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 significant health problems as well. The dise*****e progresses slowly, and can take months or years bef*****e it gets ***** the point where it is noticed, but *****re are ***** changes in the body that can be seen earlier on, if they ***** *****ing looked for, ***** these ***** can make physicians aware of the problem so ***** it can be treated as early ***** possible (Vernon & Pfe*****er, 2003). If ***** d*****ease progresses far enough, it is known as end-stage renal disease, and when this *****s place, a ren*****l replacement therapy such as kidney dialysis is required to keep the patient alive. When the kidneys do not function properly, *****y do not remove the toxins from ***** blood, and th***** can result in *****e per*****n not *****ing able to remain *****y.

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

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

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

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