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.
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.
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.
Consult nephrologist: S/he will be able to provide optimal care.
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.See 1 more doctor 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.
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.
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.See 1 more doctor 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.
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.See 1 more doctor answer
Determine Cause: Pain associated with chronic kidney disease is addressed by first identifying the cause of the pain and then addressing the cause specifically.
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
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.See 1 more doctor answer
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.
Cant tell: This is decided after a complete clinical exam and depends what kind of kidney problem is involved/.
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.
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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