Chronic Kidney Disease Flashcards
(51 cards)
you can have chronic kidney disease and normal renal function tests T or F
T
CKD tends to present without comorbidities T or F
F, usually presents with other conditions eg diabetes and CVD
the risk of developing CKD increases with age T or F
T
define CKD?
abnormal biochem or urinalysis for >90 days in >2 samples
eGFR has to be multiplied by ___ if you are afro-caribbean or african-american
1.2
a low stage of CKD would have a __ eGFR
normal/high
stage G1 CKD has an eGFR of
> 90
stage G5 CKD has an eGFR of
<15
what CKD stage should be referred to a renal specialist?
G4
what eGFR level would prompt starting dialysis?
<8
what does the A1 stage of albumin:creatinine ratio indicate?
no proteinuria
you should do an albumin:creatinine ratio if what is detected on testing?
proteinuria
you would have proteinuria if your A:C ratio was over…
3
what test should be used for AKI?
creatinine (not eGFR)
what test should be used for CKD?
eGFR
how long should be patients be montitored for after an episode of AKI and why?
2-3yrs; looking for signs of CKD
there is no relationship between past AKIs and increased risk of CKD: T or F
F, they are at a much higher risk and must be monitored
what conditions are monitored for CKD?
diabetes
hypertension
dysmorphic RBCs on urine microscopy indicate bleeding from where?
glomerulus
normal RBCs on urine microscopy indicate bleeding from where?
distal to glomerulus
when would CKD be defined as progression?
decreased eGFR by 25%
more proteinuria
symptoms of CKD?
nocturia dilute urine tired anorexia itch can't sleep anaemia (dec. erythropoeitin)
management of CKD?
control risk factors - salt reduction, smoking
ACEi to reduce BP and proteinuria (monitor eGFR)
atorvastatin 20mg
fluid restrict(1-1.5l) if overloaded
restrict phospate if PO4 high
active vit d + phosphate binders
which patients with CKD should you refer?
G4 + A3 (A:C ratio) a decreasing eGFR (>25%) difficult to control hypertension suspect renal artery stenosis
