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Year 3 > CSW2 renal replacement therapy > Flashcards

CSW2 renal replacement therapy Flashcards

1
Q

What are the 3 main things that the kidneys do?

A

Toxin removal
Fluid removal
Hormone production

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2
Q

How is GFR best measured?

A

Creatinine

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3
Q

What are the stages of kidney failure? What % kidney function is there in each one

A 
stage 1= 90-100%
stage 2= 89-60%
stage 3a= 59-45%
stage 3b= 44-30%
stage 4= 29-15%
stage 5= less than 15%
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4
Q

How many stages of kidney failure are there? Name them

A

1, 2, 3a, 3b, 4, 5

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5
Q

What are the 4 key methods of renal replacement?

A

Transplant
Conservative care
Haemodialysis
Peritoneal dialysis

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6
Q

What is the most common renal replacement therapy in the UK?

A

Kidney transplant

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7
Q

What is prognosis for someone on renal replacement therapy? What is the reason for this

A

Quite poor- worse than a lot of cancers
Gets worse as you get older
Reason is cardiovascular disease

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8
Q

What is the most effective for of renal replacement therapy

A

Transplantation

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9
Q

What is eligible for renal transplane?

A

GFR <15 ml/min

GFR >15 ml/min and likely to need rrt in less than 6 months

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10
Q

In who is kidney transplant contrainidicated?

A

untreated malignancy
active infection
untreated HIV or AIDs
life expectancy under 2 years

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11
Q

Is pre emptive or post dialysis transplant better?

A

Pre emptive

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12
Q

Is live or deceased kidney donation better?

A

Live

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13
Q

Describe peritoneal dialysis

A

Peritoneum is used as the dialysis membrane

Fluid is drained then inserted

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14
Q

What are the 2 types of peritoneal dialysis

A

CAPD

Automated peritoneal dialysis

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15
Q

What are some adv and disadv of peritoneal dialysis

A 
adv= easy to travel, low tech, flexible
disadv= needs to be continuous therapy, peritonitis risk, there my be membrane failure
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16
Q

Describe haemodialysis

A

An extracorporeal ciruit is used
Usually 3-4 hrs 3x a week
Predominantly done in center

17
Q

What are some adv and disadv of haemodialysis

A 
adv= less time than peritoneal, no issues with membrane failure
disadv= fixed sesssions, expensive, need large vols of pure water
18
Q

When is dialysis indicated ?

A

GFR <8ml/min
Uraemic symptoms like weight loss, anorexia and fatigue
Fluid overload that is refractory to diuretics

19
Q

What renal replacement therapy is given to those with AKI

A

Haemofiltration (CVVHF)

20
Q

What is the best for of renal replacement therapy?

A

Pre emptive live donor renal transplant

Year 3 (104 decks)

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