flashcards_ckd
What are the aims of treatment for chronic kidney disease (CKD)?
Treat reversible kidney dysfunction, prevent/slow progression of disease, treat complications.
What is the first-line treatment for stage 1-2 CKD without uraemia?
ACE inhibitor/ARB.
What additional treatments are used for stage 1-2 CKD without uraemia?
CCB, statin, additional antihypertensives.
What is the first-line treatment for stage 3-4 CKD without uraemia?
ACE inhibitor/ARB, statin +/- ezetimibe.
What additional treatments are used for stage 3-4 CKD without uraemia?
CCB, additional antihypertensives, education about RRT.
What treatments are used for stage 5 CKD with uraemia?
Dialysis, kidney transplant, management of secondary hyperparathyroidism.
What is the management for anaemia in CKD?
Erythropoietin stimulating agent, iron supplementation.
What is the management for secondary hyperparathyroidism in CKD?
Phosphate restriction, using calcium carbonate as a phosphate binder, activated vitamin D supplements.
What is the management for metabolic acidosis in CKD?
Salt supplements, a lot of water, bicarbonate supplements to prevent acidosis.
What dietary considerations are important in CKD management?
Calorie supplements or NG/gastrostomy feeding, sufficient protein intake to maintain growth and normal albumin.
How are hormonal abnormalities managed in CKD?
Management of growth hormone resistance with recombinant human GH.
What growth hormone treatment is effective for improving growth in CKD?
Recombinant human GH is effective for up to 5 years of use.
