Doctor insights on:
Nursing Diagnosis For Chronic Kidney Disease
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. ...Read more
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
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.
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. ...Read more
W. nephrologist help: Cause of chronic kidney disease should be determined & 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 &/or fluid retention. All best managed by kidney Dr/nephrologist. Good Luck. ...Read more
Consult nephrologist: S/he will be able to provide optimal care. ...Read more
Usually not: However, the diagnosis if made only on labs may be bogus. A well-muscled man with a high creatinine may be told he has low GFR when he does not. Chronic disease can't be diagnosed except over time. Anyone's kidneys can be temporarily impaired by Motrin. And some loss of kidney function is part of getting older. Best wishes. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Determine Cause: Pain associated with chronic kidney disease is addressed by first identifying the cause of the pain and then addressing the cause specifically. ...Read more
No: No such symptoms are not part of CKD. Would look at medications as one of the causes. There are some patients with advanced renal failure who have refused dialysis that can have mental status changes and have varied presentation but these are the exceptions. So look for some thing else and seek care soon. Best of luck ...Read more
Dialysis: When your kidneys function less than 6 cc per minute calculated filtration rate, you should go on dialysis. Normal rate is about 60-75cc per minute. Unless you get chest pain, shortness of breath or severe swelling, you may not be ble to tell the difference between mild, moderte and severe kidney disease. You should bemonitored by a kidney specialist. ...Read more
Cant tell: This is decided after a complete clinical exam and depends what kind of kidney problem is involved/. ...Read more
Control blood pressure, identify and control causative disease (diabetes, SLE etc.) Na restriction, protein restriction, appropriate diagnotic testing and followup. Pre dialysis preparation and education. Transplant preparation, dialysis access and modality planning.
removal of nephrotoxic medications, foods and behavior, achieve ideal body weight and stop smoking. ...Read more
Only transplantation: Otherwise chronic kidney disease can not be 'cured'. However, very ofet can be stabilized to halt or slow down progression. ...Read more
Depend...: Yes to some, but it's a matter of when. Kidney transplant is done for CKD progressing to esrd stage which becomes insufficient to regulate water, electrolytes, acidity, and other homeostasis through kidneys. But the pace of worsening highly vary and is unpredictable due to the underlying disease and its effectiveness of care. So, talk with consulting nephrologist to address the related issues. ...Read more
Usually: Usually but ask your kidney doctorGet a more detailed answer ›
Sex and kidney: I am not sure there is a link. Or maybe I don't understand your question. ...Read more
Misdiagnosis: Patients with chronic kidney disease (ckd)should see a nephrologist. To determine their stage, they need a 24 hour urine collection (24 uc) for creatinine clearance and protein. Once that is done, the stage of CKD the patient has is readily determined and therapy can commence. Did the patient in question have a 24 uc? Was the patient seen by a nephrologist? ...Read more
No: It could be dangerous. If you have issues with excess potassium you may be placing yourself in harms way by juicing since many fruits and vegetables are already high in potassium. You should concentrate on a low sodium diet. About obesity and tobacco. Keep blood pressure under control. Exercise on a regular basis. Limit phosphorus intake. Following up regularly with your nephrologist. ...Read more
What do you advise if I have chronic kidney disease patient feeling breathing problem, what to do.?
With chronic kidney disease, is it safe to have a colonoscopy? The cleansing action is bad for the CKD?
Should not be: A problem but if you are that worried ask your nephrologist and gastroenterologist for their advice. ...Read more
Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years. Chronic kidney disease is identified by a blood test for creatinine. Higher levels of creatinine indicate a decreased capability of the kidneys ...Read more
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