Renal Flashcards
1
Q
Meds with increased K+ levels
A
ACE inhibitors NSAIDS B blockers Bactrim Heparin Cyclospoine
2
Q
Meds with decreased K+ levels
A
Loop diuretics Thiazides Insulin Antacids Laxatives
3
Q
Causes of malnutrition in renal failure
A
- decreased nutrient intake
- loss of nutrients with dialysis
- increased catabolism
- metabolic acidosis
- frequent illness
- hypermetabolism (AKI)
4
Q
AKI
A
Sudden decline in GFR
High risk for under nutrition
Accelerated loss of protein and AA —> loss lean body mass
Poor wound healing
5
Q
Goals AKI
A
Preserve body protein stores
Maintain fluid balance, electrolyte, A/B
Prevent deficiencies
6
Q
CKD
A
Gradual decrease in removal of waste products
Increase urea —> nausea, fatigue, loss of appetite
Decreased urine output
7
Q
CKD stages
A
1-4 (predialysis)
5 (dialysis)
8
Q
CKD I
A
> 90 GFR
9
Q
CKD 2
A
GRF 60-89
10
Q
CKD 3
A
30-50 GFR
11
Q
CKD 4
A
15-29 GFR
12
Q
CKD 5
A
<15 GFR
13
Q
Goals or predialysis
A
Adequate calories Prevent uremia Restore biochemical balance Fluid balance/BP Glycemic control
14
Q
P binders
A
Taken with meals to aid in elimination of excess P
15
Q
Failure of Vit D activators
A
Decrease calcium
Increase P
Secondary hyperparathyroidism
