Kidney Failure Flashcards
What is the most common cause of kidney failure
Diabetes
What percentage of new kidney failure cases is from diabetes
44%
How many people are living with ckd from diabetes, and how many just have diabetes
180,000
24 mil
What percent of kidney failure is from high blood pressure
27%
What ethnicity is highest risk of ckd and diabetes
African america
American Indian
Hispanic latino
What is microalbuminuria
first stage of ckd where small amounts of protein leak into urine. Gfr not effected at this time
What is Macroalbuminurea or proteinuria
More protein leaks into urine. Gfr begins to decline as urine protein increass. Blood pressure rises.
What are the two markers of kidney disease
Egfr and urine albumin
What is gfr
estimated glomerular filtration rate
1 million tiny filters of blood vessels called glomeruli in each kidney
Kidney function = how much blood glomeruli filters in 1 minute.
calculation based on amount of creatinine, in blood creatinine increases = eGFR decreases
Kidney failure defined as gfr less than ____
60
How often should gfr be checked
Yearly
How is albumin measured
comparing amount of albumin to amount of creatinine.
Describe albumin and creatinine in healthy kidneys
Large amounts of creatinie in urine, no albumin
What level of urine albumin identifies kidney failure
30 milligrams of albumin per gram of creatinine, with or without decreased eGFR.
When should urine albumin be tested?
T2 dm = yearly
T1 dm = annual assessmemt after 5 years.
