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FSHN 450-3 CKD

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



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