chronic - chronic kidney disease Exam
questions and answers
what is a cardinal symptoms of CKD? - ✅✅increased creatinine
what can be one possible reason for elevated creatinine - ✅✅is the pt taking a water pill? this would
increase creatinine but drop k
tesint for CKD - ✅✅1) renal ultrasound (looking for stones & tumors)
2) renal CT ( more details of a mass. hydronephrosis)
3) urinalysis, urine culture & sensitivity (protein, blood, pylenephritis, prostate issues, kidney stones)
definition of CKD - ✅✅progressive, irreversible loss of kidney function:
1) kidney damage (esp BUM and Cr)
2) low GFR ( <60 mL/min for >3mos)
hallmark definition of CKD is related to ______ - ✅✅GFR
common comorbidities lead to CKD - ✅✅hypertension, diabetes, lupus, polycystic kidney disease,
pyelonephritis, AKI
what is the leading cause of CKD - ✅✅diabetes ( 50%), HTN ( 25%)
disese staging for CKD based on _______ - ✅✅GFR
normal GFR - ✅✅125 mL/min/1.73m2
GFR is calculated from - ✅✅Cr, age, body size, gender
, end stage renal disease occurs when - ✅✅GFR <15 mL/min
a patient in stage 3 kidney disease has a moderate decline in GFR at ________ - ✅✅30-59
what is the clinical action plan for stage 3 CKD - ✅✅evaluation and treatment of complications
stage 1 kideny damage GFR and CAP (clinical action plan) - ✅✅>90 GFR. diagnosis & treatmnet, CVD
risk reduction
your pt has a GFR between 60-89. whats the CAP? - ✅✅60-89 is stage 2 kidney damage. CAP=
estimation of progression
at what stage would a pt prepare for renal replacement therapy ( dialysis, kidney transplant) -
✅✅with a severe decrease in GFR - 15-29.
clinical action plan for stage 5 kidney disease - ✅✅THIS IS KIDNEY FAILURE ( GFR <15). renal
replacement therapy (if uremia is present and patient desires treatment)
what toxic substances are retained w/ low GFR - ✅✅urea, creatinine, phenols, hormones,
electrolytes, water
psychologic clinical manifestations - ✅✅anxiety, depression
neurologic manifesations - ✅✅fatigue, headache, sleep disturbance, encephalopathy
cardiovascular manifesations - ✅✅HTN, HF, coronary artery disease, pericarditis, peripheral artery
disease
integumentary manifesations - ✅✅pruitus, ecchymosis, dry, scaly skin, smell
questions and answers
what is a cardinal symptoms of CKD? - ✅✅increased creatinine
what can be one possible reason for elevated creatinine - ✅✅is the pt taking a water pill? this would
increase creatinine but drop k
tesint for CKD - ✅✅1) renal ultrasound (looking for stones & tumors)
2) renal CT ( more details of a mass. hydronephrosis)
3) urinalysis, urine culture & sensitivity (protein, blood, pylenephritis, prostate issues, kidney stones)
definition of CKD - ✅✅progressive, irreversible loss of kidney function:
1) kidney damage (esp BUM and Cr)
2) low GFR ( <60 mL/min for >3mos)
hallmark definition of CKD is related to ______ - ✅✅GFR
common comorbidities lead to CKD - ✅✅hypertension, diabetes, lupus, polycystic kidney disease,
pyelonephritis, AKI
what is the leading cause of CKD - ✅✅diabetes ( 50%), HTN ( 25%)
disese staging for CKD based on _______ - ✅✅GFR
normal GFR - ✅✅125 mL/min/1.73m2
GFR is calculated from - ✅✅Cr, age, body size, gender
, end stage renal disease occurs when - ✅✅GFR <15 mL/min
a patient in stage 3 kidney disease has a moderate decline in GFR at ________ - ✅✅30-59
what is the clinical action plan for stage 3 CKD - ✅✅evaluation and treatment of complications
stage 1 kideny damage GFR and CAP (clinical action plan) - ✅✅>90 GFR. diagnosis & treatmnet, CVD
risk reduction
your pt has a GFR between 60-89. whats the CAP? - ✅✅60-89 is stage 2 kidney damage. CAP=
estimation of progression
at what stage would a pt prepare for renal replacement therapy ( dialysis, kidney transplant) -
✅✅with a severe decrease in GFR - 15-29.
clinical action plan for stage 5 kidney disease - ✅✅THIS IS KIDNEY FAILURE ( GFR <15). renal
replacement therapy (if uremia is present and patient desires treatment)
what toxic substances are retained w/ low GFR - ✅✅urea, creatinine, phenols, hormones,
electrolytes, water
psychologic clinical manifestations - ✅✅anxiety, depression
neurologic manifesations - ✅✅fatigue, headache, sleep disturbance, encephalopathy
cardiovascular manifesations - ✅✅HTN, HF, coronary artery disease, pericarditis, peripheral artery
disease
integumentary manifesations - ✅✅pruitus, ecchymosis, dry, scaly skin, smell
