Essay - Chronic Renal Failure, also Sometimes Called Chronic Kidney Failure, is...


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Chronic renal failure, also sometimes called chronic kidney failure, is a serious d*****ease that can be fatal if not treated, and can lead to many other signifi*****t health problems as well. The disease progresses slowly, and can take months or years *****fore it gets to the point where it is noticed, but there are ***** changes in the body that can be seen earlier on, if they ***** being looked for, and these changes can make physicians aware of the problem so ***** it can be ***** as early as possible (Vernon & Pfeifer, 2003). If the d*****ease progresses far enough, it is known as end-stage ***** disease, and when this ********** place, a renal replacement therapy such as ***** dialysis is required to keep the patient alive. When ***** kidneys do not function properly, they do not remove the *****xins from ***** blood, and th***** can result in the person not *****ing able to remain healthy.

In the beginning of the disease, there are virtually no symptoms, unless the serum creatinine is studied (Ruggenenti, Perna, Gherardi, Gaspari, Benini, & Remuzzi, 1998). However, the progression of ***** disease can cause an increase in ***** pressure, an accumulation ***** potassium in the blood, ***** accumulation of urea, anemia, fatigue, an overload of fluid volume, cardiac arrhythmias, and vascular calcification (Ruggenenti, et al, 1998). In add*****ion to these symptoms, those that have chronic renal failure ***** ***** a high ********** of atherosclerosis, usually at a more accelerated rate, and also a high incidence of cardiovascular disease with a prognosis that is ***** as good as this ***** in someone that does not have chronic renal failure as well (Ruggenenti, et al, 1998).

Usually, there is a previous ren*****l disease or some other kind of underlying disease ***** is the ***** ***** the ***** renal ***** (Ruggenenti, Perna, Gherardi, Garini, Zoccali, Salvad*****i, Scolari, Schena, & Remuzzi, 1999). *****re are some patients, however, ***** a cause for the problem cannot be found. Sometimes, this ***** is identified in retrospect (i.e. at a l*****ter date) but ***** be discovered when the diagnosis of chronic renal failure is first made. It ***** important to be *****, however, that chronic renal failure is not ***** same ***** as acute ***** failure, as acute renal failure can sometimes be corrected or even reversed.

In order to diagnose chronic renal failure, ***** ***** several tests. Generally, there is an abdominal ultrasound ***** is performed, *****d during that time the size ***** the kidneys are measured (Ruggenenti, et al, *****). The kidneys of someone ***** has chronic renal ***** are generally smaller than average kidneys, with some notable and important exceptions. Two of these exceptions would be polycystic kidney disease and diab*****ic nephropathy (Ruggenenti, et al, 1999). An***** diagnostic *****ol that is used, that of the study of ***** serum ***** levels, can not only diagnose chronic ***** failure, but *****so help to distinguish it ***** ***** renal failure, as the acute version would see a r*****pid and sudden spike

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