Through the passage of time mankind has always been on the quest for knowledge to understand themselves and the universe. One such discovery was the discovery of the kidney and its functions. The kidneys are responsible for filtering blood and producing urine as waste from your body to the bladder. But there are instances of kidneys losing their functionality, this is called either acute kidney disease were kidneys lose function for less than 3 months or chronic kidney disease(chronic kidney failure) for persistent loss of functions. So what happens when the kidneys lose function? this causes uremic syndrome liquids and waste build up in the body which can reach dangerous levels and cause death without a transplant or dialysis treatment. (Longo, …show more content…
Patients will go through one of two forms of this treatment continuous renal replacement therapy (CRRT) or slow low efficiency dialysis (SLED). SLED being the faster method as it cuts the session time in half from the average time in CRRT of 6 to 12 hours a session down to 3-4 hours. But each method has its own advantages and disadvantages. SLED being cheaper and faster method that is gaining more favor in recent times. CRRT is used to treat critically ill patients with acute kidney injury and being more user friendly while having better fluid removal. (Longo, D. . Harrison's principles of internal medicine.: McGraw-Hill. Ch 281) Through dialysis thousands of patients with chronic kidney disease lives have been saved and extended through these treatments. There are many causes to chronic kidney disease the most common will be …show more content…
This study was conducted by gathering the data etiology of kidney disease and if there is a family history of kidney disease. A total of 1,840 patients between the age of 17-94 years old. 629 of those patients had a positive family history. According to the author of this study the icinece rate for end stage kidney disease was 88 per million people during 2013 while having 3000+ people recieve renal replacement therapy. This shows a good need for health services. Even though in western culture cases of kidney disease have been associated primarily with diabetes and have made strives to counteract it. But in europe end stage kidney disease rose 4.8%(Connaughton, D. M,2015). So this shows that there was another factor to contribute to the patients developing a kidney disorder. That factor of course being the heritability of chronic kidney disorder. The author would later go on to mention that the experiment relied heavily on patients self reporting and identifying a positive family history.Both of these studies showed a correlation in familying risk factors of kidney disorder.the study in ireland worked with a much smaller sample size then the first. The correlation may have been more apparent if a larger sample was used. During both studies there statistics showed that gender is not a major factor in the likelihood of have a kidney disorder. The studies showed
The Kidney Health Australia have formulated management action plan based on EGFR. First one is the management of CKD stage 1 and 2 and it is colour coded in yellow. Its management mainly focuses on early detection and reducing the progression of kidney disease by determining the underlying cause and assessing the risk of cardiovascular disease by monitoring the blood pressure, blood glucose and lipid level. Pharmacological treatments like antihypertensive drugs, lipid-lowering drugs and non-pharmacological treatment such as lifestyle modification are used for the management of stage 1 and 2 (Kidney Health Australia, 2017b). The second management of CKD stage 3a and 3b, in an orange colour coded, includes the first management plan as mentioned earlier and appropriate referral to a nephrologist. The final management of stage 4 and 5 of chronic kidney disease include continuation of the first two management and additionally, preparing the CKD patient for treatment options such as dialysis or kidney transplant (Kidney Health Australia,
As if indicative of a new chapter of my life my kidneys ceased functioning almost immediately as I entered college. Although I’d been listed in several kidney transplant registries, it was made utterly clear that the wait for a transplant would be long. With no living donor and no time, I started dialysis. My college career was marred with stress from multiple surgical and medical complications and I graduated while still on dialysis. Yet, like Sisyphus, I pushed forward despite the stress and burden. After 5 years of dialysis I was called on 4/6/13 with a transplant match.
