Week 2 - A - Phosphates in kidney failure

Question 1

What is the percentage increase in depression in end stage renal disease?

Answer 1

25-30% increase in depression

Question 2

Why is there a need for diet control in ESRD? (end stage renal disease)

Answer 2

To prevent the overflow of certain substances eg phosphate, salt, potassium

Question 3

What effect can excess potassium have on the heart?

Answer 3

Can cause arrythmias - decreases heart rate

Question 4

What can excess salt cause?

Answer 4

Can cause hypertension

Question 5

What can excess phosphate cause?

Answer 5

Can lead to hypocalcaemia causing increased bone resorption to get more calcium and this makes the bone weak

Question 6

Why is chocolate restricted in chronic kindey disease?

Answer 6

In chronic kidney disease the kidney already struggles to excrete phosphorus and chocolate is high in phosphorus so should therefore be limited

Question 7

When patients are on dialysis, the hope that they will no longer need this is for a kidney transplant

What is the risk factors of some of the drugs after having dialysis?

Answer 7

Infections
Haemorrhage

GI Upset

Immunosuppression