Renal Failure in Children and Adolescents在儿童和青少年慢性肾功能衰竭（PPT53）课件.pptVIP

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Renal Failure in Children and Adolescents在儿童和青少年慢性肾功能衰竭（PPT53）课件.ppt

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Chronic Renal Failure in Children and Adolescents Dr Ian Ramage Consultant Paediatric Nephrologist Glasgow Chronic Renal Failure in Children and Adolescents Definition Epidemiology Aetiology Clinical Nutrition Growth Bones Anaemia Blood Pressure Cardiovascular Disease Neurodevelopment Psychosocial Pharmacy Treatment Outcome Definition - Adults Definition - Adults Definition - Children (a) Kidney damage for 3 months, as defined by structural or functional abnormalities determined by kidney biopsy, imaging tests or composition of the blood or urine, with or without decreased GFR; AND (b) GFR 60ml/min/1.73m2 for ≥ 3 months, with or without the signs of kidney damage listed above Chronic Renal Failure in Children and Adolescents Definition Epidemiology Aetiology Clinical Nutrition Growth Bones Anaemia Blood Pressure Cardiovascular Disease Neurodevelopment Psychosocial Pharmacy Treatment Outcome Epidemiology Increases with age 9 (MARP) 0-4 years 14 (MARP) 10-14 years 28 (MARP) 15-19 years ESRF 9.9 (MARP) Prevalence increased 22.9 in 1980 62.1 in 2000 Higher in males Higher in Blacks/Indigenous Chronic Renal Failure in Children and Adolescents Definition Epidemiology Aetiology Clinical Nutrition Growth Bones Anaemia Blood Pressure Cardiovascular Disease Neurodevelopment Psychosocial Pharmacy Treatment Outcome Aetiology Chronic Renal Failure in Children and Adolescents Definition Epidemiology Aetiology Clinical Nutrition Growth Bones Anaemia Blood Pressure Cardiovascular Disease Neurodevelopment Psychosocial Pharmacy Treatment Outcome Nutrition Dietician Protein Calcium and Phosphate Calories Lipids Fluids Vitamins Minerals Iron, Copper, Zinc Feeding Disorders Chronic Renal Failure in Children and Adolescents Definition Epidemiology Aetiology Clinical Nutrition Growth Bones Anaemia Blood Pressure Cardiovascular Disease Neurodevelopment Psychosocial Pharmacy Treatment Outcome Growth Prenatal Infantile Nutrition GH Max growth from