Session 8: CKD Flashcards Preview

PHASE 2A: EYGP > Session 8: CKD > Flashcards

Flashcards in Session 8: CKD Deck (24):
1

What is the kidney needed for?

- Excretion of waste products
- Removal of excess fluid
- Production of EPO
- Conversion of Vitamin D
- Excretion of some drugs (BP lowering drugs)
- BP control by releasing renin

2

What 3 things need to be matched in a renal transplant?

- HLA markers
- Blood group
- Test needs to be done to see if there is an antibody reaction.

3

What diet needs to be followed post renal transplant?

Low salt
Lots of water
No unpasteurized dairy
Unwashed veg and fruit
Shellfish and other fish items

4

What are the two ways to get a kidney?

Live donor
Dead donor

5

What needs to be monitored in someone with CKD?

eGFR
Protein level of urien

6

What needs to be monitored in someone with CKD?

eGFR
Protein level of urine

7

Name 3 nephrotoxic drugs

Gentamicin
Ace Inhibitors
NSAID

8

What vaccine should be given?

Influenza and Pneumococcal Vaccine

9

What happens with Renal Dialysis? Who is it done on?

Asymptomatic patient
Two types
Haemodialysis 3 times per week at 4 hours
Peritoneal Dialysis: this is done daily

10

What type of catheter does a peritoneal dialysis machine use?

Tenckhoff's Catheter

11

What are the two types of peritoneal dialysis?

Continuous: changed fluid during the day
Automated peritoneal dialysisL happens when you are asleep

12

Which one can not be used on diabetics? Haemodiaysis of Peritoneal dialysis?

Peritoneal Dialysis contains glucose so can't use on diabetics

13

What drugs should be given to the patient: use QRISK2

- ACE
- EPO stimulants
- Anti platelets AND anti-coagulants
- Statins
- Stage 3? Use ADCal supplement as increased risk of osteoporosis

14

What is Chronic Kidney Disease?

CKD is a long standing progressive disease that involves in an impairment in renal function. It is characterized as a GFR below 60 for more than 3 months

15

What are some of the causes of CKD?

High Blood Pressure
Diabetes
Primary glomerulonephritis
SLE
Myeloma
Neoplasm

16

What are some of the Risk Factors for CKD?

- Hypertension
- Diabetes
- Recurrant UTIs
- Cancer or BPH causing an obstruction
- Chronic use of NSAID

17

What 3 things does Angiotensin II cause?

1. Vasoconstriction of the efferent arteriole
2. Increases effect on mesangial cells making them more leaky
3. Activated TGF Beta a growth factor that increases collagen synthesis and epithelial cell transformation

18

What is the staging of CKD?
Stage 1
Stage 2
Stage 3a
Stage 3b
Stage 4
Stage 5

Stage 1 GFR >90 w/ renal disease
Stage 2 GFR 60-89
Stage 3a GRF 45-59
Stage 3b GFR 30-44
Stage 4 GFR 15-29
Stage 5 GFR <15

19

What do we want to do a ECG for?

To see if the patient is suffering from hyperkalemia!

20

What are the 4 outcomes of renal treatment?

- Reduce or slow down progression
- Reduce CVS complications
- Relieve symptoms
- Treat underlying kidney problem

21

Name 4 moments when we would do Dialysis?

1. Hypervolemia
2. Hyperkalemia
3. Severe metabolic acidosis
4. Pericarditis

22

What is the difference between haemofiltration and haemodialysis?

Haemofiltration: filtrate is removed from the patient and is combined with a replacement solution
Haemodialysis: blood is passed over a semi permeable membrane against dialysis fluid. This is taken directly from an AV fistula

23

What drug do all patients on dialysis need to be given?

Warfarin an anti coagulant

24

Name 3 complications of lifelong renal dialysis?

Increased risk of amyloidosis
Increased risk of peritonitis
Increased risk of CVS death