CHAPTER: 3. BY Mrs. K.SHAILAJA., M. PHARM., LECTURER DEPT OF PHARMACY PRACTICE, SRM COLLEGE OF PHARMACY. Renal Failure
|
|
- Theodore Hicks
- 7 years ago
- Views:
Transcription
1 CHAPTER: 3 BY Mrs. K.SHAILAJA., M. PHARM., LECTURER DEPT OF PHARMACY PRACTICE, SRM COLLEGE OF PHARMACY. Renal Failure
2 Objectives } Anatomy } Function } Acute Renal Failure (ARF) } } } Causes Symptoms Management } } Causes Symptoms } Chronic } Dialysis Renal Failure (CRF)
3 Anatomy 2 Kidneys 2 Ureters Bladder Urethra
4
5 Kidney Function } Detoxify blood } Increase calcium absorption } calcitriol } Stimulate } erythropoietin } Regulate balance } RBC production renin blood pressure and electrolyte
6
7
8 Classifications } Acute versus chronic } Pre-renal, renal, post-renal } Anuric, oliguric, polyuric
9 Acute Versus Chronic Acute sudden onset rapid reduction in urine output Usually reversible Tubular cell death and regeneration Chronic Progressive Not reversible Nephron loss 75% of function can be lost before its noticeable
10 Acute Renal Failure } Pre-renal } Renal = 55% parenchymal (intrinsic)= 40% } Post-renal = 5-15%
11
12 Causes of ARF Pre-renal = vomiting, diarrhea, poor fluid intake, fever, use of diuretics, and heart failure cardiac failure, liver dysfunction, or septic shock Intrinsic Interstitial nephritis, acute glomerulonephritis, tubular necrosis, ischemia, toxins Post-renal = prostatic hypertrophy, cancer of the prostate or cervix, or retroperitoneal disorders neurogenic bladder bilateral renal calculi, papillary necrosis, coagulated blood, bladder carcinoma, and fungus
13 Symptoms of ARF } Decrease urine output (70%) } Edema, esp. lower extremity } Mental changes } Heart failure } Nausea, vomiting } Pruritus } Anemia } Tachypenic } Cool, pale, moist skin
14 Diagnosis of Renal Failure
15 Acute Renal Failure Management Make/think about the diagnosis Treat life threatening conditions Identify the cause if possible Hypovolemia Toxic agents (drugs, myoglobin) Obstruction Treat reversible elements Hydrate Remove drug Relieve obstruction
16 ARF: Life Threatening Conditions } Hyperkalemia } Volume overload } Vascular access
17 Hyperkalemia Symptoms Weakness Lethargy Muscle cramps Paresthesias Hypoactive DTRs Dysrhythmias
18 Hyperkalemia & EKG K > Tall, peaked T s Wide QRS Prolong PR Diminished P Prolonged QT QRS-T merge sine wave
19
20 Hyperkalemia Treatment Calcium gluconate (carbonate) Sodium Bicarbonate Insulin/glucose Kayexalate Lasix Albuterol Hemodialysis
21 Chronic Renal Failure cases per million people = new cases each year Chronic renal failure and ESRD affect more than 2 out of 1,000 people in the U.S Mortality = 20%
22 Chronic Renal Failure Causes Diabetic Nephropathy Hypertension Glomerulonephritis HIV nephropathy Reflux nephropathy in children Polycystic kidney disease Kidney infections & obstructions
23 CRF Symptoms } Malaise } Weakness } Fatigue } Neuropathy } CHF } Anorexia } Nausea } Vomiting } Seizure } Constipation } Peptic ulceration } Diverticulosis } Anemia } Pruritus } Jaundice } Abnormal hemostasis
24 Acute Problems in CRF Relating to underlying disease Relating to ESRD Dialysis related problems
25 Problems Related to ESRD Metabolic K/Ca Volume overload Anemia, platelet disorder, GI bleed HTN, pericarditis Peripheral neuropathy, dialysis dementia Abnormal immune function
26 Dialysis }½ of patients with CRF eventually require dialysis } Diffuse harmful waste out of body } Control BP } Keep safe level of chemicals in body } 2 types Hemodialysis } Peritoneal dialysis }
27 Hemodialysis 3-4 times a week Takes 2-4 hours Machine filters blood and returns it to body
28 Types of Access Temporary site AV fistula Surgeon constructs by combining an artery and a vein 3 to 6 months to mature AV graft Man-made tube inserted by a surgeon to connect artery and vein 2 to 6 weeks to mature
29 Temporary Catheter
30 AV Fistula & Graft
31 What This Means For You No BP on same arm as fistula Protect arm from injury Control obvious hemorrhage Bleeding will be arterial Maintain direct pressure No IV on same arm as fistula A thrill will be felt this is normal
