Induced Nephropathy Case Study

Chronic Kidney Disease (CKD), also termed as a chronic renal condition, is characterised by kidney damage or a progressive loss of kidney function. This essay will provide an insight of chronic kidney disease including its pathophysiology, symptoms and its five stages of disease progression. The case of Glenda, an Aboriginal woman suffering from end-stage renal failure (ESRF), will be portrayed throughout the assignment. Further, the essay will elaborate different stages of CKD based on the findings of her assessment and describe the overall management of her condition. In addition, Glenda will be involved in the healthcare plan considering her cultural values and personal preference for the effective management of her case. For the management,

The facility where I work uses two type of IV contrast i.e. omnipaque and visipaque. The use of the contrast depends on the patient's glomerular filtration rate (GFR) and prior allergies to contrast. GFR can be calculated from the blood's creatinine level, age, body size, and gender of the patient. It is to calculate the level of kidney function before administering any contrast. If the GFR of the patient is between 30-60 score, omnipaque can be given and if above 60 only visipaque can be used. However, if the score is below 30, then no contrast can be given in order to avoid any medical emergencies.

Medical History: A 57-year-old Caucasian male, with a history of end-stage renal disease, secondary to biopsy proven IgA nephropathy, history of liver cirrhosis secondary to alcohol abuse, hypertension, thrombocytopenia, leukopenia, who presented for evaluation for candidacy for a kidney transplant. The patient was evaluated at Tampa General Hospital. He went through a full medical work up. He was not listed due to lack of financial clearance per their center.

When discussing management of CKD with a primary care provider it is up to the patient and the team to create a viable plan. "most patients require dialysis, either peritoneal dialysis (PD) or hemodialysis (HD). The majority of patients in the United States chose HD" (Hadley, 2014 p. 1116). All options should be discussed with the patient before determining any set course of actions. Alternative therapies can include; dialysis, transplantation, and even palliative care (Hadley, 2014, p. 1116). With dialysis being the mainstay of management when the kidneys start to fail (stage 5,) different options should be discussed. With numerous dialysis centers and at home options being available the pros and cons of each should be carefully measured. Fresenius Medical Care has locations throughout Northern Colorado, including Greeley and Loveland. They

An Egyptian mummy who died at 35 or 45 years old is named Irtieru. Irtieru is a male mummy, and he is 5’61 feet. They knew this information by scanning him with the CT X-ray. What happened was that Irtieru was preserved and later had spotted a kidney in his body. Usually, Egyptians would take out all of the mummy's organs, except for the heart. What archaeologists think is that Irtieru had a kidney disease called renal tuberculosis. Renal is something to do with the kidney and tuberculosis is an infection bacterial disease that grows nodules in the tissue, even the lungs get affected. They think that he has renal tuberculosis is because it had hardened his organ. Archaeologists did not know what he did in life, but this leads him to an elite

As with any medical procedure, risks are taken into precaution when preforming a Percutaneous Coronary Intervention. Complications generally arise from three types: contrast administration, catheter/tool related issues, and access site situations (bleeding, hematoma, limb ischemia, etc.) A patient may have an allergic reaction to the contrast media administered of which there is a course of action to counteract the reaction with diphenhydramine, albuterol, or epinephrine. Contrast nephropathy, one of the highest risks of PCI, is presented as an insufficiency of the renal system clearing the blood. This risk can be reduced by using

Intrarenal AKI is a direct damage to the kidneys and it is usually caused by a prolonged decrease in blood flow to the kidneys. It can also be caused by nephrotoxins that cause a direct damage to kidney tissues such as antibiotics or contrast dyes, myoglobin from necrotic cells, or hemoglobin from hemolysis of red blood cells. The most common cause of intrarenal AKI is acute tubular necrosis or ATN. ATN is the result of nephrotoxins, ischemia, and sepsis. The third form of AKI is post renal AKI.

