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BCPS study guide

chronic kidney disease

QuestionAnswer
cockroft gault equation [(140-age) x body weight]/[72 x scr] x .85 if female
indications for RRT - hint AEIOU acidosis, electrolyte abnormalities (K or phos), intoxification (boric acid, ethylene glycol, lithiu, methanol, phenobarbital, salycilate, theophylline), overload of fluid, uremia
if a patient has intradialysis hypotension what is the best treatment midodrine prior to dialysis
treatment for cramps associated with dialysis vitamine E 400 IU QPM
monitoring for diabetic nephropathy in type I vs type II start monitoring 5 years after diagnosis in type I. for type II you start monitoring immediately and then yearly.
blood pressure goals for patients with diabetes; ADA, KDIGO, JNC8, ADA = 140/80 [can do 130/80 in some pts], KDIGO 140/90 (130/80 if moderate to severe disease), JNC8 140/90
what changes in K and scr would you hold an ACEi K>5.6, Scr increase >30% from baseline
A1c goal for diabetes <7%
treatment of peritonitis in patients on peritoneal dialysis intraperitoneal vancomycin OR first generation cephalosporin AND intraperitoneal aminoglycoside OR 3rd generation cephalosporin
bugs commonly associated with peritonitis in patients on peritoneal dialysis staph aureus, staph epi, strep, ecoli pseudomonas
phenytoin adjustment for low albumin {phenytoin measured concentration}/[0.2 (albumin measured)+0.1]
what does the roland tozer estimate help determine renal dosing based on fraction excreted renally and patients renal function
Created by: mjuhlin
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