...Chronic Kidney Disease Ashley Oglesby Joyner Walden University Advanced Practice Care of Adults NURS-6531N-20 October 21st, 2017 Chronic Kidney Disease Chronic kidney disease occurs when there is a loss of nephrons which prevents perfusion, filtration and excretion. Chronic kidney disease is a debilitating disease that requires long-term treatment to improve the patient’s quality of life. Risk factors for kidney disease include high blood pressure, diabetes, exposure to renal toxic drugs, and systemic infections. Chronic kidney disease is diagnosed by patient history, physical exam, diagnostic testing, and laboratory studies. Management of chronic kidney disease involves frequent follow up appointments, routine blood work,...
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...Kidney disease 1 Running Head: CHRONIC KIDNEY DISEASE Understanding Chronic Kidney Disease Kim Prior Rock Valley College Kidney disease 2 Understanding Chronic Kidney Disease 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, stage, and other medical conditions the patient has that may complicate the kidney disease. The first step is to identify patients with increased risk factors and early signs and symptoms of kidney disease. Risk factors include a family history, diabetes, smoking, obesity, hypertension, exposure to harmful substances that may injure the kidneys, and cardiac conditions such as heart failure or acute myocardial infarction (Castner, 2010). Patients that have these risk factors should be evaluated frequently by their physician as well as educated about lifestyle changes to decrease their risk (weight loss, exercise, smoking cessation, blood sugar control, blood pressure monitoring, and a healthy diet. Early signs and symptoms include fatigue...
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...Levels of Neutrophil Gelatinase- Associated Lipocalin for Early Kidney Disease. Student’s Name University Table of Contents 1.0 Introduction/Background of the Study………………………………………………...3 2.0 Problem………………………………………………………………………………..3 3.0 Significance to Nursing……………………………………………………………….4 4.0 Purpose………………………………………………………………………………..4 5.0 Objectives……………………………………………………………………………..4 6.0 Research Questions……………………………………………………………………4 7.0 Methods of Study……………………………………………………………………...4 8.0 Quantitative or Qualitative…………………………………………………………….5 9.0 Research Design……………………………………………………………………….5 10.0 Sample………………………………………………………………………………..5 11.0 Procedures/results of Study…………………………………………………………..5 12.0 Findings………………………………………………………………………………6 13.0 Implications for Nursing……………………………………………………………....6 14.0 Contribution of Findings to Nursing Knowledge…………………………………….6 15.0 Ethical Considerations………………………………………………………………..6 16.0 Study Approval…………………………………………………………………….....7 17.0 Patient Privacy Protection………………………………………………………….....7 18.0 Conclusion…………………………………………………………………………….7 References……………………………………………………………………………….…8 1. Background of the Study Neutrophil Gelatinase also known as Oncogene 24p3 is associated with Lipocalin, Coresh et. al(2007). NGAL is a protein that is in humans and is always associated with the genes of LCN2.Lipocalin abbreviated...
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...Chronic kidney diseaseFrom Wikipedia, the free encyclopedia Jump to: navigation, search Chronic kidney disease Classification and external resources Uremic frost on the forehead and scalp of a young man who presented with complaints of chronic anorexia and fatigue with blood urea nitrogen and serum creatinine levels of approximately 100 and 50 mg/dL respectively. ICD-10 N18 ICD-9 585.9 585.1-585.5 403 DiseasesDB 11288 MedlinePlus 000471 eMedicine article/238798 MeSH D007676 Chronic kidney disease (CKD), also known as chronic renal disease (CRD), is a progressive loss in renal function over a period of months or years. The symptoms of worsening kidney function are non-specific, and might include feeling generally unwell and experiencing a reduced appetite. Often, chronic kidney disease is diagnosed as a result of screening of people known to be at risk of kidney problems, such as those with high blood pressure or diabetes and those with a blood relative with chronic kidney disease. Chronic kidney disease may also be identified when it leads to one of its recognized complications, such as cardiovascular disease, anemia or pericarditis.[1] It is differentiated from acute kidney disease in that the reduction in kidney function must be present for over 3 months. Chronic kidney disease is identified by a blood test for creatinine. Higher levels of creatinine indicate a lower glomerular filtration rate and as a result a decreased capability of the kidneys...
