CKD Flashcards
1
Q
What is it?
A
Presence of kidney damage, maifested by abnormal albumin excretion or decreased kidney function for over 3 months
2
Q
What are the causes?
A
Diabetes HTN Glomerulonephritis Polycystic kidney disease Chronic/recurrent pyelonephritis Chemo
3
Q
What are the complications?
A
Anaemia of chronic disease Mineral and bone disease Hyperparathyroidism HTN CVD Malnutrition Fluid overload Metabolic acidosis
4
Q
Why does anaemia develop?
A
Reduced erythropoietin production so reduced stimulation of RBC production by bone marrow
5
Q
How is the anaemia managed?
A
Give EPO with iron
6
Q
What is the management?
A
Treat underlying disease
Reduce CV risk - statins, BP, weight loss, smoking
Reduce proteinuria - ACEi/ARB
At late stages discus RRT
7
Q
How is the hyperparathyroidism treated?
A
Active vit D
Low phosphate diet
Calcimimetics
Parathyroidectomy
