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8 Cards in this Set
- Front
- Back
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Classification of chronic kidney disease
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0-15 - Stage 1
15-30 - Stage 2 30-60 - stage 3 60-90 - stage 4 90+ - Stage 5 |
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Limitations of MDRD-GFR
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-not for < 18 yrs
-many ethinic groups -extremes of body habitus -acute/unstable states (AKI) -not validated for drug dosing |
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Screening for proteinuria
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-proteinuria in 1 or more risk factors
-albuminuria in DM -ACR/PCR |
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Top 3 causes of renal disease
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-DM 31%
-glomerularnephritis 25% -HTN 16% |
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Slowing progression to ESRD
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-ACEI / ARBs (renoprotective beyond HTN)
-BP control -intensive glycaemia mx -smoking cessation -??mx anaemia -??statins |
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Mx of HTN in preservation of kidney function
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proteinuria
-ACEI/ARB -possibly CCB/Betablocker No proteinuria -ACEI/ARB, or CCB |
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who benifits most from those recieving ACEI in non diabetic CKD
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those with a significant increase in serum creatinine. (< 30%). If greater check for bilateral renal artery stenosis
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HTN targets in DM, agents
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125/75
-ACEI/ARB -CCB or BB or thiazide |
