What Medications Are Prescribed For People With Chronic Kidney Disease
Depending on the cause of your kidney disease, you may be prescribed one or more medications. Medications your nephrologist may prescribe include:
- An angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker to lower your blood pressure.
- A diuretic to help your body eliminate extra fluid.
- Medications to lower cholesterol levels.
- Erythropoetin, to build red blood cells if you are anemic.
- Vitamin D and calcitrol to prevent bone loss.
- Phosphate binder if your kidneys cant eliminate phosphate.
Aim For A Healthy Weight
The NIH Body Weight Planner is an online tool to help you tailor your calorie and physical activity plans to achieve and stay at a healthy weight.
If you are overweight or have obesity, work with your health care provider or dietitian to create a realistic weight-loss plan. View more weight control and physical activity resources to help you get and stay motivated.
Chronic Kidney Disease: Prevention And Treatment Of Common Complications
CATHERINE S. SNIVELY, M.D., and CECILIA GUTIERREZ, M.D., University of California, San Diego, School of Medicine, La Jolla, California
Am Fam Physician. 2004 Nov 15 70:1921-1928.
The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends a target blood pressure of less than 130/80 mm Hg in patients with chronic kidney disease.
According to the evidence, ACE inhibitors are more effective than other antihypertensive drugs in preventing the progression of kidney disease in diabetic and nondiabetic patients.
Angiotensin-II receptor antagonists have been shown to reduce proteinuria and the occurrence of kidney failure.
To prevent progression of nephropathy in patients with diabetes mellitus, the American Diabetes Association recommends glycemic control, with the goal being an A1C concentration below 7 percent.
The most recent guidelines from the NKF K/DOQI recommend treating dyslipidemia aggressively in patients with chronic kidney disease. The goals are an LDL cholesterol level below 100 mg per dL and a triglyceride level below 200 mg per dL .
ACE = angiotensin-converting enzyme NKF K/DOQI = National Kidney Foundation Kidney Disease Outcome Quality Initiative LDL = low-density lipoprotein.
Strength of Recommendation
Definitions of Proteinuria and Albuminuria
Definitions of Proteinuria and Albuminuria
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How Can I Prevent Ckd
Diabetes and high blood pressure are the most common causes of CKD. If you have diabetes or high blood pressure, working with your doctor to keep your blood sugar and blood pressure under control is the best way to prevent kidney disease.
Living a healthy lifestyle can help prevent diabetes, high blood pressure and kidney disease, or help keep them under control. Follow these tips to lower your risk for kidney disease and the problems that cause it:
- Follow a low-salt, low-fat diet
- Exercise at least 30 minutes on most days of the week
- Have regular check-ups with your doctor
- Do not smoke or use tobacco
- Limit alcohol
What Are The Symptoms Of Kidney Failure
You may notice one or more of the following symptoms if your kidneys are beginning to fail:
- Swelling in your feet and ankles
- Too much urine or not enough urine
- Trouble catching your breath
- Trouble sleeping
If your kidneys stop working suddenly , you may notice one or more of the following symptoms:
- Abdominal pain
Having one or more of any of the symptoms above may be a sign of serious kidney problems. If you notice any of these symptoms, you should contact your doctor right away.
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Kidney Damage Treatment Options
There are two levels of healthcare to treat kidney damage, depending on the severity of the kidney damage. In cases where damage is acute, or minimal, its possible to treat the complications of the disease with medication until lifestyle changes can be made.
However, in the case of severe or end-stage kidney damage, the only treatment options are dialysis and kidney transplant.
Before any treatment for kidney damage, we highly recommend talking to your trusted healthcare professional, as they can determine exactly the stage of your kidney damage and the best solution.
Estimated Glomerular Filtration Rate Indicates The 5 Stages Of Chronic Kidney Disease
The creatine clearance is the same as the estimated glomerular filtration rate . This number also takes into account the age, body size, and gender of a person. So it is the most accurate measure of kidney function.
Your doctor can calculate your specific eGFR. It is a percent range that goes as high as 100. Lower numbers will indicate poorer functioning kidneys. Below is a breakout of the eGFR for each stage of kidney disease.
CKD Stage 1 eGFR
Stage 1 has some kidney damage, however, there is still about 90 to 100 percent kidney function left. So things are pretty normal.
CKD stage 1 eGFR is 90 mL/min or higher.
CKD Stage 2 eGFR
Stage 2 damage has occurred and there is a mild loss of function. In addition, the kidneys are still working pretty well with between 60 to 89 percent of function left.
CKD stage 2 eGFR is between 60 and 89 mL/min.
CKD Stage 3 eGFR
There are two eGFR levels for stage 3 CKD. They are 3A and 3B. Function varies from mild to severe in these stages.
