Question 1

what is the best nursing care plan for chronic kidney disease secondary to diabetes mellitus?

Accepted Answer

Diabetes: Chronic kidney disease is a long term complication of dm. I am afraid there is no nursing care involved, but appropriate medications, can postpone  the need for dialysis depending on the severity of illness.

Question 2

hello, i would like to get a possible "unofficial" diagnosis/advice of possible chronic kidney disease from protien in my ua and micro albumin/creat.

Accepted Answer

Proteinuria: Of course the amount of protein in your urine,as determined by analysis of protein amount in an accurate 24 hour urine collection, is very important. A nephrologist is best qualified to evaluate,advise and treat you for significant proteinuria. Appropriate tests will be ordered.

Question 3

how can i care for chronic kidney disease?

Accepted Answer

W. nephrologist help: Cause of chronic kidney disease should be determined &amp; treated or stop medications, like Aspirin etc. which might be responsible. Reduce protein intake, especially red meat, also salt. May require medications to control blood pressure &amp;/or fluid retention. All best managed by kidney Dr/nephrologist. Good Luck.

Question 4

i have chronic kidney disease, what do you suggest?

Accepted Answer

Consult nephrologist: S/he will be able to provide optimal care.

Question 5

is chronic kidney disease reversible , how is this done?

Accepted Answer

No: The alterations in kidney function are largely permanent.  Millions of americans live with chronic kidney disease, many are not even aware they have it!  The best thing you can do is follow with your doctor to monitor your kidney function and manage the reasons you are affected.  CKD is associated with heart and cerebrovascular disease but with the right follow up you can have a healthy life.

Question 6

if chronic kidney disease is so serious, why dont i feel sick?

Accepted Answer

Slow Onset: Chronic kidney disease comes on slowly over a long time. Your body is able to adjust and "get used to" the change. In acute disease, the onset is very fast, no time to adjust and you would feel very ill. Either kind can lead to kidney failure, and eventual dialysis or transplant.

Question 7

how can  chronic kidney disease affect homeostatic mechanisms?

Accepted Answer

Too complex: In short, it increases salt and water retention and potassium and magnesium and phosphorus retention depending on degree of ckd. Also increases PTH and decreases vit d due to elevated hormone called fgf 23. Less urine excretion is the reason for the retained electrolytes. Edema and weak bone result & high bp.

Question 8

how effective is dialysis for treating chronic kidney disease?

Accepted Answer

Dialysis: The only way to treat and prevent folks from dying once disease has progressed too far. Done millions of times a day in US.

Question 9

how effective is hemofiltration for treating chronic kidney disease?

Accepted Answer

Hemofiltration: It is excellent and prevents millions from dying of kidney  failure. But a transplant is much better. Trust you are signed up to be a donor unless you are the one with the renal failure.

Question 10

what are the differences between nephropathy and chronic kidney disease?

Accepted Answer

Close, semantics: Nephropathy means kidney condition. So you could have diabetic nephropathy, hypertensive nephropathy, or uric acid nephropathy.
A chronic kidney disease (ckd) means a long-term kidney disease that is not amenable for correction. It also could have many different causes. Above examples of nephropathy are also chronic kidney diseases but uric acid nephropathy is possibly curable so it is not ckd.

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Doctor answers about:

Nursing diagnosis for chronic kidney disease

A member asked:

What is the best nursing care plan for chronic kidney disease secondary to diabetes mellitus?

A member asked:

Hello, i would like to get a possible "unofficial" diagnosis/advice of possible chronic kidney disease from protien in my ua and micro albumin/creat.

A member asked:

How can i care for chronic kidney disease?

A member asked:

I have chronic kidney disease, what do you suggest?

A member asked:

Is chronic kidney disease reversible , how is this done?

A member asked:

If chronic kidney disease is so serious, why dont i feel sick?

A member asked:

How can chronic kidney disease affect homeostatic mechanisms?

A member asked:

How effective is dialysis for treating chronic kidney disease?

A member asked:

How effective is hemofiltration for treating chronic kidney disease?

A member asked:

What are the differences between nephropathy and chronic kidney disease?

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