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Ashley CDE Exam > Kidney Failure > Flashcards

Flashcards in Kidney Failure Deck (16):
1

What is the most common cause of kidney failure

Diabetes

2

What percentage of new kidney failure cases is from diabetes

44%

3

How many people are living with ckd from diabetes, and how many just have diabetes

180,000
24 mil

4

What percent of kidney failure is from high blood pressure

27%

5

What ethnicity is highest risk of ckd and diabetes

African america
American Indian
Hispanic latino

6

What is microalbuminuria

first stage of ckd where small amounts of protein leak into urine. Gfr not effected at this time

7

What is Macroalbuminurea or proteinuria

More protein leaks into urine. Gfr begins to decline as urine protein increass. Blood pressure rises.

8

What are the two markers of kidney disease

Egfr and urine albumin

9

What is gfr

estimated glomerular filtration rate
1 million tiny filters of blood vessels called glomeruli in each kidney
Kidney function = how much blood glomeruli filters in 1 minute.
calculation based on amount of creatinine, in blood creatinine increases = eGFR decreases

10

Kidney failure defined as gfr less than ____

60

11

How often should gfr be checked

Yearly

12

How is albumin measured

comparing amount of albumin to amount of creatinine.

13

Describe albumin and creatinine in healthy kidneys

Large amounts of creatinie in urine, no albumin

14

What level of urine albumin identifies kidney failure

30 milligrams of albumin per gram of creatinine, with or without decreased eGFR.

15

When should urine albumin be tested?

T2 dm = yearly
T1 dm = annual assessmemt after 5 years.

16

Describe how to measure blood pressure

first number = systolic pressure, pressure in the arteries as the heart beats.
second number = diastolic pressure, pressure between heartbeats.