In: Anatomy and Physiology
Chronic kidney disease is a gradual loss of kidney function. In this assignment, you will explore this disease in more detail using the scenario below.
Scenario:
You are a healthcare provider who is preparing to meet with a
patient who has recently been diagnosed with chronic kidney
disease. You are tasked with explaining this disease and its
treatment options to your patient.
PLEASE ANSWER THE WHOLE THING...
To complete this assignment, do the following:
Explaining how chronic kidney disease is developing-
chronic kidney disease is a gradual damage of the kidney due to many causes it developed over the many years of degeneration of the kidney will finally lead to end stage chronic kidney disease. And this causes are -the main causes of diabetes mellitus chronic hypertension Polycystic kidney diseases and Glomerulonephritis,
The chronic kidney disease patient is presenting with the periorbital edema and vomiting pain abdomen , pedal edema loss of appetite and confusion and rise in the blood urea and creatinine level.due to the chronic hypertension or Diabetes mellitus the blood vessels of the afferent and efferent arteriole which supplying the nephron getting damaged as well as the epithelial cells of the globalised and nephron also damageGlomerulonephritis also there are different types like IG a nephropathy membranous Glomerulonephritis mpgn rpgn and fatty necrosis and systemic lupus nephritis ,during diabetes due to high blood glucose level the glucose in the endothelium of the blood vessels of the kidney and nephron are convert glucose into the sorbitol and that sorbitol having high osmotic activity will damage that endothelial cell and blood vessels will lead to rupturing and date is the starting of the kidney damage in this process begin initially will lead to chronic damage over many years and finally land into chronic kidney disease the complication of the chronic kidney disease -high blood pressure borne diseases and cardiovascular disease and blood abnormality like anaemia and coagulopathy.
management of the chronic kidney disease chronic kidney disease is divided into five stages for 45Grades, these grades are based on the effective glomerular filtration rate like in grade 1 it is over the 90 but in Grade 2 it is between 90 to 89,
In grade 3 the e g is 30 to 60, in grade for it is between 15 to 30, grade 5 the effective glomerular filtration rate is less than 15 and it is also known as kidney failure.
The management will include controlling the blood pressure less than 130 upon 80 by using ACE inhibitors and ARB.
use of state in in high cardiovascular expression and it is also a advised along with Lifestyle changesuse,
rise in the serum creatinine level by more than 20% per year in progressive year then we have to go for regular dialysis of the kidney and letter searching for the kidney transplant Donor.
Dialysis is also advised when the glomerular filtration rate is less than 15%.