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Management of Chronic Kidney Disease
Clinical Medicine Test 3
11
Medical
Graduate
10/05/2010

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Cards

Term
What is chronic kidney disease defined as?
Definition
1) kidney damage
2) GFR <60 ml/min
Term
What is the most common and easiest measurement of renal function?
Definition
serum creatinine concentration
Term
The most accurate method of monitoring kidney function?
Definition
measurement of compound that is freely filtered by the glomerulus: Sodium iothalamate, DTPA
Term
What are the two major causes of chronic renal disease?
Definition
1) diabetes mellitus
2) HTN
Term
What is the major risk factor for renal disease progression?
Definition
diabetes mellitus
Term
What should the be the ideal BP levels for patients with renal disease?
1) those with proteinuria of >1g/day
2) All others
Definition
1) <125/75 mmHg
2) <130/80 mmHg
Term
What are 6 risk factors for renal disease progression?
Definition
1) Diabetes
2) HTN
3) Proteinuria
4) Smoking
5) Protein Intake
6) Hyperlipidemia
Term
What can you do to treat Sodium and Water imbalances as a complication of renal failure?
Definition
1) 6-8 grams salt daily
2) if gain weight-reduce, if loose-add
3) if GFR <10 ml/min - add diuretic
Term
How can you treat potassium imbalance from chronic renal failure?
Definition
1) diet
2) Loop diuretic
3) sodium bicarbonate
4) potassium-binding resin (Kayexalate)
Term
What is a phosphate binder that increases fecal excretion of phosphate?
Definition
RenaGel - also reduces parathyroid hormone levels without causing hypocalcemia
Term
When should you refer to a nephrologist?
Definition
Creatine >2.0 mg/dl in men and >1.5 mg/dl in women
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