32 Access Problems } AV graft thrombosis } AV fistula or graft bleeding } AV graft infection } Steal Phenomenon Early post-op } Ischemic distally } Apply small amount of pressure to reverse symptoms }
33 Peritoneal Dialysis Abdominal lining filters blood 3 types Continuous ambulatory Continuous cyclical Intermittent
34 EMS Considerations } Make sure the dressing remains intact } Do not push or pull on the catheter } Do not disconnect any of the catheters } Always transport the patient and bags/catheters as one piece } Never inject anything into catheter
35 Dialysis Related Problems Lightheaded give fluids Hypotension Dysrhythmias Disequilibration Syndrome At end of early sessions Confusion, tremor, seizure Due to decrease concentration of blood versus brain leading to cerebral edema
NEPHROLOGY COMMON CLINICAL PRESENTATIONS AND CARDINAL MANIFESTATIONS OF RENAL DISEASES-
NEPHOLOGY OON LINIAL PESENTATIONS AND ADINAL ANIFESTATIONS OF ENAL DISEASES- INITIAL EVALUATION AND DEISION-AKING SKILLS GOAL: The residents will learn the evaluation, diagnosis, and management of patients
More informationCare of an End Stage Renal Disease Patient. December 2012
Care of an End Stage Renal Disease Patient 1 BARBARA BRECKLER RN BSN QUALITY IMPROVEMENT DIRECTOR NORTHWEST RENAL NETWORK December 2012 Objectives 2 Provide an overview of: Dialysis Basics Vascular Access
More informationInterpretation of Laboratory Values
Interpretation of Laboratory Values Konrad J. Dias PT, DPT, CCS Overview Electrolyte imbalances Renal Function Tests Complete Blood Count Coagulation Profile Fluid imbalance Sodium Electrolyte Imbalances
More informationOpen the Flood Gates Urinary Obstruction and Kidney Stones. Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke
Open the Flood Gates Urinary Obstruction and Kidney Stones Dr. Jeffrey Rosenberg Dr. Emilio Lastarria Dr. Richard Kasulke Nephrology vs. Urology Nephrologist a physician who has been trained in the diagnosis
More informationACID- BASE and ELECTROLYTE BALANCE. MGHS School of EMT-Paramedic Program 2011
ACID- BASE and ELECTROLYTE BALANCE MGHS School of EMT-Paramedic Program 2011 ACID- BASE BALANCE Ions balance themselves like a see-saw. Solutions turn into acids when concentration of hydrogen ions rises
More informationDehydration & Overhydration. Waseem Jerjes
Dehydration & Overhydration Waseem Jerjes Dehydration 3 Major Types Isotonic - Fluid has the same osmolarity as plasma Hypotonic -Fluid has fewer solutes than plasma Hypertonic-Fluid has more solutes than
More informationLAGUARDIA COMMUNITY COLLEGE CITY UNIVERSITY OF NEW YORK PRACTICAL NURSING PROGRAM. Acute Renal Failure. by Marie Jimenez, SPN
LAGUARDIA COMMUNITY COLLEGE CITY UNIVERSITY OF NEW YORK PRACTICAL NURSING PROGRAM Acute Renal Failure by Marie Jimenez, SPN SCL 115: Maternity Nursing Fall 2007 Session I Clinical Professor: Prof. Wilkes
More informationObjectives. Functions of the kidney. Renal failure. Categories of AKI. Acute Kidney Injury (AKI) RENAL FAILURE: AN UPDATE FOR HEALTHCARE PROFESSIONALS
RENAL FAILURE: AN UPDATE FOR HEALTHCARE PROFESSIONALS Tamara Kear, PhD, RN Assistant Professor of Nursing Villanova University Objectives Review normal kidney function. Define the pathophysiology of acute
More informationApproach to the Patient with Acute Renal Failure. Michael Ornes Abbott Northwestern Hospital
Approach to the Patient with Acute Renal Failure Michael Ornes Abbott Northwestern Hospital Definition Abrupt decrease in glomerular filtration rate Accumulation of urea and other metabolic byproducts
More informationCardiovascular diseases. pathology
Cardiovascular diseases pathology Atherosclerosis Vascular diseases A disease that results in arterial wall thickens as a result of build- up of fatty materials such cholesterol, resulting in acute and
More informationDIALYSIS COMPACT. The function, diseases and treatments for the human kidney.
