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FSHN 450-3 CKD
| Question | Answer |
|---|---|
| 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 |