Chronic Kidney Disease

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Chronic Kidney Disease
Chronic Kidney disease(CKD) is also known as Chronic Kidney Failure and is the gradual loss of kidney function. The kidneys are responsible for filtering wastes and excess fluids from the blood, which is than excreted through urine. When CKD reaches an advanced stage, the levels of fluids become very dangerous and it causes electrolytes and wastes to build up in the body.(Mayo Clinic, 2016)
Pathophysiological Process
CKD occurs when a disease or condition impairs kidney function, causing kidney damage to worsen over several months or years. There are several diseases that can contribute to CKD, if they are not kept under control or not treated properly. The diseases that can cause CKD are Diabetes type I or II, high blood
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Being that the signs and symptoms are nonspecific, which means that they are caused by other illnesses. Kidneys are very adaptable and compensate for lost function, so it can be hard to determine that there is a problem until irreversible damage is already done. (Mayo Clinic, 2016). Symptoms may include urine flow being less than normal because the functions of the kidneys are impaired, weight gain and swelling is also common because of the edema in the tissues, fatigue, loss of appetite and unexpected weight loss, nausea, vomiting, headaches, severe itching, and there may also be a metallic taste in the mouth. When CKD first begins the kidneys are still able to perform its functions, but at the disease becomes progressively worse, the more complications will occur and the more the disease becomes, which results in Kidney Failure. Kidney failure affects the body in very negative way. At this stage you will need dialysis or a complete kidney transplant. (WebMD, 2016)
Complications include Anemia because the kidneys are not producing the hormone erythropoietin, which makes the red blood cells and this causes the fatigue, ureic syndrome can cause sleepiness, but the high levels of toxicity in the blood can be very poisonous, if the levels become high, heart and bone disease, and
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There are several things that need to be checked, once a diagnosis of CKD has been established. Providers need to establish, if the disease has just begun or has been progressing over a certain period of time, what the cause is, what treatment to begin or if the treatment is already working, and lastly to determine if dialysis needs to be started or kidney transplant may be the only option. The creatinine levels are checked by a blood creatinine test and that establishes the glomerular filtration rate and that helps to determine how well the kidneys are functioning and how far along the disease is, a blood urea nitrogen test or BUN is done, a fasting blood glucose test, a blood test for parathyroid hormone, and urinalysis
Prevention. CKD can sometimes be prevented by controlling the other diseases or factors that contribute to the disease. People that have already gone into kidney failure still need to monitor the disease very closely. Monitor the blood pressure and keep it below 130/80, if diabetes is the underlying cause than the target blood sugar needs to stay within the normal limits, staying healthy and exercising can stop the onset of other diseases that contribute to CKD. Also controlling high cholesterol, and not smoking or stopping

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