DIALYSIS COMPACT The function, diseases and treatments for the human kidney. Content 3 Editorial 4 What do healthy kidneys accomplish? 5 What causes kidney disease? 6 What effects does kidney disease have?
More informationDallas Neurosurgical and Spine Associates, P.A Patient Health History
Dallas Neurosurgical and Spine Associates, P.A Patient Health History DOB: Date: Reason for your visit (Chief complaint): Past Medical History Please check corresponding box if you have ever had any of
More informationUnderstanding Treatment Options for Renal Therapy
Understanding Treatment Options for Renal Therapy Kidney failure happens to many different people for many different reasons 1 What causes kidney failure? Diabetes Chronic infection High blood pressure
More informationThe digestive system eliminated waste from the digestive tract. But we also need a way to eliminate waste from the rest of the body.
Outline Urinary System Urinary System and Excretion Bio105 Lecture 20 Chapter 16 I. Function II. Organs of the urinary system A. Kidneys 1. Function 2. Structure III. Disorders of the urinary system 1
More informationSTAGES OF SHOCK. IRREVERSIBLE SHOCK Heart deteriorates until it can no longer pump and death occurs.
STAGES OF SHOCK SHOCK : A profound disturbance of circulation and metabolism, which leads to inadequate perfusion of all organs which are needed to maintain life. COMPENSATED NONPROGRESSIVE SHOCK 30 sec
More informationInformation for Childhood Cancer Survivors. Kidney Problems
Kidney problems Some chemotherapy drugs can affect the kidneys. The kidneys break down and remove many chemotherapy drugs from the body. When chemotherapy drugs get broken down, they may make products
More informationGU Assessment, Diagnosis and Case Studies. Jami Windhorn, RN BSN SOAR Session #7
GU Assessment, Diagnosis and Case Studies Jami Windhorn, RN BSN SOAR Session #7 GU System Kidneys: Ultrafiltration of the blood, maintain water and electrolyte homeostasis Pelvicalyceal systems: urine
More informationRegistered Charity No: 326679 Caring for those with a rare, complex and lifelong disease www.behcets.org.uk
Registered Charity No: 326679 Caring for those with a rare, complex and lifelong disease www.behcets.org.uk Behçet s Disease and the Kidneys How are the kidneys affected by Behçet s disease? Kidney disease
More informationMANAGING ANEMIA. When You Have Kidney Disease or Kidney Failure. www.kidney.org
MANAGING ANEMIA When You Have Kidney Disease or Kidney Failure www.kidney.org About the Information in this Booklet Did you know that the National Kidney Foundation (NKF) offers guidelines and commentaries
More informationLCD for Viral Hepatitis Serology Tests
LCD for Viral Hepatitis Serology Tests Applicable CPT Code(s): 86692 Antibody; Hepatitis, Delta Agent 86704 Hepatitis B Core Antibody (HBcAb); Total 86705 Hepatitis B Core Antibody (HBcAb); IgM Antibody
More informationKidney Disease WHAT IS KIDNEY DISEASE? TESTS TO DETECT OR DIAGNOSE KIDNEY DISEASE TREATMENT STRATEGIES FOR KIDNEY DISEASE
Kidney Disease WHAT IS KIDNEY DISEASE? Kidney disease is when your kidneys are damaged and not functioning as they should. When kidney disease is not going away it is called chronic kidney disease or CKD.
