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Renal Week 2 2017/18 > 8: Coping with CKD > Flashcards

Flashcards in 8: Coping with CKD Deck (24)
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1

What are the long term symptoms of chronic kidney disease?

Thirst

Anorexia

Osteoporosis

Malnutrition

Fatigue (due to anaemia)

2

People with CKD suffer a lot ___.

psychologically

anger, denial, depression, loss of self confidence

3

ICE

ask about impact of ckd on daily living e.g eating, relationships, occupation, hobbies

4

What aspects of diet are controlled in patients with CKD?

Fluid intake

Salt restriction

so big impact on diet

5

What problems do excess

a) potassium

b) salt (Na, Cl etc)

c) phosphorus

cause in CKD?

a) Arrythmia

b) Hypertension

c) Osteoporosis (causes hypocalcaemia)

6

How much fluid are people with CKD allowed each day?

1L - 1.5L minimum

7

The types of food that people with CKD can eat are ___.

limited

8

How do CKD patients adapt to strict fluid restrictions?

Use small cups or glasses

Sucking on ice cubes

9

How do CKD patients adapt to strict food restrictions?

Use smaller amounts of spicier foods

10

What do people with CKD tend to have as treats?

Chocolate

Crisps

Cheese

11

Fruit, veg and fish are high in which electrolyte?

Potassium

12

How should veg e.g broccoli be prepared to minimise its electrolyte content?

Boiled

which makes it mushy and tasteless

13

Red meat and dairy products are high in which electrolyte?

Phosphorus

14

What are the symptoms of fluid overload associated with drinking too much between dialysis sessions?

Peripheral oedema

Ascites

Pulmonary oedema +/- orthopnoea, PND

15

Apart from dialysis or palliative care, what is the other option for treatment of chronic kidney disease?

Kidney transplant

16

(Dialysis / Transplant) offers patients a much greater quality of life.

Transplant

don't need to go in for dialysis or organise it yourself, freedom

17

What is a survey commonly used to assess a patient's quality of life?

SF-36

36 questions

18

What drugs need to be given alongside transplants to prevent rejection?

Immunosuppression

19

Transplant patients on immunosuppression develop recurrent ___.

infection

20

What cancer is very common in transplant patients?

Skin cancer

long term immunosuppression

21

Which types of skin cancer are common in people on immunosuppression long-term?

BCC

SCC

22

Long term steroid immunosuppression suppresses what?

Adrenal axis

leading to addison's, hirsutism

23

People on long term immunosuppression (gain/lose) weight.

gain weight

24

What are the two types of coping?

Avoidance coping (denial, anger, avoid confrontation)

Approach coping (confront, learn, take action)

separated by a transition phase