Chronic Kidney Disease

Chronic Kidney Disease Program
Symptoms of Kidney Disease
What Increases One's Risk of Having Chronic Kidney Disease?
How Can the Progression of Kidney Disease be Delayed?
Goals
Stages of Kidney Disease
Treatments for Kidney Failure

 

Chronic Kidney Disease Program

Chronic Kidney Disease (CKD) means that the kidneys have become damaged. Common causes of CKD are diabetes mellitus, hypertension, inherited diseases, and nephritis.

The purpose of the Kidney Care Consultants CKD Program is to treat and try to resverse the disease process, if the kind of CKD was not reversible then we work on slowing the progression of damage to the kidneys and to treat the associated complications such as hypertension, anemia, electrolytes disturbances and bone disease. If we are unable to arrest the disease process and the kidney damage progresses to end state renal disease (ESRD), our plan is to manage these complications while preparing the patient for renal (kidney) replacement therapy. This therapy will consist of hemodialysis, peritoneal dialysis, and/or kidney transplantation.

Managing these complications and preparing patients for renal replacement therapy is a complex process of visits, treatment, and teaching sessions.

As kidney disease progresses through its five stages (based on the degree of damage to the kidneys), different diagnosis studies, treatments, and teaching sessions will take place.

We hope that you will fully participate in this effort by keeping appointments and following treatment recommendations. Please assist us by bringing your medications and questions on each visit.
Thank you.
CKD Team
Kidney Care Consultants, PSC.
    

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Symptoms of Kidney Disease

  1. Often no symptoms in the earlier stages (I-III)
  2. Feeling tired or weak
  3. Headaches
  4. Itching
  5. Nausea and Vomiting
  6. Loss of appetite
  7. Swelling
  8. Shortness of Breath
  9. A metallic taste in your mouth
  10. Darkening of the skin
  11. Trouble concentrating
  12. Change in urination

    

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What Increases One's Risk of Having Chronic Kidney Disease?

  1. Diabetes Mellitus
  2. Hypertension
  3. Race: African-American, Hispanic, and Native Americans
  4. Age > 65
  5. having a relative with CKD
  6. being on water pills ( diuretic)
  7. being on arthritis medications (NSAIDs)
  8. several medications can potentially affect the kidneys, ask your doctor if you are on any of these medications. 

   

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How Can the Progression of Kidney Disease be Delayed?

  1. Keeping blood pressure under control: that is at least < 140/90, the golden reading is 125/75 if you have diabetes or protein in urine.
  2. Taking certain types of medication called ACE-Inhibitors or Angiotensin Receptor Blockers.
  3. For Diabetics, keeping blood sugars under control with HbAIc less than 7.0. This requires frequest monitoring of your blood sugars.
  4. Avoiding medication that will damage your kidneys such as non-steroidal anti-inflamatory drugs (NSAIDS). Examples are ibuprofin, Advil, Motrin, Aleve, Celebrex and Naprosyn.
  5. Avoid FleetsĀ® Phospho-soda and FleetsĀ® Enema.
  6. Avoiding, if possible, IV Contrast used for CT scans and Heart Catheterizations.
  7. Controlling your cholesterol.
  8. Quit smoking.
  9. If overweight, losing weight.
  10. Treating Anemia, if present.

   

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Goals

BP (Systolic)

 

CKD

<140

Diabetes &/or proteinuria

<125

Urine protein/creatinine

< 0.15

Anemia

 

Hgb

>11

Iron Saturation

>20%

Ferritin

>200

Bone Disease

 

Calcium

8.4-10.2

Phosphorus

2.7-4.6

PTH

 less than 300

Stage III

35.70

Stage IV

70-110

Stage V

150-300

Nutrition

 

Albumin

>3.8

Diabetes Mellitus

 

Hgb A-I-C

<7.0%

Cholesterol

 

LDL

<100

HDL

>45

   

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Stages of Kidney Disease

Stage

GFR

Treatment Goals

I (1)

>90

Diagnosis and Treatment, slow progression

II (2)

60-89

Estimating Progression

III (3)

30-59

Evaluating and Treating Complications

IV (4)

15-29

Preparation for Dialysis/Transplant

V (5)

<15

Dialysis/Transplant

GFR (Glomerular Filtration Rate) can be measured directly or estimated (eGFR) from the blood creatinine. It is the measurement of how well your kidneys perform their most important function - filtering waste from your blood stream

   

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Treatments for End Stage Kidney Disease ( ESRD)

  1. Hemodialysis (Home & In-Center)
  2. Peritoneal Dialysis (Home)
  3. Kidney Transplant
    • Living Related
    • Living Non-related
    • Cadaveric

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