Flashcards in Exam 3 Deck (10)
End-stage renal disease (ESRD), occurs when?
The GFR is less than 15 mL/min
-Tx: renal replacement (dialysis or transplantation) to maintain life
CKD is either?
The presence of kidney damage or a decreased GFR less than 60 mL/min/1.73 m2 for longer than 3 months
A syndrome in which kidney function declines to the point that symptoms may develop in multiple body systems
-occurs when GFR is 15 mL/min or less
Clinical manifestations for CKD seen in the urinary system
-increasing difficulty with fluid retention and require diuretic therapy
-may develop anuria after dialysis
Metabolic disturbances seen in CKD
-As GFR decreases, the BUN and serum creatinine levels increase
-Fatal dysrhythmias reported when serum potassium levels reach 7-8 mEq/L
- restricted to 2g/day
What type of anemia is associated with CKD?
CKD: Sufficient iron stores are needed for erythopoiesis.
-Medications such as proton pump inhibitors or phosphate binders decrease absorption.
-Patients on dialysis may require IV iron to restore iron levels
-Folic acid must be supplemented in the diet (folic acid 1mg/day)