CKD Stage 3A eGFR
Mild to moderate loss of kidney function occurs in stage 3A. So now the kidneys are functioning between 45 to 59 percent capacity.
CKD Stage 3A eGFR is between 45 and 59 mL/min.
CKD Stage 3B eGFR
There is moderate to severe damage in 3B with significant loss of function. Consequently, the kidneys are working at only 30 to 40 percent of function.
The CKD stage 3B eGFR is between 30 and 40 mL/min.
CKD Stage 4 eGFR
The CKD stage 4 eGFR runs between 15 and 29 mL/min.
CKD Stage 5 eGFR
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What Is Kidney Disease
Having kidney disease means that there is damage to your kidneys and they arent working as well as they should. Kidney disease is called chronic because kidney function slowly gets worse over time. Kidney disease leads to kidney failure, which is also called end-stage kidney disease. At this point, youll need dialysis or a kidney transplant.
Work With Your Health Care Team To Monitor Your Kidney Health
The tests that health care providers use to test for kidney disease can also be used to track changes to kidney function and damage. Kidney disease tends to get worse over time. Each time you get checked, ask your provider how the test results compare to the last results. Your goals will be to
- keep your GFR the same
- keep your urine albumin the same or lower
Your health care provider will also check your blood pressure and, if you have diabetes, your A1C level, to make sure you are meeting your blood pressure and blood glucose goals.
Bring this document to your appointment to help keep track of your kidney test results.
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Stage 5 Chronic Kidney Disease Treatments
So if you dont have a treatment plan in place now is the time to get one!
The first thing you need to do is get a healthcare team together. This will consist of your primary care doctor, a kidney doctor, and a renal RD. Together they can work on a treatment that includes an array of interventions including
Medical treatments will come from your doctors. The renal RD will put together nutritional interventions and a diet plan that is right just for you. All of your healthcare team members will help establish lifestyle interventions
What Can I Expect If I Have Kidney Disease
If you have kidney disease you can still live a productive home and work life and enjoy time with your family and friends. To have the best outcome possible, its important for you to become an active member of your treatment team.
Early detection and appropriate treatment are important in slowing the disease process, with the goal of preventing or delaying kidney failure. You will need to keep your medical appointments, take your medications as prescribed, stick to a healthy diet and monitor your blood pressure and blood sugar.
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Controllable Ckd Risk Factors
Even if you have ESRD, there is still a lot you can do to preserve kidney function during stage 5 kidney disease. It starts with making lifestyle changes.
Please stop smoking. If youre not a smoker dont start! Secondly, start exercising. It can do wonders for your health. Thirdly, you may need to stop drinking. When in doubt, talk to your doctor to know if you should limit or avoid alcohol.
Getting enough sleep, maintaining a healthy weight, and having a good diet also play a role in kidney health. We will go more into detail on how to achieve these habits below.
Toxin Build Up In The Blood
Uremia is the buildup of waste products in the blood. It is a common problem during stage 5 kidney disease. It affects reproductive hormone health and can lead to impotence in men and infertility in women.
Uremia is when there is a creatine clearance below 10 mL/min. However, some people may get it at a higher eGFR. It has the following symptoms:
As kidney function declines from too much uremia, the risk for hypoglycemia increases in those with both diabetes and CKD.
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Treatments For Kidney Failure
The two treatments for kidney failure are kidney transplantation and dialysis. Two different types of dialysis can be done – hemodialysis and peritoneal dialysis.
To learn more about each type of treatment, see “Choosing a Treatment for Kidney Failure” in the A-to-Z Guide.
Treatment For Chronic Kidney Disease
Approximately 37 million Americans have Chronic Kidney Disease . However, the majority of them dont know it until its too late. In the medical community, kidney disease is among the most complex diseases to cure. Your only choices are either to prevent them until you arrive at the point where you will need dialysis, or even worse, kidney transplant.
You dont need to experience extreme procedures and treatments since you are being proactive or already have kidney disease. Using an easy three-phase system, The Kidney Disease Solution teaches you how to cure your kidneys naturally.
Before you continue, you may want to check out this video of Home Remedies TV on YouTube that gives a quick overview. Afterward, you will want to read the rest of the article for a more comprehensive review.
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Chronic Kidney Disease Also Called Chronic Kidney Failure
Pick 1 article it. must. be about chronic kidney disease. article must be 2 pages from2014-current year *use apa format * write summary of article about 1/2 page *include cover page .
Chronic kidney disease, also called chronic kidney failure, involves a gradual loss of kidney function. Your kidneys filter wastes and excess fluids from your blood, which are then removed in your urine. Advanced chronic kidney disease can cause dangerous levels of fluid, electrolytes and wastes to build up in your body.
In the early stages of chronic kidney disease, you might have few signs or symptoms. You might not realize that you have kidney disease until the condition is advance.
