Symptoms And Treatment Of Chronic Kidney Disease Essay example

997 Words May 1st, 2016 4 Pages
Spoke with a 63 year old female who has end-stage renal disease (ESRD) and has currently been on dialysis for the past two years. However, ESRD is not a diagnosis but a name of a Medicare program (Porth & Matfin, 2009) The definition of chronic kidney disease (CKD) for a patient is irreversible kidney damage and/or glomerular filtration rate (GFR) less than 60 ml/min/1.73 m^2 for a minimal three months (Porth & Matfin, 2009). Those patient with kidney failure has either GFR less than 15 ml/min/1.73 m^2, signs and symptoms of uremia, and needs dialysis and/or transplantation (Porth & Matfin, 2009). Therefore, this 63 year old suffers from kidney failure. Diabetes, hypertension (HTN), glomerulonephritis, lupus, and polycystic kidney disease are the leading causes CKD (Porth & Matfin, 2009). CKD consist of five stages, “Stage 1 is kidney damage with normal or increased glomerular filtration rate (GFR), Stage 2 is kidney damage with mild decreased in GFR, Stage 3 is moderate decrease in GFR, Stage 4 is severe decrease in GFR, and Stage 5 is kidney failure” (Porth & Matfin, 2009). The normal range of GFR for an adult is 120 to 130 ml/min/1.73 m^2 (Porth & Matfin, 2009). Past medical history of childhood obesity, hypertension and diabetes since in her 30’s, myocardial infarction (MI), chronic obstructed pulmonary disease (COPD) multi renal stones since her 20’s, and renal stint, 59 she was diagnosed with CKD and at 61 on dialysis. The MI was an accidental finding…

Related Documents