Chronic kidney disease (CKD) is a common disorder and occurs in the elderly population. In younger patients, it
In the human body, there are systems that provide different functions and help the body to operate more efficiently. The urinary system is one in particular designed to help the body remain free of excess that we no longer need. “The urinary tract is the drainage system used for removing wastes and extra water. The urinary tract includes two kidneys, two ureters, a bladder, and a urethra. The kidneys are a pair of “bean-shaped” organs, each about the size of a fist. The kidneys are located below the ribs, one on each side of the spine, towards the middle of the back.” (NIDDK, 2013) Every several minutes, your kidneys filter around three ounces of blood, also then removing wastes and extra water. That extra water and
My community assessment project focused on adults with chronic renal disease who are receiving peritoneal dialysis under the care of the Davita Dialysis Clinic located in Dothan, Alabama. This modality of artificial kidney replacement minimizes the disruption of the user’s daily life by allowing them to remove waste products from their bodies on daily basis during their ordinary sleeping hours. According the Centers for Disease Control and Prevention, it was estimated that as many as 10% of adults or more than 20 million people in the United States may be suffering from chronic kidney disease and in 2011 alone, 113,136 of these individuals began treatment for their end stage renal disease ("National chronic kidney disease fact sheet,
With the increase in life expectancy for chronically ill patients related to the advancements in medical care, it is becoming increasing important to develop a comprehensive plan of care to manage a patient’s healthcare accordingly. The continuity of care is the basic framework to establish programs geared towards producing better patient outcomes. Chronic kidney disease (CKD) is one such area where the development of a strong support system can not only ensure proper care is received but also prevent or delay complications. According to one report by the American Hospital Association (AHA), “Individuals with ESRD (end stage renal disease) require intensive treatment,
Chronic kidney disease is a growing problem with increasing numbers of patients being diagnosed and those beginning dialysis or the transplant process. “Currently, 26 million Americans have CKD…and 111,000 patients were newly diagnosed with end-stage renal disease in 1 year” (Castner, 2010, p. 26). Chronic kidney disease develops over years and can be considered a silent disease because many patients with this disease are diagnosed while being tested for another condition. Signs and symptoms of the disease are dependent on the cause,
End Stage Renal Disease also known as stage 5 of Chronic Kidney Disease. When this development happens you either need Dialysis or a kidney transplant to stay alive. DaVita has more than 2,100 outpatient dialysis centers located around the country. Our Kidneys are located in our lower back and are bean shaped organs that is very important to help our body filtrate waste and excess fluid amongst a few other things. It is said that “1 in 10 adults have Kidney Disease”.
Acute Kidney Injury (AKI) is often characterized by a rapid decline in renal excretory function, and/or a significant decrease in urine output (SOURCE). The exact level of function loss required to be defined as AKI has been debated; however, the Acute Kidney Injury Network (AKIN) has released a widely accepted system used to define AKI and its varying levels of severity (1). The stages of AKI severity are classified as: risk, injury, failure, loss of function, and end-stage kidney disease, collectively referred to as RIFLE, as illustrated in Figure 1. Severity is defined based on glomerular filtration rate (GFR) and urine output criteria. GFR criteria includes serum creatinine concentration (Screat) and GFR, with an increase in Screat or a
The mainstream availability and introduction of renal replacement therapies such as dialysis has reduced the number of terminal renal failure fatalities, cardiovascular disease no being the leading cause of death among ADPKD progression.
Outcomes of chronic kidney disease include kidney failure, decreased kidney function complications and heart disease. Its recommended to identify persons at risk such as, diabetes, hypertension, family history, those older than 60 years of age, or those with U.S. racial or ethnic minority status). The Kidney Disease Outcomes Quality Initiative (K/DOQI) of the National Kidney Foundation (NKF) aims to define chronic kidney disease, classify its stages, evaluate laboratory measurements for the clinical assessment; associate the level of kidney function with complications of chronic kidney disease; and stratify the risk for loss of kidney function and development of cardiovascular diseases. Adverse outcomes can often be prevented or delayed through early detection and treatment of chronic kidney disease. Earlier stages of chronic kidney disease can be detected through routine laboratory
In Kidney failure cases urea, creatine, uric acids and electrolytes move from the blood to the dialysate with the net effect of lowering their concentration in the blood. RBC s WBC s and plasma proteins are too large to diffuse through the pores of the membrane. Hemodialysis patient are exposed to 120 to 130 L of water during each dialysis treatment. Small molecular weight substances can pass from the dialysate in to patient’s blood. So the purity of water used for dialysis is monitored and controlled.
Chronic kidney disease (CKD) is an irreversible condition that progresses causing kidney dysfunction and then to kidney failure. It is classified by a GFR of <60mL/min for longer than 3 months. There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN,
However, when the kidneys stop working completely, this situation is known as end-stage renal failure (ESRF). There are some diseases may cause chronic renal failure and this essay will focus on two types of these common diseases.
stages, symptoms and risk factors. It also examines the process of kidney transplantation to treat