“I would buy skates for myself instead!” I said these words when my friends approached me to make some contribution for the gift they were going to buy for one of my pal recovering from nephrotic syndrome. Later that week we went to see him (visualize) and he was so surprised to see all of us and was happy when he received a gift. He said (feeling) to me, “Thank you that is an amazing car I ever had”. I said (feeling), “Sorry I made no contribution to that gift.” He still thanked me for stopping by. I had a feeling of guilt and that inspired me to give him something to make him happy from my side. As days passed I observed one of my friend making a battery operated car and that inspired me to make one. I started making car so that I can give

I was intrigued by the theme of your Thread Discussion this week since I am the Outpatient Diabetes Educator and come across numerous patients with renal disease who stare at the face of the only life-saving option - dialysis. As you indicated, it is imperative to educate these patients on continuous self -care to avoid this dreadful treatment and prevent further complications related to lack of taking timely interventions. Because diabetes-related nephropathy is on many occasions a sad repercussion of a person's non-compliance resulting in a poor glycemic control which creates a devastating recipe for renal disease, the healthcare providers must focus on early prevention and self-care education. However, in my current position, I am exposed

Acute renal failure occurs when there is an interaction of tubular and vascular. Primary cause is ischemia for more than two hours that result in severe and irreversible damage to the kidney tubules .Ischemia is caused by a reduction in GFR (glomular filtration rate) activation of the renin angiotensin system and tubular obstruction by cellular debris as nephrotoxins damage the tubular cells, these cells are lost through necrosis making tubules become more permeable, this results in filtrate absorption and causing the reduction in nephrons ability to eliminate waste. Acute renal failure is characterized by the following phases Prerenal, Intrarenal, and Postrenal.

Acute renal failure is defined as a substantial deficiency in renal function (Huether, 2017, p. 760). Dirkes (2016) article explains:

Patients who are diagnosed with acute renal failure go through difficult times dealing with the disease. Their families too experience psychological difficulties, not knowing the degree of suffering their loved ones are going through. Therefore, in order to provide the best of care for the patient, nurses need to be knowledgeable about the problem, and find the best professional way to educate the patient and family so that the patient does not end up into the hospital for re-admission. Family members can best relate to the situation and understand what their loved ones are going through if they are included into the care of the patients. You get a better outcome when you treat patients as a whole. It is critical for nurses and other health care workers to provide patients and their family members with the necessary information in order for them to make informed decisions.

Introduction: Glenda is an Aboriginal woman, from Wurankuwu living with her extended family. She is quiet, speaks both English and Tiwi and moves around the Tiwi Islands regularly to visit family, and attend meetings, cultural events and special occasions. She lives with her daughter in Darwin who is her main carer and who also transports Glenda to and from the outpatient dialysis clinic as she is suffering from chronical kidney disease. The incidence and prevalence of patients with chronic kidney disease is increasing worldwide. Chronic Kidney Disease is generally asymptomatic. Up to ninety percent of kidney function may be lost before symptoms are present. People suffering with Chronic Kidney Disease may not notice

At this time, only certain patients who receive GBCAs appear to be at an increased risk for developing a serious systemic fibrosing disease, NSF. The patients at risk are those with acute or chronic severe renal (kidney) insufficiency (glomerular filtration rate < 30 mL/min/1.73m2); or renal dysfunction due to the hepato-renal syndrome or in the perioperative liver transplantation period. In the hepato-renal syndrome or in the perioperative liver transplantation period, the risk applies to any severity of renal dysfunction.

Professor Priscilla Sheath Kincaid-Smith (Smith) was a world-renowned nephrologist and trailblazer for Australian female scientists. This report will highlight some of her research and contribution to nephrology discipline such as the establishment of renal transplantation unit in The Royal Melbourne Hospital and the relationship between hypertension, analgesic usage and kidney diseases. In addition, the impact of her contributions to the current discipline will also be highlighted.