Why is diabetes associated with chronic renal disease and end stage renal disease, explain? What are the treatment options and health lifestyle changes for chronic renal disease? What is the purpose of dialysis and the difference between hemodialysis and peritoneal dialysis?
Ans) One of the more common long-term complications of diabetes is kidney damage. Also known as diabetic nephropathy or diabetic kidney disease (DKD), this condition is a result of vascular abnormalities that accompany diabetes and increases mortality risk. Furthermore, diabetes mellitus is a main risk factor for end-stage renal disease (ESRD), the most advanced stage of kidney disease.
- High levels of blood sugar make the kidneys work harder to do their job of filtering, which over time can damage them so that they start to leak small amounts of protein (albumin) into the urine. That's why detecting albumin in a urine test means that the kidneys are damaged. Not everyone with diabetes develops kidney disease. Factors that can influence kidney disease development include genetics, blood sugar control, and blood pressure. The better a person keeps diabetes and blood pressure under control, the lower the chance of getting kidney disease.
- Lifestyle Changes to Manage Chronic Kidney Disease:
- There are two kinds of dialysis. In hemodialysis, blood is pumped out of your body to an artificial kidney machine, and returned to your body by tubes that connect you to the machine. In peritoneal dialysis, the inside lining of your own belly acts as a natural filter.
Why is diabetes associated with chronic renal disease and end stage renal disease, explain? What are the treatment optio...
What is the difference between peritoneal and hemodialysis? What are the nutrition recommendations for individuals with Chronic Kidney Disease? How do these recommendations change once an individual with end stage renal disease (ESRD) begins dialysis?
3. In patients with End Stage Renal Disease (Chronic Renal Failure) without treatment, what lab values would you expect? Why? Type of Expected Why Lab Value (Increased, Decreased, Normal) Potassium (K ) increased Sodium (Na2+) Calcium 1 (Ca²+) Phosphorus (P) Chloride decreased (CI) Magnesium (Mg?) Red Blood Cell Count (RBC) Blood Urea Nitrogen (BUN) Creatinine increased increased
For a patient in end-stage renal failure, what are two things that can take the place of the nonfunctioning kidneys? 1.) hemodialysis or kidney transplantation 2.) peritoneal dialysis or catheterization 3.) diuresis or catheterization 4.) cystoscopy or hemodialysis
nutrition
4. What are the main differences in pathology and treatment for acute, chronic, and end-stage renal disease?
Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation. What are the criteria to be placed...
Your patient is a 32-year-old male with end stage renal disease (ESRD) secondary to diabetes. He was diagnosed with type I diabetes when he was a teenager and subsequently was noncompliant for various amounts of time with the treatment regimen. He was having trouble breathing at home, lethargy, insomnia, and increased difficulty controlling sugars. He stated his sugars had been “real good,” stating it was about 250 before they got bad. Question: What lab orders do you anticipate?
Your patient is a 32-year-old male with end stage renal disease (ESRD) secondary to diabetes. He was diagnosed with type I diabetes when he was a teenager and subsequently was noncompliant for various amounts of time with the treatment regimen. He was having trouble breathing at home, lethargy, insomnia, and increased difficulty controlling sugars. He stated his sugars had been “real good,” stating it was about 250 before they got bad. Question: What lab orders do you anticipate? (Include the...
MODULE 1: PATIENT WITH CHRONIC RENAL FAILURE Mrs. Chang, age 41, is a thin Chinese woman who lives with her husband, their teenage son and daughter and Mr. Chang’s mother in a small 4 room apartment in a low income area of Los Angeles. Mr. Chang is a cook in a hotel. Mrs. Chang has not been able to work because of poor health and a limited knowledge of English. She has recurring symptoms of nausea, anorexia, hematuria, and swollen...
1. Compare and contrast acute kidney injury and chronic kidney disease CKD AKI onset Common causes diagnostics reversibility Primary cause of death 2. Identify the following causes of renal failure a. Prerenal b. Intrarenal C. Postrenal 3. Describe assessment finings during the following phases of renal failure a. Oliguric phase b. Duretic phase C. Recovery phase 4. Describe prevention and nursing management of the following complications of renal failure a. Hyperkalemia 5. Describe assessment finding that may warrant the use...
1. Compare and contrast acute kidney injury and chronic kidney disease AKI CKD onset Common causes diagnostics reversibility Primary cause of death 2. Identify the following causes of renal failure a. Prerenal b. Intrarenal c. Postrenal 3. Describe assessment finings during the following phases of renal failure a. Oliguric phase b. Duretic phase c. Recovery phase 4. Describe prevention and nursing management of the following complications of renal failure a. Hyperkalemia 5. Describe assessment finding that may warrant the use...