Med chapter NEPRHOLOGY Flashcards

1
Q

does hartmanns contain K ?

A

yes

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2
Q

indications for renal replacement therapy?

A
  • acidosis - pH <7.1
  • electrolyte imbalance K > 7
  • Intoxication - poisons
  • Overload - pulmonary overload or diuretic resistant
  • Uremia - encephalopopy or pericarditis
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3
Q

whats a normal egfr? STAGE 1

A

> 90

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4
Q

mildly decreased GFR? STAGE 2

A

60-90

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5
Q

moderately decreased GFR? STAGE 3A

A

45-60

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6
Q

moderately decreased GFR? STAGE 3B

A

30-45

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7
Q

Severe decrease in GFR?

A

15-29

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8
Q

ESKD GFR?

A

<15

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9
Q

at what GFR should someone with CKD receive RRT?

A

<10

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10
Q

name of catheter used in peritoneal dialysis?

A

tenckhoff catheter

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11
Q

complications of peritoneal dialysis?

A

peritinitis, line sepsis, abdominal wall hernia, edema

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12
Q

what is the lifelong triple therapy following renal transplant?

A
  • calcineurin inhibitors
  • antimetabolites
  • steroids
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13
Q

causes of anemia in someone with CKD?

A
  • anemia of chronic disease
  • decreased EPO production
  • depressed bone marrow function
  • shortened red cell survival
  • dietary deficiency
  • high PTH resulting in EPO
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14
Q

most common pathogen in UTIs?

A

E coli

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15
Q

what are the antibodies to in goodpastures?

A

type IV collage - glomerular basement membrane

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16
Q

proteinuria in nephrotic syndrome?

A

> 3.5 g/day

17
Q

albumin in nephrotic syndrome?

A

<30g/L

18
Q

why may someone with nephrotic syndrome be hypercoagulable?

A

renal loss of AT III

19
Q

secondary causes of nephrotic syndrome?

A
  • diabetes mellitus
  • amyloidosis
  • SLE
20
Q

anasarca =

A

swelling of the whole body

21
Q

Which ix would you get on bloods for nephrotic syndrome?

A
  • FBC with differential, LFTS, U/Es
  • serum albumin
  • cholesterol
  • ATIII levels
  • vasculitis screen (ANA antibodies)
  • hep B, hep C, HIV screen
  • hba1c and fasting glucose
  • complement
22
Q

urine ix for nephrotic syndrome?

A

urine microscopy + 24 hr urine collection for protein level

23
Q

non-pharmacological managment of nephrotic syndrome?

A
  • stop/treat underlying cause
  • daily weights, blood pressure, fluid balance
  • nutritional support
24
Q

pharmacological management of nephrotic syndrome?

A

Treat the disease;

  • steroids
  • other drugs: cyclophosphamide

-hemodialysis in severe cases

Prevent complications:

  • LMWH for VTA prophylaxis
  • diuretics for volume overload
  • statins for hypercholesteremia
  • ACE or ARB for HTN
25
Q

Complications of nephrotic syndrome?

A
  • thromboembolism
  • hyperlipidemia
  • infection
  • malnutrition
  • AKI
  • ESKD