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Doctor insights on: Nursing Diagnosis For Chronic Kidney Disease

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

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

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.

Kidney (Definition)

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


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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.

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.

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What can cause chronic kidney disease?

What can cause chronic kidney disease?

Many issues: Diabetes and high blood pressure are the commonest causes. Others are chronic kidney infections, kidney stones, obstruction to the flow of urine, and inherited kidney disorders.

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How can I care for chronic kidney disease?

How can I care for chronic kidney disease?

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.

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Is chronic Kidney disease reversible, how is this done?

Is chronic Kidney disease reversible, how is this done?

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.

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How can chronic kidney disease affect homeostatic mechanisms?

How can chronic kidney disease affect homeostatic mechanisms?

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.

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How effective is dialysis for treating chronic kidney disease?

How effective is dialysis for treating chronic kidney disease?

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.

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If chronic kidney disease is so serious, why don’t I feel sick?

If chronic kidney disease is so serious, why don’t I feel sick?

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.

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How effective is cinacalcet for treating chronic kidney disease?

How effective is cinacalcet for treating chronic kidney disease?

Not at all: Cincalcet is specifically for the treatment of hyperparathyroidism, not kidney failure. But... hyperparathyroidism is the result of kidney failure, so it is used in kidney failure often.

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How effective is hemofiltration for treating chronic kidney disease?

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.

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What are the differences between nephropathy and chronic kidney disease?

What are the differences between nephropathy and chronic kidney disease?

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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I have a chronic kidney disease and am in a lot of pain, what should I do?

I have a chronic kidney disease and am in a lot of pain, what should I do?

Determine Cause: Pain associated with chronic kidney disease is addressed by first identifying the cause of the pain and then addressing the cause specifically.

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Is it normal for a person with chronic kidney disease to have hallucinations?

Is it normal for a person with chronic kidney disease to have hallucinations?

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

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What's the treatment for chronic kidney disease?

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.

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How do you code "acute on chronic kidney disease"?

How do you code "acute on chronic kidney disease"?

Sudden change: One can have chronic kidney disease (diabetes, trauma, glomerular disease, etc.) stable for years, and then something acute happens; like a passing kidney stone or an infection can make the function even worse.

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What is a good diuretic for chronic kidney disease?

What is a good diuretic for chronic kidney disease?

Cant tell: This is decided after a complete clinical exam and depends what kind of kidney problem is involved/.

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What are the treatments for Chronic Kidney Disease?

What are the treatments for Chronic Kidney Disease?

Pressure control: 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.

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What is the pathophysiology of chronic kidney disease?

What is the pathophysiology of chronic kidney disease?

Multiple reasons: Genetics Congenital disorders with altered kidney size, shape, function Medications auto immune disorders Diabetes These are common causes of alterations in kidney function that work by either harming the structure, blood flow or function of the kidney

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What urine tests are needed for chronic kidney disease?

What urine tests are needed for chronic kidney disease?

Depends on the type: Of disease. Measurement of serum creatinine is a good test to assess the degree of kidney disease. Other tests may be chosen depending on the cause of chronic kidney disease, e.G, urinalysis, serum protein electrophoresis, autoantibodies etc.

Dr. Andrew Berry
20 Doctors shared insights

Chronic Kidney Disease (Definition)

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


Previous Kidney Disease (Definition)

Polycystic kidney disease is a kidney disorder passed down through families in which multiple cysts form on the kidneys, causing ...Read more