iron therapy with hemodialysis
1 gram in divided doses
how much iron is in a 324 mg tab of ferrous fumarate
106 mg elemental iron
how much iron is in a 325 mg tab of ferrous sulfate
65 mg elemental iron
how much iron is in a 324 mg tab of ferrous gluconate
38 mg elemental iron
what is the onset time for PO iron supplements?
when will hemoglobin start to increase
3-10 days
2-4 weeks
how long does reticulocytosis take to set in
5-10 days
