This paper discuses end-stage renal disease (ESRD), which is the point of no return of chronic renal disease (CRD) regardless of etiology.
Written in 2008; 765 words; 4 sources; APA; $ 27.95
Paper Summary:
This paper explains that end-stage renal disease (ESRD) represents irreversible damage to the nephrons, the functioning filtration units of the kidney. The author points out that this stage is generally accepted clinically as the complete dependence of the patient on life-preserving dialysis or kidney transplantation for adequate waste filtration due to this irreversible damage. The paper relates that the definitive treatment of ESRD is the initiation of dialysis (peritoneal or hemodialysis) or renal transplantation with control or eradication of the cause of the kidney disease; however, nutritional support in the patient with end-stage renal disease must take into account the fragile electrolyte balance maintained by the remaining functional nephrons.
Table of Contents
Causes
Populations at Risk
Signs and Symptoms
Treatment
From the Paper:
"Signs and symptoms of ESRD are also seen in acute, chronic and acute renal failure superimposed on chronic renal failure. ESRD is seen in GFRs that approach zero; it is thus inferable that prolonged periods in between dialysis result in severe manifestations of electrolyte imbalance, especially urea and ammonia accumulation. Azotemia and uremia are associated with urea and ammonia accumulation secondary to diminished renal function are seen in rises in blood urea nitrogen."
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