Lay Kidney module

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Lay Kidney module

  1. 1. Kidney Diseases
  2. 2. What is the kidney? <ul><li>The kidneys are two bean-shaped organs, each about the size of a fist. They are located in the middle of the back, just below the rib cage, on either side of the spine. </li></ul>
  3. 3. What do the kidneys do? <ul><li>The kidneys are vital organs that regulate composition of the blood: </li></ul><ul><ul><li>Keep the blood clean and chemically balanced </li></ul></ul><ul><ul><li>Keep the volume of water in the body constant </li></ul></ul><ul><ul><li>Remove wastes from the body </li></ul></ul>
  4. 4. What do the kidneys do? <ul><li>They help regulate blood pressure </li></ul><ul><li>Stimulate the making of red blood cells </li></ul><ul><li>Maintain the body’s calcium level </li></ul>
  5. 5. Urine <ul><li>When kidneys are healthy, the artery (AR-ter-ee) brings blood and waste from the bloodstream into the kidney. </li></ul><ul><li>Kidneys clean the blood. Then waste and extra fluid go out into the urine through the ureter. </li></ul><ul><li>Clean blood leaves the kidney and goes back into the bloodstream through the vein. </li></ul>
  6. 6. What are the signs of kidney disease? <ul><li>During early stages of kidney </li></ul><ul><li>disease, the patient may </li></ul><ul><li>not feel sick </li></ul><ul><li>or feel anything at all </li></ul>
  7. 7. What are the signs of kidney disease? <ul><li>If kidney disease gets worse, the patient may experience: </li></ul><ul><ul><li>Blood in urine </li></ul></ul><ul><ul><li>Cloudy or foamy urine </li></ul></ul>
  8. 8. What are the signs of kidney disease? <ul><li>If kidney disease gets worse, the patient may experience: </li></ul><ul><ul><li>Puffiness of eyelids </li></ul></ul><ul><ul><li>Swelling of hands or feet </li></ul></ul>Itching
  9. 9. What are the signs of kidney disease? <ul><li>If kidney disease gets worse, the patient may experience: </li></ul><ul><ul><li>Feeling tired </li></ul></ul>Loss of appetite <ul><ul><li>vomiting </li></ul></ul>Drowsiness or have trouble concentrating
  10. 10. Am I at risk for kidney diseases <ul><li>Do I have diabetes? </li></ul><ul><li>Do I have high blood </li></ul><ul><li>pressure? </li></ul><ul><li>Do I have a family history </li></ul><ul><li>of kidney diseases? </li></ul><ul><li>Have I been told to have </li></ul><ul><li>protein in the urine </li></ul>
  11. 11. What medical tests will my doctor use to detect kidney disease? <ul><li>Since you can have kidney disease without any symptoms, your doctor may first detect the condition through routine blood and urine tests. </li></ul>
  12. 12. <ul><li>The National Kidney Foundation recommends three simple tests to screen for kidney disease: </li></ul><ul><ul><li>a blood pressure measurement </li></ul></ul><ul><ul><li>a spot check for protein or albumin in the urine (proteinuria) </li></ul></ul><ul><ul><li>a calculation of glomerular filtration rate (GFR) based on a serum creatinine measurement. </li></ul></ul>
  13. 13. What can I do about kidney disease? <ul><li>Unfortunately, chronic kidney disease often cannot be cured. But if you are in the early stages of a kidney disease, you may be able to make your kidneys last longer by taking certain steps. </li></ul><ul><li>You will also want to be sure that risks for heart attack and stroke are minimized, since patients with kidney disease are susceptible to these problems. </li></ul>
  14. 14. Steps to make your kidneys last longer <ul><li>If you have diabetes, watch your blood glucose closely to keep it under control. Consult your doctor for the latest in treatment. </li></ul><ul><li>Avoid pain pills that may make your kidney disease worse. Check with your doctor before taking any medicine. </li></ul>
  15. 15. Steps to make your kidneys last longer <ul><li>Keeping blood pressure under control helps to keep your kidneys healthy. </li></ul>
  16. 16. What happens if my kidneys fail? <ul><li>One way to treat kidney failure is with dialysis. </li></ul><ul><li>Dialysis is a treatment that does the work your kidneys used to do. </li></ul><ul><li>Dialysis is a treatment that takes waste products and extra fluid out of your body. </li></ul><ul><li>There are two types of dialysis. </li></ul>
  17. 17. Hemodialysis <ul><li>In hemodialysis, your blood flows through a tube from your arm to a machine that filters out the waste products and extra fluid. The clean blood flows back to your arm. </li></ul>
  18. 18. Peritoneal dialysis <ul><li>In peritoneal dialysis, your belly is filled with a special fluid. The fluid collects waste products and extra water from your blood. Then the fluid is drained from your belly and thrown away. </li></ul>
  19. 19. <ul><li>Another way to treat kidney failure is to do kidney transplantation. </li></ul><ul><li>A donated kidney may come from an anonymous donor who has recently died or from a living person, usually a relative. </li></ul><ul><li>The kidney that you receive must be a good match for your body. </li></ul>
  20. 20. What should I do to stay healthy? <ul><li>Follow the healthy eating plan that you and your doctor or dietitian have worked out. </li></ul><ul><li>Limit intake of salt </li></ul>
  21. 21. What should I do to stay healthy? <ul><li>Be active a total of 30 minutes most days. Ask your doctor what activities are best for you. </li></ul>
  22. 22. What should I do to stay healthy? <ul><li>Take your prescribed medicines as directed. </li></ul><ul><li>Avoid taking pain pills regularly and other unprescribed medicines. </li></ul><ul><li>Check with your doctor before taking any medicines </li></ul>
  23. 23. What should I do to stay healthy? <ul><li>Control your blood pressure and cholesterol </li></ul>
  24. 24. What should I do to stay healthy? <ul><li>Don't smoke. </li></ul>
  25. 25. What should I do to stay healthy? <ul><li>See a doctor for bladder or kidney infections right away. You may have an infection if you have these symptoms: </li></ul><ul><ul><li>pain or burning when you urinate </li></ul></ul><ul><ul><li>frequent urge to go to the bathroom </li></ul></ul><ul><ul><li>urine that looks cloudy or reddish </li></ul></ul><ul><ul><li>fever or a shaky feeling </li></ul></ul><ul><ul><li>pain in your back or on your side below your ribs </li></ul></ul>
  26. 26. Remember!
  27. 27. The following should raise suspicion of kidney disease <ul><li>Swelling of legs and puffy eyelids </li></ul><ul><li>High blood pressure (esp. in young) </li></ul><ul><li>Waking up at night to urinate </li></ul><ul><li>Painful urination </li></ul><ul><li>Painless blood in the urine </li></ul><ul><li>Sandy material in the urine </li></ul><ul><li>Colicky pain in the flank area - foamy urine </li></ul>
  28. 28. Ways of preventing kidney disease <ul><li>1. Keep your blood pressure normal < 120/80 </li></ul><ul><li>2. Know your family history - anyone in family on dialysis - Diabetes - Hypertension - Gout - Passage of stone </li></ul><ul><li>3. Maintain a healthy diet </li></ul><ul><li>4. Control your weight </li></ul>
  29. 29. The Philippine College of Physicians wishes to acknowledge the following for her invaluable efforts in the preparation of this module <ul><li>Ruth Lampa, MD </li></ul>

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