Management

Question 1

CKD

Answer 1

Fluid intake

Diet

• Low K
• Low Na

HTN management, DM management

• ACEi
• BSL control

Acidosis

Phosphate binders

MBD

• DEXA
• Bisphosphonates

CVD

Social

• Employment
• Coping at home
• Travel
• Sexual function
• Finances

Preparing for HDx

• Thinking about access
• Education
• When to start, monitoring symptoms

Transplant work-up

Question 2

Renal transplant

Answer 2

Immunosuppression

• PNL
• Calcineurin inhibitors - tacrolimus, cyclosporin
• Antimetabolite - MMF

Infection prophylaxis
BK
CMV

Biopsies
USS

Question 3

HTN/metabolic syndrome

Answer 3

Weight loss

• 1kg LoW reduces SBP by 2mmHg
• Aim BMI <25
• Aim waist circumference <94cm (male), <80cm (female)

Exercise

• 30min of moderate intensity at least x5 per week
• Reduces by 3-5mmHg

ETOH

• 2x std/day for men
• 1x std/day for women
• Reduces SBP by 4-5mmHg

Salt

• <90mmol/day
• Reduces SBP by 5mmHg