by: dr. naushad pervez. chronic kidney disease (ckd)
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Chronic Kidney Disease (CKD)
BY: DR. NAUSHAD PERVEZ
Chronic Kidney Disease (CKD)
What Kidneys Do?
Filter waste from blood Remove excess fluid Adjust the levels of minerals and chemicals Produce hormones regulating blood pressure and other body functions
Chronic Kidney Disease (CKD)
Causes of Kidney Disease
Diabetes: Well controlled blood sugar will slow the
progression to a kidney disease
Chronic Kidney Disease (CKD)
Category of a Person
Minimal Fasting Value
Maximum Fasting Value
2 hours after
consuming glucose
Normal 70 100 Less than 140
Early Diabetes
101 126 140 to 200
Established Diabetes
More than 126
- More than 200
Causes of Kidney Disease Cont.
High Blood Pressure (Hypertension):
Damages the blood vessels and reduces the blood supply to the kidneys. Proper control can slow the progression to kidney disease
Chronic Kidney Disease (CKD)
Top number (systolic) in mm Hg
Bottom number
(diastolic) in mm Hg
Your category* What to do**
Below 120 and Below 80 Normal blood pressure
Maintain or adopt a healthy lifestyle.
120-139 or 80-89 Prehypertension Maintain or adopt a healthy lifestyle.
140-159 or 90-99 Stage 1 hypertension
Maintain or adopt a healthy lifestyle. If blood pressure goal isn't reached in about six months, talk to your doctor about taking one or more medications.
160 or more or 100 or more Stage 2 hypertension
Maintain or adopt a healthy lifestyle. Talk to your doctor about taking more than one medication.
blood pressure control
Causes of Kidney Disease Cont.
Glomerulonephritis Nephrotic Syndrome Polycystic Kidney Disease Systemic Lupus Erythematotsus Kidney Infections Kidney Stones Prostate Obstruction Illegal Drugs and Alcohol Excessive Use of OTC (over the counter)
Medication
Chronic Kidney Disease (CKD)
Signs and Symptoms Of Kidney
Disease
Initially NO SYMPTOMS Cloudy of Foamy urine (reddish or brown in
color) Fatigue and Weakness Decreased appetite Swelling of Legs and Puffiness of eyelids Metallic taste in the mouth Shortness of breath
Chronic Kidney Disease (CKD)
Chronic Kidney Disease (CKD)
Complications of Kidney Disease
Increased Heart Attacks Increased Strokes Increased Infections Weak Bones Anemia Dialysis Death
Chronic Kidney Disease (CKD)
Stages of CKD
Chronic Kidney Disease (CKD)
STAGES DESCRIPTION GFR
1 Kidney Damage (e.g. protein in the urine) and Normal Kidney Function
Above 90
2 Kidney DamageAnd Mild Loss of Kidney Function
60 to 89
3 Moderate Loss of Kidney Function 30 to 59
4 Severe Loss of Kidney Function 15 to 29
5 Kidney Failure Below 15
Know Your
Glomerular Filtration Rate (GFR)
GFR is a calculation of your kidney function
GFR can be calculated from the results of a simple blood test considering factors such as age, race and gender
If you have Diabetes, High Blood Pressure, a Family History of Kidney Disease, or any other risk factor, ask your doctor about having tests done for GFR
Chronic Kidney Disease (CKD)
Prevention
Maintain a healthy weight Check cholesterol at least yearly – must be less than 199 Check Blood Sugar at least once a day – must be
controlled at 70-120 before meals Check HgA1C (if a diabetic) quarterly – must be less
than 6.2 Check your Creatinine – normal 0.6 – 1.2 Ask your physician to check your urine for protein Good blood pressure control (120/70) through proper
diet and exercise. Take blood pressure medications as prescribed by your physician
Avoid Arthritis medications Avoid smoking Maintain a yearly physical
Chronic Kidney Disease (CKD)
Facts About Chronic Kidney Disease
(CKD)
20 million Americans – 1 in 9 US adults have CKD and another 20 million more are at increased risk
Early detection can help prevent the progression of kidney disease to kidney failure
Heart disease is the major cause of death for all people with CKD
Glomerular filtration rate (GFR) is the best estimate of kidney function
Hypertension causes CKD and CKD causes hypertension
Chronic Kidney Disease (CKD)
Facts About Chronic Kidney Disease (CKD)
Cont.
Persistent proteinuria means CKD High-risk groups include those with diabetes,
hypertension and family history of kidney disease
African American, Hispanics, Pacific Islanders, Native American and seniors are at an increased risk
Three simple tests can detect CKD:1. Blood Pressure2. Urine Albumin3. Serum Creatinine
Chronic Kidney Disease (CKD)
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