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KIDNEY PROTECTION

Q.235. What is calcific uremic arteriopathy (CUA)?

 

KIDNEY PROTECTION

renoprotective meaning renoprotective antihypertensive drugs renoprotective ace inhibitors renoprotective antidiabetic drugs renoprotective agents renoprotective arbs renoprotective antihypertensive renoprotective action

 

?Q.235. What is calcific uremic arteriopathy (CUA  

A. CUA= Calciphlaxis: Ch.Ch. by diffuse medial calcification of the small & medium-sized arterioles. Intimal proliferation & thrombosis occ. Painful skin ulceration & necrosis. Parathyroidectomy (Pec.) may be beneficial if there’s marked hyperpara. Warfarin ppt. the syndrome, probably by f.VII-depend-ent anticoagulant proteins.

?Q.236. What’s Calciphylaxis? What is new in its therapy

A. Caciphylaxisis a: {Systemic “medial calcification”, in ESRD ptn. é sev. Hyperpara. ttted é Vit. D.}. D.D.: [Cellulitis- vasculitis- mixed Cryo.- cho-lesterol embolization]…       New therapies include:

*      Hyperparic O2 therapy.

*      Pamidronate” & oral “etidronate Ü resolve ulcers & calciphylaxis les.

?Q.237. Describe the evolution of MIA syndrome

A. Malnutrition, Inflammation & Atherosclerosis synd. describes wasting as part of an inflmm. state ass. é CVS dis. It's not responsive to édietary intake. MIA explains the é CVS risk é failing kidney. The evolution of athero. is an inflmm. process, é é evidence that CRP enhances this proceass. CKD ptn haveé CRP & other proinflmm. cytokines incl. IL-6. The low s. albumin sn in MIA reflects ongoing inflammation &Feffect of cytokines on GIT, rather poor nutritional intake. ®

?Q.238. How could “sickle cell” anemia harm the kidney