Kidney Disease / Renal Disease Flashcards
Anatomy of kidneys
What do the kidneys do (functions of the kidney)?
(5)
LOOK AT SLIDE 4
• Excrete waste including dental drugs
• Regulate fluid volume and acid / base
• Maintenance of blood pressure
• Synthesise erythropoietin / renin / 1,25 cholecalciferol
• Target organ for parathormone / aldosterone / ADH
Normal kidneys
How much do they filter?
How much is reabsorbed?
How much urine is produced?
What is GFR estimated from?
See slide 6
When do you start getting symptoms for Kidney disease?
What are the risk factors for kidney disease?
Who is most at risk of getting kidney disease?
What are the risk factors for kidney disease?
*DIABETES (modifiable)
*HYPERTENSION (modifiable)
Heart problems or stroke
Obesity (modifiable)
Family history
Tobacco use (modifiable)
60+ years old
What are the kidney disease stages?
Which stages are a risk for dental treatment ?
Who is at risk for dental treatment?
What are the consequences of kidney disease?
(7)
Increased cardiovascular risk
Decreased bone health
Anaemia & reduced immunity
Build up of toxins
Increased Risk of bleeding
Reduced drug excretion
Fluid Imbalance
Dental implications of kidney disease
• Increased periodontal disease
• Oral signs of anaemia
• Bone abnormalities
• Potential increased bleeding tendency
• Care with Ibuprofen (NSAIDs )
• Good oral health supports nutrition / preparation for transplant
TAKE CARE WITH STAGE 4 + 5 (GFR< 30)
Jaw bone changes in CKD (chronic kidney disease)?
Common dental drugs and CKD
What are the two types of dialysis?
Haemodialysis
How many times per week?
What does it require?(3)
Where can it be done?
AV fistula in haemodialysis
Oral Surgery and Haemodialysis
Kidney transplantation
Adv
Disadv
Transplant waiting list
Oral side effects
( of immune suppression)
What is a risk of transplant?
MALIGNANCY
Organ donation
What type of system do we have
Who do we have a lack of donors of
Summary
