CRF

Question 1

GFR rates in the different stages of kidney failure

Answer 1

1
90+

2
60-89

3A
3B
45-59
30-44

4
15-29

5

Question 2

normal vitamin d levels

Answer 2

30 ng/ml

Question 3

what is the :only contraindication: for taking an ACE inhibitor or an ARB

Answer 3

bilateral renal artery stenosis

can cause decreased perfusion and shutdown o fthe kdnys

Question 4

why do people with kidney dysfunction get secondary hyperparathyroidism

how can you prevent/treat it

complication of Tx?

Answer 4

because of hyperphosphatemia

dont eat cheese or nuts because they are high in phospherous or take phospherous binders

give one of the vitamin d analogues

these analogues can make the phosphorous go up even higher, so you need to bring the phosphorous level down first

(only drug that doesn’t bring up the phosphorus is cinacalcet - very expensive)