Bcacp - Nephrology Questions And Answers 2024.

definition of CKD according to GFR GFR less than 60 for 3 months, with or without kidney damanage GFR categories: G1 90 GFR categories: G2 60-89 GFR categories: G3a 45-59 GFR categories: G3b 30-44 GFR categories: G4 15-29 GFR categories: G5 Less than 15 or treatment by dialysis albumin categories: A1 ACR less than 30 albumin categories: A2 30-300 albumin categoies: A3 over 300 when to use urine collection for gfr and does it overestimate or underestimate GFR vegetarians, patients with low or high muscle mass, amputations overestimate GFR by 10-20% given secretion SBP goal according to KDIGO 120 KDIGO recommends dietary protein intake of _____ and avoidance of high protein diets ____ in pts with CKD 0.8 g/kg/day, 1.3 g/kg/day second line for proteinuria calcium channel blockers oral iron is not for ____ CKD pts HD dose of elemental iron per day in CKD patients 200 mg what TSAT and ferritin concentration warrants use of IV iron in CKD TSAT 30% ferritin 500 iron sucrose and sodium ferric gluconate have a ___ rate of anaphylaxis compared to iron dextra lower darbopoetin advantage over epoetin dosed less often when should esa be initated hg less than 10, otherwise individual decision ESA should not be used to maintain hb above ___, or to initially increase it above ____ 11.5, 13 how often should dose adjustments for ESAs be made not more often than every 4 weeks why are aluminum phosphate binders only recommended for very short term use (2-4 weeks) aluminum toxicity which is a better binder: calcium acetate or calcium carbonate calcium acetate sevelamer is suggested in those with calcium concentration greater than ____ 9.5 (corrected calcium) what kind of binder is velphoro (sucroferric oxyhydroxide) iron based - can cause black stools but iron is NOT absorbed administration of velphoro - what is special must be chewed - not swallowed whole (can crush) what kind of patients should you avoid calcium binders in (as it related to Ca, Phos, PTH) hypercalcemia, hyperphosphatemia, low PTH concentration what does vitamin D do due PTH, calcium and phosphate reduces PTH, increases calcium and phosphate when are vitamin D supplements indicated in CKD for CKD stages 3-5 in the presence of elevated PTH and documented vit D deficiency (less than 30) indication for calcitriol approved for management of hypocalcemia prevention and the treatment of secondary hyperparathyroidism when to use calcimeimetic agents (e.g. cinacalet - sensipar) to lower PTH concentrations when you also have high calcium and phosphorus co