Quiz #5 Flashcards Preview

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Flashcards in Quiz #5 Deck (13)
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1

Causes of CKD

1. Diabetes
2. HTN
3. NSAIDs
4. Polycystic Kidney Dz
5. Renal Artery Stenosis
6. Acute Kidney Dz (Glomerulonephritis)

2

Treatment options for CKD

- Attaining blood pressure goal
- Glycemic control
- Supplemental bicarbonate if metabolic acidosis
- Protein and sodium restriction
- Furosemide
- Torsemide

3

Treatment for HTN in a patient with kidney diseasee

Enalapril
Lisinopril
Benazepril
Losartan
Valsartan
Amlodipine
Nifedipine
Nicardipine
Metoprolol
Carvedilol

4

Causes of metabolic acidosis

Methanol
Uremia
Diabetic ketoacidosis
Paraldehyde
Iron, Isoniazid
Lactic acidosis
Ethylene glycol
Salicylates

5

Kidney Damage

Proteinuria
Casts
Small echogenic kidneys on US
Evidence on biopsy

6

Sx of kidney dz

Edema
Hypertension
Hypotension
Oliguria/anuria
Fatigue
Vomiting
Mental status changes

7

Estrogen + progestin contraception

OCs
Transdermal patch (Ortho Evra)
Vaginal Ring (NuvaRing)

8

Progestin Only Contraception

Progestin-only pills
DMPA (Depo Provera)
Implant (Nexplanon)
IUD (Mirena, Skyla)
Plan B emergency contraception

9

Risks with estrogen-progestin contraceptives

MI
Stroke
HTN
VTE
Hepatic adenoma
Increased risk of breast CA

10

Contraindications to Estrogen-Progestin Contraception

Smoker over age 35
Uncontrolled HTN
Hx of stroke or ischemic heart dz
Hx of VTE
Inherited thrombophilia
Migraine with aura
Liver tumor
Breast cancer

11

Contraindications to progestin-only

Breast cancer
Undiagnosed abnormal uterine bleeding
Active liver disease

12

Contraindications to ParaGard

Wilson's Disease
Copper Allergy

13

Contraindications to IUD

Active pelvic infection
Known or suspected pregnancy
Undiagnosed abnormal uterine bleeding
Severely distorted uterus