More informationOverview. Geriatric Overview. Chapter 26. Geriatrics 9/11/2012
Chapter 26 Geriatrics Slide 1 Overview Trauma Common Medical Emergencies Special Considerations in the Elderly Medication Considerations Abuse and Neglect Expanding the Role of EMS Slide 2 Geriatric Overview
More informationDiagnostics: Page 2 of 5
Proteinuria Proteinuria is a condition in which there are increased amounts of protein in the urine. There are a number of different diseases which can result in proteinuria. In the early stages of the
More informationMEDICATION GUIDE. PROCRIT (PRO KRIT) (epoetin alfa)
MEDICATION GUIDE PROCRIT (PROKRIT) (epoetin alfa) Read this Medication Guide: before you start PROCRIT. if you are told by your healthcare provider that there is new information about PROCRIT. if you are
More informationAA: Dialysis Nursing Specialty
AA: Dialysis Nursing Specialty Alberta Licensed Practical Nurses Competency Profile 275 Competency: AA-1 HPA Authorization and Standards AA-1-1 Demonstrate understanding of the restricted activity in the
More informationMedicare Risk Adjustment and You. Health Plan of San Mateo Spring 2009
Medicare Risk Adjustment and You Health Plan of San Mateo Spring 2009 Background CMS reimburses health plans on a risk-adjusted basis: The sicker a member is expected to be, the more CMS pays a plan, which
More informationAdult CCRN/CCRN E/CCRN K Certification Review Course: Endocrine 12/2015. Endocrine 1. Disclosures. Nothing to disclose
Adult CCRN/CCRN E/CCRN K Certification Review Course: Carol Rauen RN BC, MS, PCCN, CCRN, CEN Disclosures Nothing to disclose 1 Body Harmony disorders and emergencies Body Harmony (cont) Introduction Disorders
More informationHYPERTENSION ASSOCIATED WITH RENAL DISEASES
RENAL DISEASE v Patients with renal insufficiency should be encouraged to reduce dietary salt and protein intake. v Target blood pressure is less than 135-130/85 mmhg. If patients have urinary protein
More informationKidney Stones. This reference summary will help you understand kidney stones and how to treat and prevent them. Kidney
Introduction A kidney stone is a solid piece of material that forms in the kidney from substances in the urine. Kidney stones are fairly common. Although kidney stones can be painful, they are treatable.
More informationGASTRIC BYPASS SURGERY CONSENT FORM
Page 1 of 6 I, have been asked to read carefully all of the (name of patient or substitute decision-maker) information contained in this consent form and to consent to the procedure described below on
More informationLiver Function Essay
Liver Function Essay Name: Quindoline Ntui Date: April 20, 2009 Professor: Dr. Danil Hammoudi Class: Anatomy and Physiology 2 Liver function The human body consist of many highly organize part working
More informationMethamphetamine. Like heroin, meth is a drug that is illegal in some areas of the world. Meth is a highly addictive drug.
Methamphetamine Introduction Methamphetamine is a very addictive stimulant drug. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she
More informationPATIENT CONSENT TO PROCEDURE - ROUX-EN-Y GASTRIC BYPASS
As a patient you must be adequately informed about your condition and the recommended surgical procedure. Please read this document carefully and ask about anything you do not understand. Please initial
More informationBlood in the urine (hematuria)
Blood in the urine (hematuria) Hematuria refers to the presence of blood in the urine. It is important to investigate the cause of hematuria because rarely, it is caused by a serious condition, such as
More informationWilliam B. Schwartz Division of Nephrology Fellowship Training Program Curriculum
William B. Schwartz Division of Nephrology Fellowship Training Program Curriculum Consult/Transplant Servic Patient Care Take medical history Perform physical examination Urinalysis and sediment eval Interpret
More informationX-Plain Kidney Stones Reference Summary
X-Plain Kidney Stones Reference Summary Introduction Kidney stones are fairly common. Although they can be very painful, they are treatable, and in many cases preventable. This reference summary will help
More informationLiver Failure. Nora Aziz. www.3bv.org. Bones, Brains & Blood Vessels
Liver Failure Nora Aziz www.3bv.org Bones, Brains & Blood Vessels Severe deterioration in liver function Looses ability to regenerate/repair decompensated Liver extensively damaged before it fails Equal
More information190.12 - Urine Culture, Bacterial Summary Information Highlighted items indicate most frequently used codes.
