Question 161 · LEK · Chronic kidney disease
Which of the following is an urgent indication for the initiation of chronic renal replacement therapy - dialysis?
- A. decrease in glomerular filtration rate < 15 ml/min/1.73 m2 without signs and symptoms of uremia.
- B. significant fluid retention with dyspnoea and crepitations at the bases of both lungs, despite the use of loop diuretics in high doses in a patient with chronic renal insufficiency (glomerular filtration rate < 15 ml/min/1.73 m2).
- C. moderate hyperkalemia (6.3 mmol/l) in a subject with the glomerular filtration rate of about 20 ml/min/1.73 m², not receiving loop diuretics on the daily basis.
- D. moderate hyperuricemia (8.5 mg/dl) in a patient with the glomerular filtration rate of about 20 ml/min/1.73 m² receiving allopurinol on the daily basis.
- E. moderate anemia (hemoglobin concentration 9.0 g/dl) in a patient with diabetic nephropathy and the glomerular filtration rate of about 20 ml/min/1.73 m².
Hint
Urgent dialysis is triggered by complications that drugs cannot control, not by laboratory numbers alone.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Internal medicine
- During the treatment with acenocoumarol/warfarin a dose of the drug should be adjusted based on:
- Typical signs of gout do not include:
- Indicate the true statement concerning clinical symptoms in patients with heart defects:
- ”Easy dosage, causing neither hypoglycemia (when used in monotherapy) nor weight gain; there are proofs of reducing the cardiovascular and death…
- A 53-year-old female patient was admitted to the hospital because of headache worsening for the last few days, fever (38.8 Celsius), nausea. On…
- Which of the following is not a risk factor for chronic pancreatitis?