8: Coping with CKD Flashcards

1
Q

What are the long term symptoms of chronic kidney disease?

A

Thirst

Anorexia

Osteoporosis

Malnutrition

Fatigue (due to anaemia)

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2
Q

People with CKD suffer a lot ___.

A

psychologically

anger, denial, depression, loss of self confidence

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3
Q

ICE

ask about impact of ckd on daily living e.g eating, relationships, occupation, hobbies

A
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4
Q

What aspects of diet are controlled in patients with CKD?

A

Fluid intake

Salt restriction

so big impact on diet

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5
Q

What problems do excess

a) potassium
b) salt (Na, Cl etc)
c) phosphorus

cause in CKD?

A

a) Arrythmia

b) Hypertension

c) Osteoporosis (causes hypocalcaemia)

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6
Q

How much fluid are people with CKD allowed each day?

A

1L - 1.5L minimum

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7
Q

The types of food that people with CKD can eat are ___.

A

limited

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8
Q

How do CKD patients adapt to strict fluid restrictions?

A

Use small cups or glasses

Sucking on ice cubes

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9
Q

How do CKD patients adapt to strict food restrictions?

A

Use smaller amounts of spicier foods

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10
Q

What do people with CKD tend to have as treats?

A

Chocolate

Crisps

Cheese

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11
Q

Fruit, veg and fish are high in which electrolyte?

A

Potassium

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12
Q

How should veg e.g broccoli be prepared to minimise its electrolyte content?

A

Boiled

which makes it mushy and tasteless

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13
Q

Red meat and dairy products are high in which electrolyte?

A

Phosphorus

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14
Q

What are the symptoms of fluid overload associated with drinking too much between dialysis sessions?

A

Peripheral oedema

Ascites

Pulmonary oedema +/- orthopnoea, PND

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15
Q

Apart from dialysis or palliative care, what is the other option for treatment of chronic kidney disease?

A

Kidney transplant

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16
Q

(Dialysis / Transplant) offers patients a much greater quality of life.

A

Transplant

don’t need to go in for dialysis or organise it yourself, freedom

17
Q

What is a survey commonly used to assess a patient’s quality of life?

A

SF-36

36 questions

18
Q

What drugs need to be given alongside transplants to prevent rejection?

A

Immunosuppression

19
Q

Transplant patients on immunosuppression develop recurrent ___.

A

infection

20
Q

What cancer is very common in transplant patients?

A

Skin cancer

long term immunosuppression

21
Q

Which types of skin cancer are common in people on immunosuppression long-term?

A

BCC

SCC

22
Q

Long term steroid immunosuppression suppresses what?

A

Adrenal axis

leading to addison’s, hirsutism

23
Q

People on long term immunosuppression (gain/lose) weight.

A

gain weight

24
Q

What are the two types of coping?

A

Avoidance coping (denial, anger, avoid confrontation)

Approach coping (confront, learn, take action)

separated by a transition phase