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...Progression of Chronic Kidney Disease Keywords: Chronic kidney disease, self-management, patient education, end-stage renal disease The Effects of Self-Management on the Progression of Chronic Kidney Disease Kidney disease is one of the leading causes of death in the United States and was the 8th leading cause in 2010 (Arialdi M. Miniño, 2012). Approximately 20 million U.S. adults who are over 20 years of age have chronic kidney disease (CKD), and most of them are unaware of their condition ("CDC, National chronic kidney disease "). This number continues to grow every year due to an increase in the incidence of hypertension, diabetes, obesity, and the aging population. CKD can develop into end-stage renal disease (ESRD) rapidly without intervention, and the only treatment currently available is renal replacement therapy or kidney transplant. The cost of treating those in the United States with ESRD in 2009 was approximately $40 billion dollars, and this cost continues to grow each year ("National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) "). Moreover, patients who develop kidney disease pay an even higher price with their life. Studies have shown that CKD is associated with a higher rate of cardiovascular disease as well as all other related mortalities (Kurth, de Jong, Cook, Buring, & Ridker, 2009). An adult with CKD is 16-40 times more likely to die before reaching ESRD than an adult without the disease ("CDC, National...
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...Chronic Kidney Disease Chronic kidney disease (CKD) is the reduction in kidney function over time. Kidneys remove waste and fluids from the blood by way of urine. CKD is measured in stages, the most advanced can cause a buildup of fluids, electrolytes and waste in the body and eventually death. This purpose of this paper is to describe CKD, its presentation, diagnosis and treatment options and discuss what effect patient factors may have. Clinical Presentation In most cases, chronic kidney disease is asymptomatic. When symptoms are present they are generally nonspecific. Detection is usually the result of investigation driven by clinical suspicion. High risk patients are routinely screened for renal failure. Screening is conducted in hospitals, routinely on acutely ill patients, patients with abnormal imaging results such as stones, primary care, patients with co-diseases like hypertension or diabetes and those with family history. By the time CKD shows symptoms the kidney function is already impaired. When symptoms are present they may include: nausea, vomiting, fatigue,...
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...Chronic glomerulonephritis which affects the glomeruli within the kidney and often impedes the kidneys’ function is known to be one of the most common causes of kidney failure. The development of chronic glomerulonephritis is often a blindside as there is little to no signs or symptoms of the disease. The development may occur due to many causes such as infections, immune diseases, blood pressure or diabetes. Patients’ are often diagnosed when the disease is severe or has been triggered by underlying causes. As many as 40% of people suffering from glomerulonephritis are on dialysis which shows how severe progression may escalate. Treatments are constantly being improved to make it for efficient for suffers such as plasmapheresis which are only...
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...Anemia Statistics for Patient Populations To help explain the prevalence of anemia, the education kit provides statistics related to anemia of chronic disease and other at-risk patients. Older Adults & the Elderly Fatigue, weakness and other anemia symptoms can be misconstrued as normal signs of old age, but neither anemia nor these symptoms are a natural part of aging and should receive meticulous medical attention. · 10% of persons aged 65 and older have anemia1 · 50% of nursing home residents have anemia2 · Anemic elderly are twice as likely tbe hospitalized for falls3 Cancer Patients Cancer and its treatment can cause anemia by interfering with the body's production and regulation of red blood cells. · 80% of chemotherapy patients have severe anemia4-6 · 550,000 people die from cancer each year7 Chronic Kidney Disease Patients Anemia is a common and early complication of chronic kidney disease (CKD) and worsens as the disease progresses. An estimated 65 million American adults with hypertension8 and 17 million with diabetes9 are at increased risk for CKD and subsequently anemia. · 26 million Americans have chronic kidney disease10 · 28% of mild CKD patients are anemic11 · 87% of severe CKD patients are anemic11 Critically Ill Patients Many factors contribute tanemia in critically ill patients including trauma, surgical blood loss, inflammation and nutritional deficiencies. · 50% of patients in the intensive care unit are anemic12 · 75% of long-stay...
