Ckd Literature Review

Improved Essays
RESEARCH

BACKGROUND:
The end stage renal disease (ESRD) is a debilitating, chronic condition whereby the renal failure requires dialysis or renal replacement therapy (RRT) to survive (USRDS, 2002) According to the National Health Survey (NHS) 2009 it is evident that the Chronic Kidney Disease (CKD) among the adults in England is around 13%. Over the last four decades, there has been a major development in treatment of CKD that has improved the life expectancy when compared to previous years (NHS, 2008).
According to the NHS kidney care (2012), approximately 1.8 million people are diagnosed to have Chronic Kidney disease (CKD) in England. Among these, the percentage of patients having RRT, peritoneal dialysis is 19.5 %, haemodialysis is
…show more content…
In order to access this literature, various resources were explored including databases, books, periodicals, reviews and journals. An International literature database system such as MEDLINE, CINAHL, OVID and COCHRANE were searched. According to Stokes (2006), the first connection point for searching for the best evidence is the Cochrane Library and Clinical Evidence databases. An ‘Inter-nurse’ search engine and NHS evidence database were also used via Athens. Boolean strategy were used to combine words and phrases. The three widely used Boolean operators, are AND, OR, and NOT which delimits the search. Moreover advanced filters such as age, sex, race, range and blinding criteria were also applied in the search of this strategy. Wildcards characters were used to improve the search results. The critical appraisal skills programme (CASP) check list was also used for literature search in order identify the best reasonable evidence. Tutors and librarians also provided sufficient assistance to collate information from the various databases. Database was searched from year 2000 to until date. The limits were set to adults above 18 years, and English language was used for the …show more content…
The preliminary findings from the pilot study demonstrates the effectiveness of two alternative medications i.e. sodium Citrate versus Heparin for the Catheter Locks. Cuticchia (2009) argues that trails can be used to test whether a new treatment has similar efficiency to an existing one. In this article the evidence was taken from a well conducted pilot study where a brief summary of the outcome is given at the beginning of the article including the methods and findings. The purpose of the pilot study was to find weather the Citrate 4% has an antithrombotic and anti-bacterial properties compared with Heparin. The researcher has also used the most available literature while planning this research. This has enabled the writer to identify if the research article is of their interest or not. It is important to determine whether the paper has been developed from a recent piece of work in order to assess its relevance to inform current practice (Polit & Beck,

Related Documents

  • Improved Essays

    Glomerulonephritis is the inflammation of the tiny small blood vessels within the kidneys that acts as filter called glomeruli. The disease damages the kidneys' ability to remove waste and excess fluids from the body. Glomerulonephritis can be acute - sudden attack of inflammation, or chronic- long-term and coming on gradually. In the past, chronic glomerulonephritis was the common cause of chronic renal failure but as of today, diabetes mellitus and hypertension are the main causes of ESRD, which account for almost 60% of dialysis patients. The cost of treating a kidney disease is uneconomical1.…

    • 439 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Heartburn Medical Study

    • 593 Words
    • 3 Pages

    New Study of Veterans Adds to Evidence in Heartburn Medical Lawsuits A study from St. Louis researchers shows indications that heartburn medications can increase the risk of kidney failure and disease. This study, published on April 14 in the Journal of the American Society of Nephrology, revealed the results of more than 170,000 veterans who use these medications. The heartburn medications the study researched included Prevacid, Prilosec, and Dexilant, among others. Details of the Study Researchers used the databases from the Department of Veterans Affairs and compared incidents of both chronic kidney disease and kidney failure for people who used Nexium and other PPI medications with those who used a different type of medication for heartburn,…

    • 593 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The first publication of consensus criteria for AKI was published in 2004 by the Acute Dialysis Quality Initiative Group (ADQI). The system was termed RIFLE (risk, injury, failure, loss of kidney function, end-stage renal failure). It categorizes AKI into three severity classes -Risk, Injury and Failure- and two outcome classes, Loss of kidney function and End-stage kidney disease. Later, in 2007, the Acute Kidney Injury Network (AKIN) published a modified definition of the RIFLE criteria, outlining AKI as abrupt (occurring within 48 hours) and using a smaller change in serum creatinine from baseline in patients to calculate the AKIN stages. Stage 1 of AKI was defined as an increase in S.Cr greater than or equal 0.3 mg/dl or greater than or…

    • 197 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Troponin Essay

    • 539 Words
    • 3 Pages

    Co-morbidities such as heart failure, LV hypertrophy causing sub endocardial ishaemia [52] or renal ishaemia with oxygen mismatch in supply and demand can lead to elevation of troponin levels in serum. It is reported recently, that troponins are broken down into very small pieces which can be cleared by kidney [53]. In with CKD these micro fragments are left behind as they are not cleared by damaged kidney, leading to their detection in…

