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15 Cards in this Set
- Front
- Back
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What is used as a marker for GFR?
Why? |
serum Creatinine (SCr) (normal range btwn 0.6-1.2 mg/dL)
Bc its not reabsorbed, secreted, or synthesized |
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What does CKD depend on? |
age sex muscle mass race prior value |
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If SCr doubles how does kidney function change? |
kidney function is decreased 50%
(1/SCr = Kidney fxn) |
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What is a better indicator of kidney function then creatinine? Why is it not as commonly used? |
Cystatin C
expensive |
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Chronic Kidney Disease (CKD) is classified using what? |
GFR & albuminuria |
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Chronic Kidney Disease (CKD) risk factors |
Hypertension Diabetes Age > 60 Family Hx Nephrotoxic Drug exposure CVD Acute renal failure Urologic disorers Systemic Infection Cancer Ethnic minority |
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Indicators of CKD |
Proteinuria, Hematuria, or other urine abnorm. Imaging abnorm. GFR < 60 mL/min |
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MC sx of CKD |
NONE
(usually do not have sx, must monitor at risk patients!) |
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CKD common sy/sx |
fatigue easy bruising metallic taste urinous breath hypertension nocturia isothenuria lost libido / impotence peripheral neuropathy |
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T/F Patients w CKD are more likely to die then to progress to ESRD |
TRUE
(after CKD diagnosis, pts will eventually progress to ESRD or die, but usually die first, high mortality) |
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Complications associated w/ CKD |
anemia HTN CVD DM Osteodystrophy Malnutrition Metabolic Acidosis Dyslipidemia |
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What is the goal of CKD treatment? |
extend life expectancy |
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CKD: TX |
Manage: BP: ACE/ARB DM: monitor blood glucose Uric acid: Allopurinol Secondary Hyperparathyroidism: Low Phosphate diet, Phosphate binders, Ca2+, Vit D analogs
Dialysis Kidney Transplant |
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When should a CKD pt start dialysis? |
when CKD begins to progress to ESRD |
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When should a CKD pt be sent to the nephrologist?
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CKD 3 or higher |