Medicare National Coverage Determination (NCD) (Jan 2011) Source: CMS: Centers for Medicare & Medicaid Services To view full document: www.cms.gov/coveragegeninfo. Select Lab NCDs, then select NCD Coding
More informationMultiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options.
Multiple Myeloma Introduction Multiple myeloma is a type of cancer that affects white blood cells. Each year, thousands of people find out that they have multiple myeloma. This reference summary will help
More informationSOUTH PALM CARDIOVASCULAR ASSOCIATES, INC. CHARLES L. HARRING, M.D. NEW PATIENT INFORMATION FORM. Patient Name: Home Address:
NEW PATIENT INFORMATION FORM Today s Date: Referred by: Patient Name: (First) (Last) Date of Birth: Gender: M / F SSN: Home Address: Home Phone (Area Code & No.): ( ) - Cell Phone: ( ) - Secondary Address
More informationSTUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE
STUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE WHAT IS A NURSING DIAGNOSIS? A nursing diagnosis is a clinical judgment about individual, family, or community responses to
More informationURINARY CATHETER CARE
URINARY CATHETER CARE INTRODUCTION Urinary catheter care is a very important skill, and it is a skill that many certified nursing assistants (CNAs) must know. Competence at providing urinary catheter care
More informationANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY. Guidelines for Use of Intravenous Isoproterenol
ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY Guidelines for Use of Intravenous Isoproterenol Major Indications Status Asthmaticus As a last resort for
More informationThe causes of kidney cancer are unknown. However, there are several factors that may increase your risk including:
Kidney cancer Summary Kidney cancer is more common in people over the age of 55 years. Most kidney cancers are found when the doctor is checking for something else. A person is usually able to live quite
More informationDiagnosis Code Crosswalk : ICD-9-CM to ICD-10-CM Cardiac Rhythm and Heart Failure Diagnoses
Diagnosis Code Crosswalk : to 402.01 Hypertensive heart disease, malignant, with heart failure 402.11 Hypertensive heart disease, benign, with heart failure 402.91 Hypertensive heart disease, unspecified,
More informationMEDICAL HISTORY AND SCREENING FORM
MEDICAL HISTORY AND SCREENING FORM The purpose of preventive exams is to screen for potential health problems and provide education to promote optimal health. It is best practice for chronic health problems
More informationCoronary Artery Disease leading cause of morbidity & mortality in industrialised nations.
INTRODUCTION Coronary Artery Disease leading cause of morbidity & mortality in industrialised nations. Although decrease in cardiovascular mortality still major cause of morbidity & burden of disease.
More informationIschemia and Infarction
Harvard-MIT Division of Health Sciences and Technology HST.035: Principle and Practice of Human Pathology Dr. Badizadegan Ischemia and Infarction HST.035 Spring 2003 In the US: ~50% of deaths are due to
More informationInDependent Diabetes Trust
InDependent Diabetes Trust Kidneys and Diabetes Updated July 2015 Registered Company Number 3148360 Registered Charity No 1058284 Contents Introduction Healthy Kidneys Kidney disease and diabetes The use
More informationYour Kidneys: Master Chemists of the Body
Your Kidneys: Master Chemists of the Body www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National Kidney Foundation's Kidney Disease Outcomes
More informationChronic Kidney Disease and the Electronic Health Record. Duaine Murphree, MD Sarah M. Thelen, MD
Chronic Kidney Disease and the Electronic Health Record Duaine Murphree, MD Sarah M. Thelen, MD Definition of Chronic Kidney Disease (CKD) Defined by the National Kidney Foundation Either a decline in
More informationLow Blood Pressure. This reference summary explains low blood pressure and how it can be prevented and controlled.
Low Blood Pressure Introduction Low blood pressure, or hypotension, is when your blood pressure reading is 90/60 or lower. Some people have low blood pressure all of the time. In other people, blood pressure
More informationDisability Evaluation Under Social Security
Disability Evaluation Under Social Security Revised Medical Criteria for Evaluating Endocrine Disorders Effective June 7, 2011 Why a Revision? Social Security revisions reflect: SSA s adjudicative experience.
