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9 Cards in this Set
- Front
- Back
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neuromuscular disorders
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1. fatigue
2. sleep disorders 3. impaired mentation and lethargy 4. asterixis 5. peripheral nephropathy 6. muscular irritability 7. restless leg syndrome 8. cramps |
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Hematological disorders
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1. normocytic anemia
2. plt dysfunction 3. lymphocytopenia and leukopenia 4. splenomegaly and hyperslpenism 5. hypocomplementemia 6. inc infxs |
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derm disorders
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1. pallor
2. hyperpigmentation 3. pruritis 4. ecchymoses 5. yellow discoloration |
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CKD: mgmt
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-tx of primary dz: Diabetic GS-> control DM; hypertensive GD -> control BP
-tx of reversible aggravating factors of acute on chronic kidney dz -prevention or slowing the progression -tx the complications -Identification and adequate preparation of the patient for renal replacement therapy |
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CKD mgmt cont
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-optimal BP = 120/75
-ACE I: 1st choice -reduced dietary phosphorous and phosphate binders -control of anemia -control of hyperlipidemia -mod protein restriction: 0.6-0.8 g/kg |
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EDRF: indications for dialysis
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1. persistent nausea and vomiting
2. vol overload with pul edema not responsive to diuretics 3. accelerated HTN poorly responsive to meds 4. uremic encephalopathy or neuropathy 5. uremic pericarditis 6. hyperkalmiea K>6.0 7. metabolic acidosis <11 8. high BUN >100 9 Cr >10 |
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CKD renal replacement therapy
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1. hemodialysis
2. peritoneal dialysis 3. kidney transplant |
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when to refer
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-early referral: stage 3. stage 4
-late: stage 5 |
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acute complications during routine hemodialysis tx
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1. hypotension
2. cramps 3. N/V 4. HA 5. back pain 6. chest pain 7. itching 8. fever and chills |
