Shapiro Flashcards
What is the primary way to look at kidney function
Creatinine
What is the most recent addition to kidney function analysis
cystatin C
What is the biggest issue in renal clearance calculations
Error in urine collections
What can cause heightened creatinine
eating slow cooked meat
What inhibits creatinine secretion
cimetidine and trimethoprim
What are CKD risk factors
diabetes
hypertenstion
What does CKD cause
risk of cardiovascular event
What is thought to be the toxic component in the trade of hypothesis
old- PTH
new- FGF23
eGFR >90 with some kidney issues
Stage 1
Hypertension
eGFR 60-90
Stage 2
Hypertension
eGFR 45-59
PTH FGF23 VitD
What cause oxidant stress in CKD
indoxyl sulfate
p cresyl sulfate
What drug should you use in CKD
ACE and ARBs
How do you treat hyperkalemia? (6 meq/l)
Calcium infusion (stabalize rhythm)
IV insulin (shift potassium into cells)
ECG changes in hyperkalemia
peaking T waves