Lesion renal cronica y detencion de progresion Flashcards

1
Q

enfermedad renal cronica definicion:

A

A. Tasa de filtracion glomerular menor a 60ml/min/1.73m2SC por mas de 3 meses.
B.Daño renal por más de 2 meses(Tasa mayor a 60 ml/min/1.73m2)
-Alteracion estructural
-Alteracion de funcion

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2
Q

Clasificacion de la enfermedad renal cronica

A

Etapa de la 1 a la 5

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3
Q

Etapa 1 de ERC:

A

Daño renal con TFG normal mayor o igual a 90.

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4
Q

Etapa 2 de ERC:

A

Daño renal con TFG ligeramente disminuida. 60-89

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5
Q

Etapa 3 en ERC:

A

TFG moderadamente disminuida. 30-59

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6
Q

Etapa 4 de ERC:

A

TFG gravemente disminuida. 15-29

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7
Q

Etapa 5 de ERC:

A

insuficiencia renal. menor a 15 o dialisis.

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8
Q

Hombre de 65 años
Creatinina enero 2024: 2.4: TFG 29.2ml/min
Creatinina mayo 2024: 2.3:TFG 30 ml/min.

A

ERC con TFG correspondiente a etapa 3 4 y 5.

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9
Q

Como detectar las ERC con TFG correspondiente a etapa 1 y 2:

A

Evaluacion de marcadores de daño renal.
Estructural o funcional.

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10
Q

Proteinuria normal:

A

Inferior a 150mg en 24 horas.

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11
Q

Proteinuria sub nefrotica:

A

150-3500mg/24hrs

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12
Q

Proteinuria nefrotica:

A

mayor a 3500mg/24hrs

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13
Q

albuminuria normal:

A

0-10mg/24 hrs

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14
Q

Albuminuria 10-30mg/24hrs

A

Levemente incrementada A1

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15
Q

30-300MG/24hrs albuminuria

A

Moderada A2

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16
Q

Albuminuria mayor a 300mg/24hrs

A

Severamente incrementada o A3

17
Q

La ERC se caracteriza por:

A

Perdida progresiva e irreversible de nefronas
daño micro vascular
inflamacion
estres oxidativo
cambios metabolicos