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...CHRONIC KIDNEY DISEASE Helen T. Ocdol, MD, FPCP, FPSN Chronic Kidney Disease (CKD) is a dreaded condition . CKD includes a continuum of kidney dysfunction from mild kidney damage to end-stage renal disease (ESRD). Chronic renal disease is interchangeably used for CKD but to be unifom in usage, we will use the term Chronic Kidney Disease or CKD. In the U.S., there are 20 million adults who have chronic disease and over 400,000 persons have ESRD and require dialytic or transplantation therapy. In the Philippines, annually we have about 6,ooo patients started on dialysis most of which are caused by diabetis mellitus. Complications of this condition have also made this the 9th cause of death in our country. This is how important this disease entity has become over the last decade. Each of us has 2 kidneys, one on each side of our flanks. Chronic kidney disease is a permanent damage to both kidneys that persists for at least 3 months. If the kidney damage is temporary and has occurred less than 3 months, this is referred to as acute kidney or renal failure. Acuteness does not refer to the severity of the condition, but to a recent and temporary event, therefore, almost always reversible. Chronicity implies long-term event that is permanent and irreversible. This is probably why most patients fear to hear that they have kidney disease and would need dialysis. CKD has five (5) stages based on the kidney function as estimated by the glomerular filtration rate (GFR).The best overall...
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...Central University of Technology, Bloemfontein Early detection and prevention of Chronic Kidney Disease Contents page Definition of key terms used in the assignment Abbreviations used in the assignment Introduction Chronic Kidney Disease, a condition characterised by a gradual loss of kidney function. CKD is often misdiagnosed owing to the lack of knowledge about the disease. With early detection and prevention of the progression of the disease CKD patients can still enjoy life to the fullest while they manage their disease, however if the healthcare professionals fail to identify the disease on time the patient can suffer dire consequences. Besides the financial implications associated with the disease, there are the emotional implications together with physical and psychological. This assignment seeks to explore such implications in an effort to highlight the importance of early detection and prevention of kidney disease, with the best interest of the patient at heart Background Normal kidney anatomy http://doctorstock.photoshelter.com/image/I000096SqkYwaLhE The bean-shaped kidneys lie in retroperitoneal position in the superior lumbar region. Extending approximately from T12 to L3, the kidneys receive some form of protection from the lower part of the rib cage (E.N. Marieb, K Hoehn, 2010) The kidneys functions can be divided into two, non-excretory functions and excretory functions. Under excretory we have Glomerular filtration, Tubule...
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...Chronic Kidney Disease Abstract Chronic kidney disease is a progressive disease that destroys the function of the human kidneys. This purpose of this research paper is to present an introductory profile of the disease. The profile includes a description of the disease, leading causes, how it is diagnosed, and its stages. Current statistics of the individuals impacted by the disease and mortality are provided. This paper will also explain the progressive nature of the disease and how the kidneys are damaged. Finally, the treatment goals and actions for the different stages of the disease are laid forth. Chronic Kidney Disease Kidneys are vital organs that regulate the body’s fluid level, filter toxins, control blood pressure, and more. A human cannot live without at least one functioning kidney. Chronic Kidney Disease (CKD) is a progressive disease that destroys the operating capacity of the kidneys. CKD impacts millions of Americans and is often undiagnosed until it is in an advanced stage. The human body attempts to compensate for the disease and, in doing so, worsens the condition. CKD is usually caused by another underlying cardiovascular condition. Treatment for CKD seeks to slow the progression of the disease by relieving the underlying condition. Once CKD has reached its final stage, kidney function is insufficient and renal replacement therapy is required. Chronic Kidney Disease (CKD) was formerly known as chronic renal failure (Haynes & Winearls...