About Chronic Kidney Disease
CKD is a condition in which the kidneys are damaged and cannot filter blood as well as they should. Because of this, excess fluid and waste from blood remain in the body and may cause other health problems, such as heart disease and stroke.
15% of US adults are estimated to have chronic kidney disease, that is about 37 million people.
Some other health consequences of CKD include:
- Anemia or low number of red blood cells
- Increased occurrence of infections
- Low calcium levels, high potassium levels, and high phosphorus levels in the blood
- Loss of appetite or eating less
- Depression or lower quality of life
CKD has varying levels of seriousness. It usually gets worse over time though treatment has been shown to slow progression. If left untreated, CKD can progress to kidney failure and early cardiovascular disease. When the kidneys stop working, dialysis or kidney transplant is needed for survival. Kidney failure treated with dialysis or kidney transplant is called end-stage renal disease . Learn more about ESRD.
Not all patients with kidney disease progress to kidney failure. To help prevent CKD and lower the risk for kidney failure, control risk factors for CKD, get tested yearly, make lifestyle changes, take medicine as needed, and see your health care team regularly.
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Prognosis Of Chronic Kidney Disease
If chronic kidney disease is caused by a disorder that can be corrected and if that disorder has not been present for too long, then kidney function may improve when the causative disorder is successfully treated. Otherwise, kidney function tends to worsen over time. The rate of decline in kidney function depends somewhat on the underlying disorder causing chronic kidney disease and on how well the disorder is controlled. For example, diabetes and high blood pressure, particularly if poorly controlled, cause kidney function to decline more rapidly. Chronic kidney disease is fatal if not treated.
When the decline in kidney function is severe , survival is usually limited to several months in people who are not treated, but people who are treated with dialysis can live much longer. However, even with dialysis, people with end-stage kidney failure die sooner than people their age who do not have end-stage kidney disease. Most die from heart or blood vessel disorders or infections.
Treatment Of Chronic Kidney Disease
Treatment of conditions that worsen kidney function
Dietary measures and drugs
The anemia caused by chronic kidney disease is treated with
Drugs such as erythropoietin or darbepoietin
Doctors also look for and treat other causes of anemia, particularly dietary deficiencies of iron, folate , and vitamin B12 .
Most people who take erythropoietin or darbepoietin regularly need to be given iron intravenously to prevent iron deficiency, which impairs the bodys response to these drugs. Erythropoietin and darbepoietin should be used only when necessary because they can increase the risk of stroke. The tendency to bleed can be temporarily suppressed by transfusions of blood products or by such drugs as desmopressin or estrogens. Such treatment may be needed after an injury or before a surgical procedure or a tooth extraction.
Blood transfusions are given only if the anemia is severe, is causing symptoms, and does not respond to erythropoietin or darbepoietin.
High blood pressure is treated with antihypertensive drugs to prevent further impairment of heart and kidney function.
Diuretics may also relieve symptoms of heart failure, even when kidney function is poor, but dialysis may be needed to remove the excess body water in severe chronic kidney disease.
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Whats The Kidney Disease Solution
Treatment For Chronic Kidney Disease
The Kidney Disease Solution is an all-in-one three-phase program designed to help individuals reverse kidney damage and enhance their kidney function while soothing the pain from the symptoms. Its made to protect you from adding damage to your kidneys so that you can avoid transplant and dialysis.
It focuses on using safe and natural remedies to tackle chronic kidney disease without going through extreme measures.
In the program youll find a collection of ebooks and cookbooks. It includes specific instructions such as test result interpretation, a guide on the best way to structure a diet and treatment plan with specific instructions regarding how to manage the program that fits with your condition.
It also includes audiobooks for meditation and a few videos so you can handle your kidney disease with a more holistic approach. This may be helpful with your recovery, and it also can help you to practice mindfulness.
The methods for remedies are based on the latest findings in naturopathic science. Additionally, some components were derived from traditional eastern medicine.
If you avail their program, they also include a free lifetime program update, which is the best part about this whole program. Members will discover new information and solutions to assist them with their treatment. Theres also lifetime email support to assist members with queries.
Lets Go Back To The Program Treating Chronic Kidney Disease
Simply put, the program is a step-by-step walkthrough that is going to let you in on everything you need to know and do in order to reverse your kidney damage, stop the disease process and even protect yourself in the long run so you can prevent the need from dialysis and transplant.
It offers the special Kidney Repair Tools that are packed with lots of guides and information on how to use the ancient and modern ingredients listed.
You think your case is different? Worry not, because the program also has a Kidney Disease Treatment Plan exclusively crafted for your very own circumstances.
Plus, the program also has a Nutrition Plan made to fit your individual situation. It has all the food and diet information to increase the functionality of your kidneys and make them heal faster!
And so much more!
It is designed especially for people who want their normal life back.
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