More informationRenovascular Disease. Renal Artery and Arteriosclerosis
Other names: Renal Artery Stenosis (RAS) Renal Vascular Hypertension (RVH) Renal Artery Aneurysm (RAA) How does the normal kidney work? The blood passes through the kidneys to remove the body s waste.
More informationHemodialysis Access: What You Need to Know
Hemodialysis Access: What You Need to Know Hemodialysis Access: What You Need To Know Whether you already get hemodialysis treatment, or you will need to start dialysis soon, this booklet will help you
More informationLIMITED BENEFIT HEALTH COVERAGE FOR SPECIFIED CRITICAL ILLNESS. OUTLINE OF COVERAGE (Applicable to Policy Form CI-1.0-NC)
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY 1200 Colonial Life Boulevard, P.O. Box 1365, Columbia, South Carolina 29202 1.800.325.4368 www.coloniallife.com A Stock Company LIMITED BENEFIT HEALTH COVERAGE
More informationAcid-Base Balance and the Anion Gap
Acid-Base Balance and the Anion Gap 1. The body strives for electrical neutrality. a. Cations = Anions b. One of the cations is very special, H +, and its concentration is monitored and regulated very
More informationPlanning: Patient Goals and Expected Outcomes The patient will: Remain free of unusual bleeding Maintain effective tissue perfusion Implementation
Obtain complete heath history including allergies, drug history and possible drug Assess baseline coagulation studies and CBC Assess for history of bleeding disorders, GI bleeding, cerebral bleed, recent
More informationCHAPTER 20: URINARY SYSTEM
OBJECTIVES: 1. Name the major function of the urinary system, and name and locate (on a diagram) the organs that compose the system. 2. Explain what the term renal refers to. 3. Define the term retroperitoneal.
More informationPreoperative Laboratory and Diagnostic Studies
Preoperative Laboratory and Diagnostic Studies Preoperative Labratorey and Diagnostic Studies The concept of standardized testing in all presurgical patients regardless of age or medical condition is no
More informationCertified Clinical Documentation Specialist Examination Content Outline - 2016
Certified Clinical Documentation Specialist Examination Content Outline - 2016 1. Healthcare Regulations, Reimbursement, and Documentation Requirements Related to the Inpatient Prospective Payment System
More informationUrinary Diversion: Ileovesicostomy/Ileal Loop/Colon Loop
Urinary Diversion: Ileovesicostomy/Ileal Loop/Colon Loop Why do I need this surgery? A urinary diversion is a surgical procedure that is performed to allow urine to safely pass from the kidneys into a
More informationNUTRITION IN LIVER DISEASES
NUTRITION IN LIVER DISEASES 1. HEPATITIS: Definition: - Viral inflammation of liver cells. Types: a. HAV& HEV, transmitted by fecal-oral route. b. HBV & HCV, transmitted by blood and body fluids. c. HDV
More informationBladder Health Promotion
Bladder Health Promotion Community Awareness Presentation Content contributions provided by the Society of Urologic Nurses (SUNA) National Association for Continence (NAFC) Simon Foundation for Continence
More informationDiabetic Emergencies. David Hill, D.O.
Diabetic Emergencies David Hill, D.O. Class Outline Diabetic emergency/glucometer training Identify the different signs of insulin shock Diabetic coma, and HHNK Participants will understand the treatment
More informationIntroduction. Physiology of the Abdomen. Anatomy & Physiology. Abdominal Pain Introduction (2 of 2) Gastrointestional and Urologic Emergencies
Gastrointestional and Urologic Emergencies Introduction Abdominal pain is a common complaint. Cause of abdominal pain is often difficult to determine. As an EMT: You do not need to determine exact cause.
More informationCurrent Renal Replacement Therapy in Korea - Insan Memorial Dialysis Registry, 2011 - ESRD Registry Committee, Korean Society of Nephrology*
Current Renal Replacement Therapy in Korea - Insan Memorial Dialysis Registry, 2011 - ESRD Registry Committee, Korean Society of Nephrology* =Abstracts= Registry committee of Korean Society of Nephrology
More informationrenal transplantation: A single-center comparative study
Impact of posterior urethral valves on pediatric renal transplantation: A single-center comparative study BY Mohamed Kamal Gheith, MD Oberarzt die Urologie, Universitätsmedizin Mainz Ass. Prof. of Urology,
More informationPERIPHERAL STEM CELL TRANSPLANT INTRODUCTION
PERIPHERAL STEM CELL TRANSPLANT INTRODUCTION This booklet was designed to help you and the important people in your life understand the treatment of high dose chemotherapy with stem cell support: a procedure
More informationQuality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased.
Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased. This graph shows the percent of residents whose need for help doing basic daily tasks
More informationV: Infusion Therapy. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 181
V: Infusion Therapy College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 181 Competency: V-1 Principles of V-1-1 V-1-2 V-1-3 V-1-4 V-1-5 Demonstrate knowledge and ability
More informationEmergency Scenario. Chest Pain
Emergency Scenario Chest Pain This emergency scenario reviews chest pain in a primary care patient, and is set up for roleplay and case review with your staff. 1) The person facilitating scenarios can
More informationChronic Kidney Disease
Page 1 of 6 Chronic Kidney Disease Chronic kidney disease (CKD) means that your kidneys are not working as well as they once did. Various conditions can cause CKD. Severity can vary but most cases are:
More informationAdams Memorial Hospital Decatur, Indiana EXPLANATION OF LABORATORY TESTS
Adams Memorial Hospital Decatur, Indiana EXPLANATION OF LABORATORY TESTS Your health is important to us! The test descriptions listed below are for educational purposes only. Laboratory test interpretation
More informationComprehensive Care Planning for Long Term Care Facilities: A Guide to Resident Assessment Protocols (RAPs) and Interdisciplinary Care Plans.
Plans Comprehensive Care Planning for Long Term Care Facilities: A Guide to Resident Assessment Protocols (RAPs) and Interdisciplinary Care Plans. Volume 1 By Holly F. Sox, R, RAC-C Published by Robin
More informationConsent for Treatment/Procedure Laparoscopic Sleeve Gastrectomy
Patient's Name: Today's Date: / / The purpose of this document is to confirm, in the presence of witnesses, your informed request to have Surgery for obesity. You are asked to read the following document
More informationSepsis Awareness Month
Aon Kenya Insurance Brokers Ltd Aon Hewitt Healthcare Division Sepsis Awareness Month Issue 11 September 2015 In this Issue 2 Getting to understand Sepsis 3 Stages in Sepsis Advancement 4 Diagnosis & Treatment
More informationQUESTIONS TO ASK MY DOCTOR
Be a part of the treatment decision by asking questions QUESTIONS TO ASK MY DOCTOR FOR PATIENTS WITH ADVANCED STOMACH OR GASTROESOPHAGEAL JUNCTION (GEJ) CANCER CYRAMZA (ramucirumab) is used alone or in
More informationPathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes
Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant expansions or revisions
More informationDiagnosis Codes for Pregnancy and Complications of Pregnancy
This list is for informational purposes only and is not a binding or definitive list of covered conditions. It is not a guarantee of coverage; coverage depends on the available benefits and eligibility
More informationChoosing A Treatment For Kidney Failure
Choosing A Treatment For Kidney Failure www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National Kidney Foundation's Kidney Disease Outcomes
More informationInstruct patient to: Take own pulse before taking medication Withhold medication and notify health care provider if pulse is greater than 100
Nursing Process Focus: Patients Receiving Levothyroxine (Synthroid) Potential Nursing Diagnoses Tissue perfusion, Risk for Ineffective related to tachycardia secondary to adverse effects of drug therapy
More informationLimited Pay Policy (L-222B) - Underwriting Guidelines
Limited Pay Policy (L-222B) - Underwriting Guidelines 1 Addiction/Abuser Drug - Past or Present Presently Recovered - AA for last 2 years 2 Aids 3 Alcoholic Presently Recovered - AA for last 2 years 4
More informationTerm Critical Illness Insurance
Term Critical Illness Insurance PRODUCT GUIDE 5368-01A-JUL14 ASSUMPTION LIFE This document is a summary of the various features of Assumption Life's products. It is neither a contract nor an insurance
More informationArterio-Venous Fistula or Arterio-Venous Graft for Haemodialysis
Department of Nephrology Care of your Fistula Nephrology Department Lower Lane Liverpool L9 7AL Tel:0151-525-5980 Arterio-Venous Fistula or Arterio-Venous Graft for Haemodialysis Haemodialysis access In
More informationINITIATING ORAL AUBAGIO (teriflunomide) THERAPY
FOR YOUR PATIENTS WITH RELAPSING FORMS OF MS INITIATING ORAL AUBAGIO (teriflunomide) THERAPY WARNING: HEPATOTOXICITY AND RISK OF TERATOGENICITY Severe liver injury including fatal liver failure has been
More information6/3/2011. High Prevalence and Incidence. Low back pain is 5 th most common reason for all physician office visits in the U.S.
