Learning Objectives

After completing this course you’ll be able to:

1. Describe the main function of the kidneys.
2. List and describe the hormones produced by the kidneys.
3. Compare acute and chronic kidney failure.
4. Discuss the two main diseases that lead to kidney failure.
5. Discuss the use of drugs that lead to kidney failure.
6. Describe several symptoms of chronic kidney failure.
7. Describe the End-Stage Renal Disease program.
8. Discuss the concept of “remission” of chronic renal failure.
9. Discuss “doctor shopping.”
10. Discuss the effects of alcohol and smoking on kidney disease.
11. List foods to avoid when on a protein restricted diet.
12. Discuss the three important features of a very-low-protein diet.
13. Discuss high phosphate foods and give examples.
14. Discuss the role of nitrogen in a low protein diet.
15. Discuss supplements needed on a very-low-protein diet.
16. Define nitrogen balance.
17. Describe water intoxication.
18. Define hyponatremia and hypernatremia and state the normal range.
19. Compare pitting edema and pulmonary edema.
20. Discuss the response of the kidneys when dieresis is overdone.
21. Define “orthostatic” symptoms.
22. Describe what blood pressure is and how it is regulated by the body.
23. Discuss the role of sodium in hypertension.
24. Discuss briefly the various medications for hypertension.
25. Compare alkalosis and acidosis and state the treatment for each.
26. Describe iron deficiency and state the treatment.
27. Define hyperkalemia and state the treatment.
28. Describe the three mechanisms that regulate blood calcium concentration.
29. Describe gout and its symptoms.
30. Compare high-density lipoprotein and low-density lipoprotein.
31. Describe the effects of statins for elevated cholesterol levels.
32. State how angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) slow progression of kidney failure.
33. State the best screening test for chronic renal impairment.
34. Describe the four ways of measuring the glomerular filtration rate.
35. List the three major disadvantages to using a creatinine level as a measure of kidney function.
36. Describe the 24-hour urine test.
37. Define blinding
38. Describe the nephrotic syndrome and diet recommended.
39. Discuss the use of steroids and nonsteroidal anti-inflammatory drugs in kidney failure.
40. Describe what is involved when having a kidney transplant.
41. Compare hemodialysis and peritoneal dialysis.
42. Discuss withholding and withdrawal of dialysis.