CKD

Question 1

Outline the different stages of CKD?

Answer 1

1  greater than 90
2 60-89
3a 45-59
3b 30-44
4 15-29
5 less than 15

Question 2

Describe some of the potential clinical features of CKD in children?

Answer 2

Anorexia and lethargy
Polydipsia and polyuria
Failure to thrive/grow

Bone deformities

Hypertension

Haematauria

Anaemia

Symptoms usually only occur in stage 4

Question 3

What is the aim of management in CKD in children?

Answer 3

Maintain whatever kidney function remains.

Aim to allow normal growth and development.

Consider Vit D supplementation.

If anaemic treat.

Aim for low salt diet and avoid excess protein..

Question 4

At what age would you expect a child to have normal adult renal function by?

Answer 4

2 years of age