Chronic Renal Failure
Primary Care
Secondary Care
Tertiary Care
Stages of Chronic Renal Failure
100

This condition is defined as kidney damage with decreased GFR lasting how long

What is 3 months or more?

100

This is a common early symptom seen in chronic renal failure patients due to fluid retention 

what is edema?

100

This specialist primarily manages chronic kidney disease 

What is a nephrologist?

100
Tertiary care typically occurs in these types of facilities 

What are Specialized hospitals or ICU settings 

100

A patient with diabetes has a GFR of 95 and reports no symptoms except mild ankle swelling found during a routine visit 

What is stage 1 chronic renal failure?

200

Untreated chronic renal failure can progress to this life-threatening stage 

What is end-stage renal disease (ESRD)?

200
This lab value increases as kidney function declines
What is serum creatinine?
200

This condition describes waste accumulation in the blood during chronic renal failure progression

What is uremia?

200

This life-threatening electrolyte imbalance can cause cardiac arrest in chronic renal failure patients 

What is hyperkalemia?
200

A patient with a GFR of 20 presents with severe fatigue, fluid overload, and hyperkalemia, and is being prepared for dialysis

What is stage 4 chronic renal failure?

300

This happens when waste products build up in the blood due to kidney failure 

What is uremia?

300

Primary care providers monitor this to assess kidney filtration 

What is GFR?

300
These medications help control blood pressure in chronic renal failure patients 
What are ACE inhibitors or ARBs?
300

This advanced dialysis method is often used in ICU settings

What is continuous renal replacement therapy (CRRT)?

300
A patient presents with fatigue and mild edema and has a GFR of 75 

What is stage 2 chronic renal failure?

400

Name one major risk factor for chronic renal failure 

1. Diabetes

2. HTN

3. Cardiovascular disease

4. Obesity 

400
Primary care focuses on controlling these two major conditions to slow chronic renal failure progression 
What are diabetes and HTN
400

This treatment replaces kidney function and includes hemodialysis and peritoneal dialysis 

What is renal replacement therapy?
400

This is considered the best long-term treatment for chronic renal failure

What is a kidney transplant?

400

A patient has fatigue, SOB, anemia, and edema with a GFR of 45 

What is stage 3 chronic renal failure?

500

Early stages of chronic renal failure often present like this 

What is asymptomatic or mild symptoms?

500

During an initial primary care visit, a provider evaluates a patient with suspected CRF by assessing blood pressure, lung and heart sounds, daily weight, diet, intake & output, and medication compliance for diabetes and hypertension.

What is an initial assessment for chronic renal failure?

500

A nurse caring for a CRF patient in secondary care is responsible for monitoring BUN, creatinine, and GFR, assessing daily weights for fluid balance, checking for hyperkalemia, and providing patient education.

What is nurses responsibilities?

500

A critically ill CRF patient in the ICU requires continuous cardiac monitoring, mechanical ventilation, IV electrolyte correction, and continuous renal replacement therapy (CRRT).

What is advanced intensive care management?

500

A patient has a GFR of 10, cannot remove waste products, and has started dialysis

What is stage 5 chronic renal failure?

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