BIMS 201 Lecture Notes - Lecture 2: Acute Kidney Injury, Urine Test Strip, Peripheral Artery Disease
7 Jan 2018
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Ckd ( 21 nov 2017: acute kidney injury - sustained rise in serum urea and serum. Creatinine due to rapid decline in gfr leading to loss of normal water and solute homeostasis . Reversible: chronic kidney injury - persistent (>3 months) evidence of kidney damage or impaired gfr . Irreversible: risk of ckd hypertension , diabetes mellitus , proteinuria. Delay ckd aggressive control of bp , blood sugar , lipids , diet. Low salt diet , lifestyle mod exercise , quit smoking: urine microalbumin test shall be done to patient with urine dipstick test negative for proteinuria . Because urine dipstick only detects proteinuria >300mg (3+: normal urinary protein excretion is <150 mg/day . Such as hypertension, dm mention the drug on and reading: 40 % increase in risk to develop ckd in t2dm patient. T2dm and ckd are more likely to die from cardiovascular events than esrf.
