week 10 seminar Flashcards

1
Q

what are the major CKD risk factors

A

diabetes
HTN
family history of kidney disease
also history of kidney disease

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2
Q

what are the two ethnicities most susceptible to CKD

A

indigenous sand southeast asian

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3
Q

what is the earliest sign of diabetic nephropathhy

A

proteinuria

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4
Q

how long after the onset of type 2 diabetes does proteinuria usually appear

A

5-10 years

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5
Q

what does GFR have to be to diagnose CKD

A

less than 60 ML/min

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6
Q

can you just use GFR to diagnose CKD

A

no you need albuminuria as well

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7
Q

how does GFR and albuminuria make you more likely to be at risk for kidney disease

A

lower GFR Dana higher albuminuria

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8
Q

how do we base CKD staging

A

on eGFR and albuminuria

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9
Q

which stage of CKD will you see albuminuria

A

stage 3

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10
Q

patient is asymptomatic but has a decreased ability to concentrate urine, which stage of CKD are they likely in

A

stage 2

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11
Q

patient has uraemia, which stage of CKD are they in

A

stage 5

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12
Q

which diagnostic test may be hard on the kidneys

A

CT dye is hard on the kidneys

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13
Q

which meds are hard on the kidneys
(CANS)

A

chemo
antibiotics
NSAIDS
Solvents (ethylene glycol)

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14
Q

which types of food should be avoided in CKD (think about electrolytes)

A

magnesium
protein
potassium
salty foods
high purine foods
calcium *because you done have vitamin D to absorb it)

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15
Q

are S3 sounds bad?

A

yes

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16
Q

what is uremic fetter

A

bad breath that tastes metallic caused by uraemia

17
Q

which meds may cause constipation with CKD

A

calcium carbonare, K exolate

18
Q

what is pruritis

A

decreased skin oils and turgor, indicates that the skin is very dry

19
Q

what is renal osteodystrophy

A

demineralisation of the bone due to PTH breaking down calcium in the bone due to high phosphate and low calcium

20
Q

why isn’t creatinine clearance a fav over eGFR anymore?

A

because it takes forever and has a high likelihood of failing

21
Q

what the difference in monitoring during hemodialysis vs. peritoneal dialysis

A

hemodyalisis: monitor vitals and blood work
peritoneal: no monitoring

22
Q

what are dietary changes in peritoneal dialysis

A

increase protein intake and avoid constipation

23
Q

what is dialysate

A

a fluid used in dialysis for both types

24
Q

what is a thrill

A

a vibration on the fistula that means its working

25
Q

what is a bruit

A

a whooshing sound in a fistula that means its working

26
Q

what are complications for hemodialysis

A

hypotension
bleeding
infection

27
Q

what are complications for peritoneal dialysis

A

outflow obstruction
infeciton
back pain