Renal failure Flashcards
1
Q
signs of renal failure
A
normochromic, normocytic anaemia
hypoalbuminaemia
hypocalcaemia
hyperphosphatemia
2
Q
test/investgiations
A
BP (lying and standing)
urinalysis
cap BM
3
Q
tx for anaemia renal impairment hypocalcaemia hyperphosphataemia
A
anaemia: iron, b12, folate. blood transfusion if symptomatic, EPO
renal impairment: maintain good BP control, treat underlying, dialysis, renal transplant
hypocalcaemia: ca2+ supplements, alfracalcidol
hyperphosphatemia- phosphate binds, aluminium hydroxide
4
Q
what is chronic renal failure?
A
an irreversible loss of renal function. substantial rise in urea and creatinine, anaemia, hypocalaemia and hyperphosphotaemia
effects the skeletan- osteodystrophy. osteomalacia (defective 25-OH,D3) which leads to reduced ca2+ absorption from the gut. 2’ hyperparathyroidism
