RENAL
RENAL
CKD Pharm Management
CKD Pharm Tx
100

Urinalysis finding most concerning & suggestive of glomerular damage?

Proteinuria & Red blood cell casts

100
dialysis or kidney transplant is required in this stage of renal disease as kidneys no longer able to function

ESRD

100

with this renal complication, kidneys cannot synthesize sufficient erythropoietin (EPO) for RBC production 

ANEMIA

100

Tx for this complication is Epoetin Alfa (Epogen, Procrit)

Anemia

200

leading causes of renal failure

Untreated HTN, DM

200

What is the GFR for ESRD

GFR < 15 mL/min/1.73 m2 (ESRD)

200

In this renal complication, kidneys are unable to secrete sufficient K+

HYPERkalemia

200

Tx for this renal complication: dietary restriction of K+, Patiormer (Veltassa), Polystyrene sulfate (Kayexalate) w/sorbitol

HYPERkalemia

300

Volume of filtrate passing through the glomerular capsules/min?

Glomerular filtration rate (GFR)

300

IN this renal complication, kidneys unable to secrete sufficient Phosphate

HYPERphosphatemia

300

Tx for this renal complication: dietary restriction of Na+, loop diuretics in acute conditions, thiazide diuretics in mild conditions

HYPERvolemia

400

Patient may exhibit no sx until...

>/=50% of nephrons have become nonfunctional

OR

  • GFR is < ½ normal value

  • GFR= volume of filtrate pa

Chronic Kidney Disease (CKD)

400
In this renal complication, kidneys are unable to secrete sufficient Na + H20--> H20 retention

HYPERvolemia

400

Tx for this renal complication: correct hyperphosphatemia, Ca+ supplement may be needed

HYPOcalcemia

500

decline in this key marker for kidney function indicates a decline in the number of functioning nephrons

GFR
500

In this renal complication, hyperphosphatemia leads to loss of Ca+ 

HYPOcalcemia

500

Tx of this Renal complication where kidneys are unable to excrete metabolic acids

Na+ Bicarb or Na+ Citrate

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