High Prevalence and Incidence Prevalence 85% of Americans will experience low back pain at some time in their life. Incidence 5% annual Timothy C. Shen, M.D. Physical Medicine and Rehabilitation Sub-specialty
More informationPatient Information Form Pain Management Center at Phoebe
Patient Information Form Pain Management Center at Phoebe Please complete the following form, so that we may facilitate your visit Occupation: or (circle) Retired, Disabled Homemaker, Full time student
More informationNORD Guides for Physicians #1. Physician s Guide to. Tyrosinemia. Type 1
NORD Guides for Physicians #1 The National Organization for Rare Disorders Physician s Guide to Tyrosinemia Type 1 The original version of this booklet was made possible by donations in honor of Danielle
More informationChemoembolization for Patients with Pancreatic Neuroendocrine Tumours
Chemoembolization for Patients with Pancreatic Neuroendocrine Tumours What is this cancer? Pancreatic Endocrine Tumours are also called Pancreatic Neuroendocrine Tumours. This cancer is rare and it starts
More informationMEDICAL POLICY No. 91104-R7 DETOXIFICATION I. POLICY/CRITERIA
DETOXIFICATION MEDICAL POLICY Effective Date: January 7, 2013 Review Dates: 1/93, 2/97, 4/99, 2/01, 12/01, 2/02, 2/03, 1/04, 1/05, 12/05, 12/06, 12/07, 12/08, 12/09, 12/10, 12/11, 12/12, 12/13, 11/14 Date
More informationTotal Abdominal Hysterectomy
What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision (either an up and down or bikini cut). Removal of the ovaries and tubes depends on the patient.
More informationTreatment Recommendations for CKD in Cats (2015)
All treatments for chronic kidney disease (CKD) need to be tailored to the individual patient. The following recommendations are useful starting points for the majority of cats at each stage. Serial monitoring
More informationDialysis. Two Kinds of Dialysis Peritoneal dialysis (PD) blood is cleaned inside the body.
Dialysis Dialysis and how it works Dialysis is the medical term for removing the wastes and extra fluid from you blood that your kidneys can no longer remove themselves. Dialysis gets rid of extra fluid
More informationGastrointestinal Bleeding
Gastrointestinal Bleeding Introduction Gastrointestinal bleeding is a symptom of many diseases rather than a disease itself. A number of different conditions can cause gastrointestinal bleeding. Some causes
More informationProvided by the American Venous Forum: veinforum.org
CHAPTER 1 NORMAL VENOUS CIRCULATION Original author: Frank Padberg Abstracted by Teresa L.Carman Introduction The circulatory system is responsible for circulating (moving) blood throughout the body. The
More informationClinical Aspects of Hyponatremia & Hypernatremia
Clinical Aspects of Hyponatremia & Hypernatremia Case Presentation: History 62 y/o male is admitted to the hospital with a 3 month history of excessive urination (polyuria) and excess water intake up to
More informationProstate Cancer. There is no known association with an enlarged prostate or benign prostatic hyperplasia (BPH).
Prostate Cancer Definition Prostate cancer is cancer that starts in the prostate gland. The prostate is a small, walnut-sized structure that makes up part of a man's reproductive system. It wraps around
More informationDehydration in Long Term Care: The Nurse s Role in Guiding the Interdisciplinary Team
Dehydration in Long Term Care: The Nurse s Role in Guiding the Interdisciplinary Team Welcome to the Elizabeth McGown Training Institute Cell Phones and Pagers Please turn your cell phones off or turn
More information