Shapiro Flashcards

1
Q

What is the primary way to look at kidney function

A

Creatinine

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2
Q

What is the most recent addition to kidney function analysis

A

cystatin C

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3
Q

What is the biggest issue in renal clearance calculations

A

Error in urine collections

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4
Q

What can cause heightened creatinine

A

eating slow cooked meat

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5
Q

What inhibits creatinine secretion

A

cimetidine and trimethoprim

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6
Q

What are CKD risk factors

A

diabetes

hypertenstion

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7
Q

What does CKD cause

A

risk of cardiovascular event

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8
Q

What is thought to be the toxic component in the trade of hypothesis

A

old- PTH

new- FGF23

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9
Q

eGFR >90 with some kidney issues

A

Stage 1

Hypertension

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10
Q

eGFR 60-90

A

Stage 2

Hypertension

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11
Q

eGFR 45-59

A

PTH FGF23 VitD

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12
Q

What cause oxidant stress in CKD

A

indoxyl sulfate

p cresyl sulfate

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13
Q

What drug should you use in CKD

A

ACE and ARBs

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14
Q

How do you treat hyperkalemia? (6 meq/l)

A

Calcium infusion (stabalize rhythm)

IV insulin (shift potassium into cells)

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15
Q

ECG changes in hyperkalemia

A

peaking T waves

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16
Q

What is the indicator that you need to start dialysis in ESRD

A

An added motor component

17
Q

What caused denver disease

A

Water used in dialysis had high aluminum in it which caused a disease similar to osteoclamacia

18
Q

Why didn’t community members get denver disease

A

reverse osmosis was used to clear aluminum form the water