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Chronic Kidney Disease (CKD), Decreased efficiency of immune response to…
Chronic Kidney Disease (CKD)
Clinical Manifestations
Cardiovascular
Neuromuscular
Skin
Immunologic
Hematologic
See COMPLICATIONS
Causes
Reduction in GFR
Nephron structural/function hypertrophy
Risk Factors
Diabetes
Hypertension
Glomerulonephritis
Systemic Lupus Erythematosus
Polycystic kidney disease
Elderly
Collaborative Treatment
Hypertension
Salt/Water restriction
Antihypertensive medication
Skeletal Complications
Phosphate-binding antacids
aluminum salts
calcium carbonate
Calcium acetate
Activated Vitamin D
Diet
Protein restriction
Sodium restriction
Fluid Restriction
500-800mL + amount of 24-hour urine output
Potassium Restriction
Phosphorus restriction
Dialysis
Hemodialysis
"Artificial kidney"
External shunt
Internal fistula
Peritoneal Dialysis
Surgical implantation of silastic catheter
Fluid
dwells
drain by gravity
Transplantation
Labs/Diagnostics
GFR
Protein
Urine sediment
Creatinine
Albumin
RBC
Electrolytes
BUN
Complications
Cardiovascular disease
Hypertension
Diabetes Mellitus
Endothelial dysfunction
Vascular calcification
Dyslipidemia
Reduced HDL
Increased lipoprotein
hypertriglyceridemia
Hematologic
Anemia
Coagulation Disorder
epistaxis
menorrhagia
GI Bleed
Bruising
Immunologic
Decreased granulocytes
Defective phagocytes
Impaired inflammatory response
impaired humoral immunity
Impaired cell-mediated immunity
Neuromuscular
Peripheral neuropathy
atrophy
demyelination of nerve fibers
Resless leg syndrome
Central nervous system
uremic encephalopathy
Delirium
Coma
Sexual Dysfunction
Females
Abnormal levels of hormones
progesterone
Lutenizing
Prolactin
Hypofertility
Menstrual abnormality
Decreased vaginal lubrication
inability to achieve orgasm
Males
Impotence
Erectile difficulties
Decreased spermatocytes
Skin
Pruritus
Terry Nails
Decreased efficiency of immune response to infection
Stage 1: 90%+ Stage 2: 60-89% Stage 3: 30-59% Stage 4: 15-29% Stage 5: <15% (ESKD)
GFR in CKD