NEPHROLOGY

Chronic Kidney Disease

Jul 21, 2021 by in NEPHROLOGY Comments Off on Chronic Kidney Disease

Chronic Kidney Disease Susie Q. Lew Scott D. Cohen Phuong-Mai T. Pham Phuong-Thu T. Pham Phuong-Chi T. Pham Chronic kidney disease (CKD) is classified based on (1) cause, (2) glomerular…

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Acid-Base and Potassium Disorders

Jul 21, 2021 by in NEPHROLOGY Comments Off on Acid-Base and Potassium Disorders

Acid-Base and Potassium Disorders Phuong-Chi T. Pham Phuong-Mai T. Pham Cynthia C. Nast Hai V. Pham Phuong-Truc T. Pham Phuong-Thu T. Pham ACID-BASE DISORDERS Role of Kidneys in Acid-Base Regulation…

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Sodium/Water

Jul 21, 2021 by in NEPHROLOGY Comments Off on Sodium/Water

Sodium/Water Phuong-Chi T. Pham Phuong-Truc T. Pham Phuong-Anh T. Pham Son V. Pham Phuong-Thu T. Pham HYPONATREMIA Background Definition Hyponatremia is clinically defined as a serum sodium concentration (S[Na+]) <136…

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Kidney Disease

Oct 20, 2020 by in NEPHROLOGY Comments Off on Kidney Disease

Classification Systolic BP (mmHg) Diastolic BP (mmHg) Normal <120 AND <80 Prehypertension 120–139 OR 80–89 Stage I HTN 140–159 OR 90–99 Stage II HTN ≥160 OR ≥100 BP classification was…

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17. Hemodialysis

Oct 20, 2020 by in NEPHROLOGY Comments Off on 17. Hemodialysis

Fig. 17.1 Diffusion across a semipermeable membrane. The driving force for solute diffusion is the transmembrane concentration gradient. Small solutes with higher concentrations in the blood compartment, such as potassium,…

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Kidney Disease

Oct 20, 2020 by in NEPHROLOGY Comments Off on Kidney Disease

Condition Urinary ACR (mg/g) Terms Normoalbuminuria <30 Normally to mildly increased Microalbuminuria 30–300 Moderately increased Macroalbuminuria/overt proteinuria >300 Severely increased ACR albumin-to-creatinine ratio Proteinuria, first characterized by Kimmelstiel and Wilson…

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Dialysis

Oct 20, 2020 by in NEPHROLOGY Comments Off on Dialysis

Fig. 18.1 Diffusion is driven by the concentration gradient over the membrane Fig. 18.2 Ultrafiltration driven by the osmotic agent over the membrane Lactate dialysates with different concentrations of glucose,…

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Image Techniques in Chronic Kidney Disease

Oct 20, 2020 by in NEPHROLOGY Comments Off on Image Techniques in Chronic Kidney Disease

Fig. 8.1 Clinical usage of magnetic resonance imaging. DCE dynamic contrast-enhanced; ASL arterial spin labeling; DWI diffusion-weighted imaging; DTI diffusion tensor imaging; BOLD blood oxygen level-dependent; MRE magnetic resonance elastography;…

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19. Transplantation

Oct 20, 2020 by in NEPHROLOGY Comments Off on 19. Transplantation

Potential advantages • Improved graft survival for high-risk patients • Onset of first rejection is delayed • Period of delayed graft function may be foreshortened • May allow for less aggressive maintenance regimen Potential…

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Timing and Modality Option for Renal Replacement Therapy

Oct 20, 2020 by in NEPHROLOGY Comments Off on Timing and Modality Option for Renal Replacement Therapy

Steps in calculation Example of calculation or formula Calculate the urea clearance for a 24-h period Urea clearance = Uurea/Purea ∗ urine volume/1440 = Urea mL/min Determine urea clearance in liters, which is equivalent…

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