Chronic Kidney Disease Flashcards
(28 cards)
How many stages of CKD are there?
5
How many stages of CKD are there?
5
What is the cutoff for CKD Stage I
> 90 GFR
What is the cutoff for CKD Stage II?
GFR 60-89
What is the cutoff for CKD Stage III?
GFR 30-59
What is the cutoff for CKD Stage IV?
GFR 16-29
What is the cutoff for CKD Stage V?
What is CKD Stage V?
ESRD
What are the actions taken in stages I and II?
Prevent progression of disease - manage HTN, DM, proteinuria.
How is HTN managed in stages I & II?
Goal 130/80. Treat w/ ACEIs or ARBs.
What DM med is contraindicated in kidney disease?
metformin!! nephrotoxic.
What DM med is contraindicated in kidney disease?
metformin!! nephrotoxic.
What is the cutoff for CKD Stage I
> 90 GFR
What is the cutoff for CKD Stage II?
GFR 60-89
What is the difference in administration between hemodialysis and peritoneal dialysis?
peritoneal - nightly 6-8hrs.
hemodialysis - 3x/week, 4 hrs.
What are 5 major complications of CKD?
Anemia, Secondary PTH, Mineral Bone Disorder, Volume Overload, Metabolic acidosis
What is the cutoff for CKD Stage V?
What is CKD Stage V?
ESRD
What are the actions taken in stages I and II?
Prevent progression of disease - manage HTN, DM, proteinuria.
How is HTN managed in stages I & II?
Goal 130/80. Treat w/ ACEIs or ARBs.
How is DM managed in stages I & II?
Goal: A1C
What DM med is contraindicated in kidney disease?
metformin!! nephrotoxic.
What is the problem w/ insulin and CKD?
Insulin is cleared renally, so there is increased risk of hypoglycemia.
What are the goals of stages 3 & 4?
manage complications. At Stage 4, start preparing for dialysis (eg, get AV fistula placed, takes months to be ready for use).
