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    Diabetic Kidney Disease - Hypertension

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    adila awaludin
    The document lists several potential causes of chronic kidney disease, including diabetic kidney disease, hypertension, vascular disease, glomerular disease, cystic kidney diseases, tubulointerstitial disease, urinary tract obstruction or dysfunction, recurrent kidney stone disease, and congenital defects of the kidney or bladder. It then provides formulas for estimating glomerular filtration rate based on creatinine, age, sex, weight, and serum creatinine. Finally, it outlines strategies for improving outcomes in chronic kidney disease, including modifying risk factors through lifestyle changes and medical treatment of conditions like diabetes and hypertension.

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    Diabetic Kidney Disease - Hypertension

    Uploaded by

    adila awaludin
    9 views7 pages
    The document lists several potential causes of chronic kidney disease, including diabetic kidney disease, hypertension, vascular disease, glomerular disease, cystic kidney diseases, tubulointerstitial disease, urinary tract obstruction or dysfunction, recurrent kidney stone disease, and congenital defects of the kidney or bladder. It then provides formulas for estimating glomerular filtration rate based on creatinine, age, sex, weight, and serum creatinine. Finally, it outlines strategies for improving outcomes in chronic kidney disease, including modifying risk factors through lifestyle changes and medical treatment of conditions like diabetes and hypertension.

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    asda

    Original Title

    Ckd

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    The document lists several potential causes of chronic kidney disease, including diabetic kidney disease, hypertension, vascular disease, glomerular disease, cystic kidney diseases, tubulointerstitial disease, urinary tract obstruction or dysfunction, recurrent kidney stone disease, and congenital defects of the kidney or bladder. It then provides formulas for estimating glomerular filtration rate based on creatinine, age, sex, weight, and serum creatinine. Finally, it outlines strategies for improving outcomes in chronic kidney disease, including modifying risk factors through lifestyle changes and medical treatment of conditions like diabetes and hypertension.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    9 views7 pages

    Diabetic Kidney Disease - Hypertension

    Uploaded by

    adila awaludin
    The document lists several potential causes of chronic kidney disease, including diabetic kidney disease, hypertension, vascular disease, glomerular disease, cystic kidney diseases, tubulointerstitial disease, urinary tract obstruction or dysfunction, recurrent kidney stone disease, and congenital defects of the kidney or bladder. It then provides formulas for estimating glomerular filtration rate based on creatinine, age, sex, weight, and serum creatinine. Finally, it outlines strategies for improving outcomes in chronic kidney disease, including modifying risk factors through lifestyle changes and medical treatment of conditions like diabetes and hypertension.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 7

    Causes of chronic kidney disease (CKD) include the

    following:
    • Diabetic kidney disease
    • Hypertension
    • Vascular disease
    • Glomerular disease (primary or secondary)
    • Cystic kidney diseases
    • Tubulointerstitial disease
    • Urinary tract obstruction or dysfunction
    • Recurrent kidney stone disease
    • Congenital (birth) defects of the kidney or bladder
    • Unrecovered acute kidney injury
    Creatinine Serum

    (𝟏𝟒𝟎 − 𝐔𝐬𝐢𝐚)(𝐁𝐞𝐫𝐚𝐭 𝐁𝐚𝐝𝐚𝐧)


    𝐂𝐥𝐜𝐫 𝐏𝐫𝐢𝐚 𝐦𝐥 /𝐦𝐞𝐧𝐢𝐭 =
    (𝟕𝟐)(𝐒𝐂𝐫𝐬𝐬)

    𝟎. 𝟖𝟓 (𝟏𝟒𝟎 − 𝐔𝐬𝐢𝐚)(𝐁𝐞𝐫𝐚𝐭 𝐁𝐚𝐝𝐚𝐧)


    𝐂𝐥𝐜𝐫 𝐖𝐚𝐧𝐢𝐭𝐚 𝐦𝐥 /𝐦𝐞𝐧𝐢𝐭 =
    (𝟕𝟐)(𝐒𝐂𝐫𝐬𝐬)
    Staging Of CKD
    Evaluation of GFR
    1. Initial assessment : Kreatinin serum dan estimasi GFR.
    2. Additional test :
     Cystatin C untuk mengkonfirmasi ketika nilai GFR
    berdasarkan serum kreatinin dirasa kurang akurat).
     USG atau CT scan untuk mendapatkan gambaran dari
    ginjal dan saluran kemih.
     Kidney Biobsy untuk memeriksa jenis penyakit ginjal tertentu,
    melihat berapa banyak kerusakan ginjal yang terjadi.
    Evaluation of Albumin
    Albumin-to-creatinine ratio (ACR) is the first method of preference to detect
    elevated protein.

    albumin cons (mg)


    𝐴𝐶𝑅 =
    creatinine cons (gr)
    Continuum of development, progression, and complications of
    CKD and strategies to improve outcomes

    • Normal
    • Screening for CKD risk factors

    • Increased Risk
    • CKD risk factors reduction, screening for CKD

    • Damage
    • Diagnosis and treatment, treat comormid conditions, slow progression,

    • ⇩ GFR
    • Estimate progression, treat complications, prepare for replacement,

    • Kidney Failure
    • Replacement by dialysis and transpalnt

    • EOL/death
    Modification of Risk Factors
    1. Smoking cessation
    2. Exercise
    3. Weight reduction to optimal targets
    4. Lipid modification (statin therapy)
    5. Optimal diabetes control HbA1Co7% (53 mmol/mol)
    6. Optimal BP control too140/90 mmHg or 130/80
    mmHg
    7. Aspirin is indicated for secondary prevention but not
    primary prevention
    8. Correction of anemia

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