    • 539 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    "Kidney: Polycystic Kidney Disease" Published September 3rd, 2014 and written by Binu M. Paul and Gregory B Vanden Heuvel. This article tells you all about polycystic kidney disease and how it affects the human body. Polycystic kidney disease is a hereditary disease if your mother or father have it then you most likely will have it. This disease causes cysts that develop on the kidneys and get bigger and bigger as you get older, sadly there is no cure for this disease.…

    • 393 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    As a nurse; searching, critiquing, and synthesizing research evidence studies go hand and hand. It would hard to pick one of these areas would be most useful to my practice. Polit and Beck provided the PIO and PICO acronyms to help formulate a more precise question to search the internet (p.30-31). Along with the suggested research sites, I will be able to weed out unusable articles from the beginning, saving me time. Critiquing an article is just as important as searching.…

    • 256 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Diabetes is one of the most prevalent chronic diseases in North Americans today. There are two type of diabetes that people are at risk for. Diabetes type I: when a child or a young adult has an insulin deficiency due to their immune system destroying the pancreatic cells that produce insulin in the body. Diabetes type II is the most common type in many adults throughout the nation. It is also becoming more common in young children today.…

    • 985 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    This particular patient was a 36 year old female who was diagnosed with loin pain hematuria syndrome. According to the patient her experience with this syndrome has been less than a positive one. With her condition she experiences episodes of crisis where her pain becomes unbearable, leading to a hospitalization. Her primary care provider has tried several different treatments to relieve her pain. Recently she had obtained a kidney auto transplantation, where the kidney is moved to the anterior lower portion of the abdomen to aid in the relief of the pain and hopefully the hematuria by reconstructing the urinary tract.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Introduction During this clinical I had an 85-year-old male, who was admitted with a diagnosis of acute kidney injury. The patient was a very nice individual, which I enjoyed my time with him. He would make a couple of jokes here and there; he would make me laugh. The patient had been there for seven days and was now being discharged.…

    • 1328 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Today, increasing prevalence of kidney stones is a global phenomenon due to change in living conditions and lifestyle. The urinary stone disease is a common multifactorial disorder estimated to occur in approximately 12% of the world population with a recurrence rate of 70-80% in male, and 47-60% in female (Araujo V., et al., 1999). Kidney stone disease is the third most common afflictions in urinary tract found in humans (Selvam et.al. 2001). Primary kidney stone formation and its recurrence is one of the biggest challenges faced by urologists today and remain a major source of morbidity in humans (Curhan et al., 1994). This disease occurs both in men and women but the risk is generally high in men and is becoming more common in young women (Selvam, 2002).…

    • 588 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    1. What factors predisposed Mr. W. to acute kidney injury? Some of the factors that caused Mr. W’s acute kidney injury are fever of 38.5° C, severe abdominal pain & nausea due to pancreatic inflammation with intra-abdominal ascites. One of the symptoms of ascites is infection which can cause kidney failure if not treated (ACG, 2013).…

    • 999 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Chronic Kidney Disease

    • 849 Words
    • 4 Pages

    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.…

    • 849 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Practice Dimension Criteria: Practice: Ms. Upham provided strong leadership in the planning, coordinating and implementation of the Peritoneal Dialysis Program. This is a brand new program, developed to bring back the Veterans who were receiving their care out in the community. With the complexity of their care due to multiple co-morbidities it is critical for them to receive all their care at the Providence Veterans Administration Medical Center (PVAMC). Evidence based resources were used in creating the program and the Peritoneal Dialysis International standards were used. Objectives were written and goals put in place.…

    • 1207 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    On further review of John’s blood results and presenting symptoms the doctor decided to insert a temporary line to administer haemodialysis (HDx). The doctor discussed the treatment option with John enabling informed consent (Department of Health 2009). John was feeling apprehensive about the need for dialysis as he perceived it as set back as John was managing conservatively until now so the doctor discussed with John if he would like to be referred to a…

    • 2391 Words
    • 10 Pages
    Great Essays
  • Superior Essays

    During my dialysis experience I found it to be very informative and interesting. We were not allowed to touch the patients or help with any care but the staff was interactive and explained was they were doing. The staff also was able to provided scenarios of different complications that happened and how they 'd respond. By the end of the first day I was able to see what the caregiver would due if a patient had muscle cramps, was short of breath and had chest pain. The first day I mostly interacted with the staff and was able to see medical side of the whole procedure such as learning and seeing how to dispose of contaminated equipment and what machines were used.…

    • 949 Words
    • 4 Pages
    Superior Essays