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Therapeutics Test 2 > CKD2 > Flashcards

Flashcards in CKD2 Deck (29):
1

what is the sodium restriction amount for controlling CKD progression

less than 2 g per day

2

what seemingly irrelevant thing should be evaluated in adults with newly identified CKD

lipid profile

3

who should use statin or statin/ezetimibe combinations as 1st line for dyslipidemia control w/ CKD

people over 50 w/ a GFR less than 60

4

why should NSAIDs be avoided in CKD

effect affarant arterioles

5

what meds should be avoided in CKD

1. NSAIDs
2. K supplements
3. Enemas w/ phosphorous
4. med's with Magnesium or Al

6

whats the formula for BSH
what is preferred BSH/BMI in CKD

square root((height (cm) x wt)/3600)
20-25

7

at what GFR do complications usually start

below 60

8

what are two important CKD complications

anemia
CKD-mineral and bone disorder

9

what causes anemia in CKD

primarily reduced erythropoietin production in kidneys

10

what is the hemoglobin levels to diagnosis anemia

less than 13.5 in males
less than 12 in females

11

what is responsible for storage of iron

serum ferritin

12

what is the protein that carries iron

TSAT

13

what are normal TIBC levels

250-450

14

what do elevated TIBC levels mean

iron deficiency

15

what are normal serum ferritin levels

200-380

16

what are normal serumiron levels

35-165

17

what vitamin deficiencies can cause anemia

vitamin B12
folate levels

18

what are goal hemoglobin levels in anemic pt's with CKD

11-12

19

ESA's should not be used be used to maintain an Hgb level above what?

11.5

20

what are the TSAT goal levels in anemic CKD pts

greater than 20

21

what are the goal serum levels in anemic pts with CKD

greater than 100

22

what should be monitored during iron replacement therapy

TSAT
serum ferritin
Hemoglobin

23

what are the PO doses of iron therapy for stage 3-5 CKD

200 mg elemental iron/day

24

what is the IV dose for iron therapy with hemodialysis

1 gram in divided doses

25

how much iron is in a 324 mg tab of ferrous fumarate

106 mg elemental iron

26

how much iron is in a 325 mg tab of ferrous sulfate

65 mg elemental iron

27

how much iron is in a 324 mg tab of ferrous gluconate

38 mg elemental iron

28

what is the onset time for PO iron supplements?
when will hemoglobin start to increase

3-10 days
2-4 weeks

29

how long does reticulocytosis take to set in

5-10 days