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FSHN 450-3 CKD

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Question
Answer
Most common cause of ckd   diabetes  
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Other causes of ckd   hypertension, glomerulonephritis, immune causes, polycystic kidney disease  
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What happens during kidney failure?   oliguria, hyperkalemia, fluid and sodium retention, anemia, acidosis, low serum calcium,  
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BUN normal   8-18mg/dL  
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BUN early CKD   >35mg/dL  
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BUN kidney failure   60-80mg/dL  
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Stage 1 kidney   normal function, kidney damage  
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Stage 2 kidney   mild decrease in GFR  
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Stage 3 kidney   early/late; moderate decrease in GFR  
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Stage 4 kidney   severe decrease in GFR  
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Stage 5 kidney   kidney failure  
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Dietary sources of phosphorus   preservatives, meat, dairy, soda  
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Blood pressure kidney   <140/90 generally; use ACE inhibitors or ARB inhibitors if necessary  
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Sodium CKD   <2g/day  
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Ha1c CKD   <7%  
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Kcal on dialysis   23-35  
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4 additional medications for CKD   EPO, fiber, hypotensive agents, statins  
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vitamins CKD   need activated vitamin D, no more fat soluble, folic acid/C because get removed (similar MW)  
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minerals CKD   Fe (need epo), Ca >1 <2 (need activated vitamin D)  
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two most common comorbidities CKD   HTN, DM  
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fluid CKD   1000 mL (4 cups)  
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BUN goal dialysis   60-80 mg/dL  
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PO4 goal dialysis   4.5-5.5 mg/dL  
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PTH goal dialysis   150-300 pg/mL  
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K goal dialysis   4.5-5.5 mEq/L  
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Foods high in K   bananas, spinach, nuts, potatoes, pumpkin, OJ, prune juice  
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PO4 per day pre-dialysis   12mg/kg  
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PO4 per day post-dialysis   17mg/kg  
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Created by: melaniebeale
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