Renal HS

Question 1

What is the leading cause of mortality in patients with CKD?

Answer 1

Cardiovascular disease

• Increased phosphorous can contribute
• -> Calcification, FGF-23 release
  
  • -> Cardiovascular remodeling

Question 2

What are the major sources of dietary phosphorous?

Answer 2

• Organic
  
  • Animal products
  • Dairy
  • Vegetables
• Inorganic
  
  • Additives - Very readily absorbed
    
    • Soda, diet soda
    • Flavor enhancers
    • Preservatives
    • Stabilizers

Question 3

List the kidney distribution priorities

Answer 3

In order from highest -> lowest priority

• Highest CPRA candidates (hardest to match)
• Kidney + extra-renal organ (sickest)
• Zero antigen mismatch (Best outcome)
• Prior living donors (most deserving)
• Pediatrics
• Everybody else

Question 4

What foods have high potassium content?

Answer 4

• Bananas
• Mango
• Oranges/orange juice
• Raisins
• Potatoes
• Tomatoes
• Black beans
• Salmon
• Chocolate
• Milk
• Peanut butter

Should be avoided in patients with Stage 3b CKD (GFR <45 mL/min) or worse

Question 5

What is the National Organ Transplant Act (1984)?

Answer 5

The act stating that the organ allocation system must be balanced and defensible

Based on Justice and Medical Utility

• Justice recognizes patients with the greatest need
• Medical utility provides the greatest good for the greatest number