AGACNP-1 Chronic Kidney Disease verified to pass 2023/2024

AGACNP-1 Chronic Kidney DiseaseCauses of CKD Diabetic Nephropathy (most common) Hypertensive Nephrosclerosis (most common) Chronic Glomerulonephritis Cystic Kidney Disease AKI role in CKD Anyone who has had AKI is at lifetime r/f dev. of CKD Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:01 / 0:15 Full screen CKD Signs & Symptoms Azotemia Hyperkalemia Metabolic Acidosis Hyperphosphatemia Hypermagnesemia Elevated Uric Acid HTN Other Pathologies Seen with CKD Heart Failure Pulm. edema Pericarditis Pericardial Effusion Pleural Effusion Anorexia/Nausea Pruritis Anemia Osteodystrophies Cramping Neuropathies Chronic Kidney Disease Kidney damage >3 mo. with or w/o decreased GFR OR GFR <60 w/ or w/o kidney damage Creatinine-Cystatin Equation GFR equation good for overweight, elderly, muscular patients *Less influenced by muscle mass or diet Stage 1 CKD Kidney damage w/ normal or increased GFR GFR>90 *Diagnose & Treat -Treat comorbid disease -Slow progression -CVD risk reduction Stage 2 CKD Kidney damage w/ mild decreased in GFR GFR 60-89 *Estimate progression Stage 3 CKD Moderate decrease in GFR GFR 30-59 *Eval. & treat complications *Should be referred to Nephrology Stage 4 CKD Severe drop in GFR GFR 15-29 *Prepare for RRT Stage 5 CKD (ESRD) Kidney failure GFR <15 *Dialysis or Transplant Markers of Kidney Damage Proteinuria Microalbuminuria Hematuria Casts (esp. w/ cellular elements) Screening for CKD Assess BP Eval. Serum Creat & GFR Spot urine for protein/creat ratio or albumin/creat ratio