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Meds 2 > Htn Kidney > Flashcards

Htn Kidney Flashcards

1
Q

Single best summary of kidney fcn

A

GFR

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2
Q

Poor kidney function what effect on blood pressure?

A

high blood pressure

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3
Q

GFR vs age?

A

lower with age

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4
Q

Normal GFR = ?

A

120-130 mL/min/1.73 m^2

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5
Q

Biochemical abnormalities when GFR = ?

A
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6
Q

Inability to keep up with metabolism when GFR = ?

A
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7
Q

high blood creatinine means?

A

low filtration

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8
Q

Cr affected by?

A

muscle mass, age, sex

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9
Q

Clinical kidney disease criteria

A

Chronicity plus:

eGFR

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10
Q

Dietary restrictions designed to avoid?

A

salt/water retention
hyperkalemia
severe bone disease from hyperphosphatemia

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11
Q

Options when disease is advanced?

A

transplant or dialysis

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12
Q

best transplant scenario?

A

pre-emptive living donor

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13
Q

Absoulte indications to start dialysis?

A

encephalopathy
pericarditis/pleuritis
uremic bleeding
intractable hyperkalemia, metabolic acidosis, volume overload

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14
Q

Abx prophylaxis needed with dialysis?

A

Not unless high-grade bacteremia anticipated

new fistula, graft, catheters

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15
Q

Meperedine/demerol safe?

A

NOOOO

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16
Q

which is safe pain med?

A

hydromorphone/diluadid

17
Q

Why are NSAIDS bad?

A

cause loss of reamining kidney function in CKD

18
Q

Dental work and hemodialysis bleeding

A

better on non-HD days b/c will be on heparin, warfarin, aspirin

19
Q

Dose adjustments for abx?

A

single dose: no adjustment
Clindamycin, Azirthromycin not adjusted (the two you take)
Amoxicillin, cephalexin: interval adjustment (the x’s)
Clarithromycin: dose reduction

20
Q

Increase of BP vs CVDisease?

A

Each increase of 20/10 mmHg doubles risk of CVD starting with 115/75 mmHg

21
Q 
Htn classification
Normal
Prehypertension
Stage 1
Stage 2
A

Normal 120/80
Prehypertension 160/100

(increase by 20/10)

22
Q

Treatment cutoffs?

A

140/90 adults or 130/80 for proteinuria

23
Q

Htn followup?

A

180/110 now

24
Q

If cuff is too small, what will happen to reading?

A

too high

25
Q

oral contraceptives and BP

A

may increase

26
Q

Elderly BP epidemiology?

Control?

A

2/3 are hypertensive above 65 yo
lowest rates of BP control
Need lower initial drug doses/combinations

27
Q

BP emergency defined as?

A

marked elevation or >180/120

28
Q

Highest impact on BP from lifestyle? lowest?

A

Weight reductoin/DASH eating

Lowest is moderation EtOH

29
Q

DASH diet low in?

A

sat fat, cholesterol, total fat

Meds 2 (7 decks)

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