Nephrology

Renal complications Renal damage is almost inevitable in sickle-cell disease. There is a strong tendency for HbS to polymerise in the renal medulla, because of the low partial pressure of oxygen, the low pH, and the high osmolality causing erythrocyte dehydration. The consequent vaso-occlusion causes renal infarction with papillary necrosis, and medullary fibrosis with focal segmental glomerulosclerosis. Other complications include haematuria, renal medullary carcinoma, nocturnal enuresis…

Hemolytic Uremic Syndrome (HUS) is a rare systemic condition that affects renal functioning and can develop into a life threatening disease with lasting complications. HUS is characterized by microangiopathic hemolytic anemia (destruction of red blood cells due to damage of small blood vessels), thrombocytopenia (an abnormal drop in platelet count) and impaired renal function (Nayer, A. & Asif, A., 2013). HUS can often onset after an infection of Escherichia coli which is a Shiga toxin-producing…

In Home Care: Kidney Disease According to the Centers for Disease Control and Prevention, kidney disease affects over 20 million Americans and many more are at risk for developing it. A great number of those with kidney disease are seniors. The main risk factors for kidney disease are diabetes, high blood pressure, and cardiovascular disease. Next in line are frequent use of non-steroidal anti-inflammatory drugs (NSAIDs) and antibiotics. If kidney disease is not addressed and treated in time,…

Why am I having this test? Creatinine clearance (CrCl) is a test that measures how well the kidneys are working. You may have this test as part of a routine blood test, or your health care provider may recommend this test if he or she thinks you may have a condition that affects your kidney function. Creatinine is a waste product of normal muscle activity (contraction). The kidneys filter (clear) creatinine from your blood and remove it from your body through urination. What is being tested?…

(NIDDK, 2016) Kidney disease is an ever rising epidemic and this author has an interest in pursuing a future career as a Nephrology Nurse Practitioner. In 2004, CMS created changes to the nephrology billing “bundling” allowing the charge for four visits a month, this in turn allows the NP to charge for three of those visits. Due to these changes in 2004, Nurse Practitioners in nephrology are in demand. (Davis & Zuber, 2009) After reviewing, The Essential’s of Master’s Education in Nursing, two…

3801NRS Advanced Clinical Decision Making Student Name: Rebekah Stanley Student Number: S2929435 Essay/Report Title: Case Study Essay Assessment Item 1 WORD COUNT: TBA Clinical decision making and reasoning can be seen as one of the most important roles taken on board by the registered nurse within the healthcare setting (Pinnock & Welch, 2014). It is a fundamental process involving the formulation of planned care for a patient, whilst engaging in critical thinking…

Utilitarianism is making decisions that will bring out the most delight in the majority of people. Consequentialist and utility are the two fundamental principles that utilitarianism is based on. The consequentialist principle is what decides what is correct or incorrect based on the consequences. The utility principle is decided on which consequence is the best decided by the amount of satisfied or unsatisfied people. These principles introduce two formulations: act- and rule-utilitarianism.…

Review of Case Study The case study we chose to research relates to kidney disease, the increased incidence of caries and periodontal disease. This case study patient is a 49 year old Caucasian female. She is healthy with the exception of having polycystic kidney disease. For this condition the patient does not take medications or receive any type of dialysis treatments. This patient has several missing teeth, large restorations on all posterior teeth, crowns and root canals. Currently she…

Organ Sales Will Save Lives In the essay “Organ Sales Will Save Lives” by Joanna Mackay, kidney failure is the main topic. In the thesis Mackay says “Government should not ban the sale of the human organs, they should regulate it.” It is supported by the evidence it will save lives. 350,000 people in America struggle with this situation each year. She also states that more people will be willing to give up their kidneys if it were legal. There are other ways like dialysis, which is a temporary…

The Regulated Sale of Kidneys in the United States There are currently 119,870 people on the transplant waiting list, 81.8% of which are people waiting for a kidney. Only 17,879 kidney transplants were done in the year 2015, and only 1 out of 5 organ donations came from a living donor (Organ Donation Statistics, 2016). Based on these statistics, it is clear that there are more people in need of a kidney than there are people willing to donate a kidney. It is because of this fact that Dr. Matas,…