End-stage renal Disease (0)_

Question 1

What is End stage renal disease?

Answer 1

Irreversible chronic kidney damage that has progressed to such an extent that renal displacement therapy s required for survival

Question 2

Who gets ERD?

Answer 2

Older people >63 y/o

Question 3

Presentation of ESRD?

Answer 3

• Depression and fatigue
• Crepitations due to pulmonary oedema
• Ammonia breath
• Cough
• HT, pericarditis
• Ankle swelling
• Ankle oedema
• N/V
• Skin dry/itchy/purpura
• Raised JVP
• Pale conjunctiva or tongue

Question 4

Investigations of ESRD?

Answer 4

• Monthly monitoring of renal function
• FBC
• Haematinic assay
• Bone profile
• PTH Measurement
• Hep B,C and HIV serology every 6-12 months

Question 5

Management of ESRD?

Answer 5

• Haemodialysis
• Peritoneal dialysis
• Renal transplant