Question

1. Describe how DM and HTN contribute to CKD. 2. Explain 3 modifiable and 3 non-modifiable risk factors for CKD. 3. Explain why alterations occur in CKD and review normal result parameters: UA, BUN/Cr, Lytes, CBC 4. Explain what then nurse needs to know about Calcitriol and what patient education you would give. 5. Explain what the nurse needs to know about Renagel & Renvela and what patient education you would give. 6. Explain what then nurse needs to know about erythropoetin and what patient education you would give. 7. Explain why CKD patients are iron deficient.

Answer 1

Ans

DM lead to hypertension and hypertension cause damage to the blood vessel and also cause decrease in blood flow as pressure increase in blood there is decrease in volume to kidney and which lead to CKD

2-modifiable

DM

Hypertension

smoking

non modifiable

age

genetics

male gender

3-

due to dialysis there is normal BUN and creatnin in CKD

4-tell the patient that active conversion of vitamin d in active form not occurs in kidney due to ckd so oral intake of calcitrole is taken

5-these are given to control serum phosphorus in blood of ckd patient

6- as production of erythropoietin decrease in body and rbc synthesis decrease so that regular intake of erythropoietin is done

7-because rbc excretion occurs in urine and lead to iron loss as heam