THE APPROACH TO THE PATIENT WITH KIDNEY DISEASE Flashcards
what’s the most common type of imaging used for the kidneys?
renal tract ultrasound imaging
what does a DMSA scan show?
differential function of the kidney
what are the disadvantages of screening an asymptomatic family member?
may face difficulties with employment or insurance if positive
ethical issues with having children and passing on the disorder to the next generation
what are the advantages of screening an asymptomatic family member?
being aware of possible problems
being able to monitor bp and renal function
if female you can have specific supervision of pregnancy
could potentially be a kidney donor for an affected family member
with is polycystic kidney disease?
an autosomal dominant condition which causes numerous fluid-filled cysts to grow in the kidneys. If too many cysts grow or if they get too big, the kidneys can become damaged, reducing kidney function and leading to kidney failure.
what are the 2 main kidney replacement therapies?
renal transplantation and dialysis
what are the 2 types of dialysis?
harm-dialysis and peritoneal dialysis
how often do you have to be in hospital for haemodialysis?
3 times a week for about 4 hours
what is peritoneal dialysis?
fluid moves through a catheter into the peritoneal cavity for 4-6 hours to extract toxins and are drained back out. this is carried out 1-4 times a day
what are advantages of dialysis?
immediately life saving
a bridging measure to transplantation
a relief from loneliness and isolation at home
opportunity for further social involvement
what’s the impact of dialysis
frequent hospital admissions, psychological illnesses are common, heavy burden on time which can cause employment difficulties, restrictions on fluid and diet intake, expensive for health provider
