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Chapter 16. Chronic Kidney Disease Medication Therapy Management Data Set

Which of the following is the most common cause of chronic kidney disease?

a. Hypertension

b. Diabetes mellitus

c. Glomerulonephritis

d. Drug-induced kidney injury

A patient with a glomerular filtration rate of 12 mL/min/1.73m2 and a spot albumin to creatinine ratio of 20 mg/g has which stage of CKD?

a. G4, A2

b. G4, A1

c. G5, A2

d. G5, A1

Which of the following is an appropriate blood pressure target for a 49-year-old patient with type 2 diabetes and an albumin to creatinine ratio of 300 mg/g?

a. < 150/100 mm Hg

b. < 140/90 mm Hg

c. < 130/80 mm Hg

d. < 120/80 mm Hg

A patient was told by his prescriber that he is not reaching his dry weight and should double his furosemide dose on non-dialysis days. Which is the best interpretation of this statement in plain language?

a. When you leave dialysis, there is extra fluid left in your body, which can strain your heart. You should now take more of your water pills, 2 tablets of furosemide instead of 1 tablet, on your non-dialysis days (Tuesdays, Thursdays, Saturdays, and Sundays).

b. Your doctor changed your furosemide dose. You should now take 80 mg on non-dialysis days.

c. Your weight after dialysis is far from your dry weight. Your doctor wants you to double your dose of furosemide.

d. Dialysis is a procedure that removes extra fluid from your body. You should take more tablets of furosemide on your non-dialysis days (Tuesdays, Thursdays, Saturdays, and Sundays).

All of the following are appropriate self-management recommendations for inclusion on the MAP of a patient with late stage CKD EXCEPT:

a. orange juice should be avoided due to potassium content

b. Ibuprofen should be used in preference to acetaminophen for mild pain

c. if you forget a dose of phosphate binder at lunch, skip that dose and resume taking your medication at your next meal

d. you should ...

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