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...Noncommunicable Diseases: Chronic Kidney Failure Did you know that your kidneys are like a filter for your body as they work to clear out toxins and excess waste from your system? Kidneys play an important role in your body, and it is a major issue when they start to not function properly. When these vital organs fail, it is called chronic kidney failure which is a noncommunicable disease. I chose to research more on this subject as my grandfather suffered from kidney failure and I wanted to learn and grow awareness about this common disease. As mentioned, chronic kidney failure occurs when your kidneys fail to do their job of filtering out wastes which then exit though your urine. Many individuals do not realize they are suffering from kidney failure until it is in its very late stages, as the symptoms are not definite to the disease and not obvious. Some symptoms can include nausea, shortness of breath, swelling of the feet, changes in urination, and changes in mental status....
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...Decision Support for Adults Living with Chronic Kidney Disease Best Practice Guideline & AGREE Tool Application Jessica Cruz Nancie Moran Coleen Smart University of Hartford Decision Support for Adults Living with Chronic Kidney Disease Introduction The movement towards evidence-based healthcare has been gaining momentum quickly over the past few years, motivated by clinicians, management and politicians concerned about quality, consistency and costs. Best practice guidelines, or BPG’s, are systematically developed statements to assist practitioners and patients in decisions about appropriate health care for specific circumstances. They describe appropriate care based on the best available scientific evidence. BPG’s are developed and implemented to reduce inappropriate variation in practice; promote efficient use of resources; to act as guideline for quality control, highlight shortcomings of existing literature; suggest appropriate future research; and to provide a focus for continuing education. In 1999, the Registered Nurse Association Organization (RNAO) began its mission of advancing health public policy and promoting the full participation of registered nurses in improving health, and in shaping and delivering health care services. To date, the RNAO has implemented eight Healthy Work Environment Best Practice Guideline’s (BPG’S) and 44 Clinical Practice Guidelines. Each guideline undergoes rigorous, structured research by a panel of experts...
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...Stage Renal Disease Patients Student’s Name University Contents 1.0 Background to the Study.........................................................................................3 2.0 Introduction.............................................................................................................3 3.0 Problem Statement..................................................................................................4 4.0 Data Collection........................................................................................................4 5.0 Data Management and Analysis..............................................................................5 6.0 The Protection of Human Rights.............................................................................6 7.0 Interpretation of Findings........................................................................................7 8.0 Conclusion...............................................................................................................7 References.....................................................................................................................8 Hemodialysis and Its Impact to end Stage Renal Disease Patients 1.0 Background to the Study The final stage of chronic kidney diseases is when the kidneys can longer support their functions; this is the end stage where organs are pronounced to have failed completely (Esra, 2013). The role of kidneys is to remove...
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...first day postoperatively, it was noted that she had very little urine output. Answer questions 1-8 below. In each scenario, the patient is experiencing renal failure. 1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? when a person produces less than 500 milliliters of urine in 24 hours, this defines decreased urine output (Northwestern Memorial Hospital, 2007). Ischemia, hemorrhage, poisons, and severe kidney disease may cause renal failure. 2. What other symptoms and signs might occur? Lethargy, weakness, shortness of breath, and generalized swelling may occur. Acute Renal failure: sudden drop in urine production, headache, gastrointestinal distress, and odor of ammonia on breath. Chronic renal failure: longstanding kidney disease such as chronic glomerulonephritis, hypertension, or diabetic nephropathy. 3. What is causing Ms. Jones’s kidney disease? The causes can be “from dehydration due to vomiting, diarrhea, or fever, with a lack of adequate fluid intake, severe infection leading to shock, drugs like anticholinergics, methotrexate, and diuretics” (Northwestern Memorial Hospital, 2007). Chronic renal failure: poorly controlled diabetes, poorly controlled high blood pressure, and chronic glomerulonephritis. Damages directly to the kidney itself include sepsis, medications toxic to the kidney like nonsteroidal anti-inflammatory drugs (ibuprofen, naproxen), antibiotics (gentamicin, tobramycin), and lithium, Rhabdomyolysis...
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