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WorksheetsESRD
Total questions: 10
Worksheet time: 20mins
Mr. Chu, a 78-year-old male with a history of HTN, DM, CKD, and Obesity comes into the clinic with complaints of fatigue, anorexia, dry skin, and shortness of breath with activity. He is a current smoker and smokes about 1 pack a day. He denies any alcohol or recreational drug use. His medications include Lisinopril, Metoprolol, Hydrochlorothiazide, calcium supplementation, and insulin.
What modifiable risk factors does Mr. Chu have that put him at risk for ESRD? (select all that apply)
HTN
Obesity
Older age
Smoking
Male gender
End-stage renal disease (ESRD) or kidney failure, has been defined as having kidney function, or GFR, less than 15 mL/min/1.73 m2
True
False
As Mr. Chu’s PCP, you are suspicious his CKD is worsening, what labs should you order? (select all that apply)
CBC
BMP
UA
D-dimer
What are the expected lab results for a patient with ESRD? (select all that apply)
Normochromic, normocytic anemia
Elevated BUN/Cr
Hyperkalemia
Low bicarbonate
Decreased serum albumin
Mr. Chu’s lab results demonstrate elevated BUN and Cr and decreased serum albumin. What are your next steps as his PCP?
Send Mr. Chu to the ER
Order renal imaging and refer to a nephrologist
Order an EKG and stress testing
Tell Mr. Chu to drink plenty of fluids and rest
What are the treatment options for someone with ESRD? (select all that apply)
Hemodialysis
Peritoneal dialysis
Kidney transplant
Palliative care
The kidney transplant referral criteria include: (select all that apply)
GFR </= 25
BMI > 38
Controlled HF, if present
> 6 months smoking cessation
The four main facilitators of chronic disease management include family, networking, community nurses, and political beliefs.
True
False
What are some things to monitor for in a patient with ERSD to prevent further complications? (select all that apply)
Electrolyte balance
Blood pressure
Nutrition
Anemia
Mr. Chu is diagnosed with ESRD and will continue to see a nephrologist for management. As his PCP, what is your role in Mr. Chu’s future care? (select all that apply)
Check up on Mr. Chu for his annual wellness exams
Continue managing Mr. Chu’s HTN and Diabetes
Ensure Mr. Chu is up to date with his immunizations
Nothing, Mr. Chu will only see his nephrologist moving forward
