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INDEX
DEFINITION
01
RISK FACTORS
02
SIGN AND
SYMPTOMS
03
DIAGNOSIS
04
TREATMENT
05
CASE STUDY
06
What Is CKD??
CKD is classified into 1to5 stages by cause of kidney disease, glomerular filtration rate
(GFR) category, and albuminuria level-
Risk factors
Sign and Symptoms
๏ƒ˜ Albuminuria of more than 30
mg/day, hematuria or red cell casts
in urine sediment.
๏ƒ˜ Weight loss and poor appetite
๏ƒ˜ Swollen ankles, feet or hands- as a result
of water retention (oedema)
๏ƒ˜ Shortness of breath
๏ƒ˜ Tiredness
๏ƒ˜ Blood in your pee (urine)
๏ƒ˜ Erectile dysfunction in men An increased
need to pee- particularly at night
๏ƒ˜ Difficulty sleeping (insomnia)
๏ƒ˜ Itchy skin
๏ƒ˜ Muscle cramps
๏ƒ˜ Headaches
Diagnosis
Tests For CKD:
Blood test
๏‚ง The main test for kidney disease is
a blood test(measures the levels
creatinine in your blood.)
๏‚ง This calculation is known as your
estimated glomerular filtration
rate (eGFR).
๏‚ง Healthy kidneys should be able to
filter more than 90ml/min. You
may have CKD if your rate is
lower than this.
Diagnosis
๏ฏ Urine test
๏‚ง check the levels of substances
called albumin and creatinine in
your urine โ€“ known as the
albumin : creatinine ratio, or
ACR.check for blood or protein
in your urine
๏ฏOther tests:
๏ƒ˜an ultrasound scan, MRI scan or CT
scan โ€“ to see what the kidneys look like
and check whether there are any
blockages
๏ƒ˜a kidney biopsy โ€“ a small sample of
kidney tissue is removed using a needle
and the cells are examined under a
microscope for signs of damage
Treatments For CKD
NONPHARMACOLOGIC THERAPY
Restriction
Of protein
Encourage
smoking
cessation
Encourage
exercise
Achievement
of BMI OF 20-
25KG/m2
Treatments For CKD
PHARMACOLOGIC THERAPY
Anemia
of CKD
Phosophate
Bindng
Agents
Treatments For End Stage
Treatments for end-stage
Dialysis.
Dialysis artificially removes waste products
and extra fluid from your blood when
your kidneys can no longer do this. In
hemodialysis, a machine filters waste
and excess fluids from your blood. In
peritoneal dialysis, a thin tube
(catheter) inserted into your abdomen
which fills your abdominal cavity with
a dialysis solution that absorbs waste
and excess fluids. After a period of
time, the dialysis solution drains from
your body, carrying the waste with it.
Treatments for end-stage
Kidney transplant
A kidney transplant involves surgically
placing a healthy kidney from a donor into
your body. Transplanted kidneys can come
from deceased or living donors. You'll need
to take medications for the rest of your life
to keep your body from rejecting the new
organ. You don't need to be on dialysis to
have a kidney transplant.
Clinical Case Study
Mohammad Fardous Alam
Khan, a 44-year-old man, was
visited to the hospital because of
increasing the rate of urination
specially at night. For the past
few days he experiencing
swollen ankles, difficulty in
sleeping, also he notice the blood
in his urine.
Clinical Case Study
Physicianโ€™s Examination
โ—BP: 140/100
โ—Pulse: 76
โ—Lungs: 56
โ—Oedema: (+)
โ—Anaemia: (+)
โ—Abdomen: Yes
Diagnostic Test and Repot
Prescription
Dialysis Report
Evaluation
โ—There's no cure for chronic kidney
disease (CKD), but treatment can
help relieve the symptoms and stop
it getting worse.
โ—Treatment will depend on the
stage of CKD.
โ€œtake care
of your
kidneysโ€

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Ckd

  • 1.
  • 4. CKD is classified into 1to5 stages by cause of kidney disease, glomerular filtration rate (GFR) category, and albuminuria level-
  • 6. Sign and Symptoms ๏ƒ˜ Albuminuria of more than 30 mg/day, hematuria or red cell casts in urine sediment. ๏ƒ˜ Weight loss and poor appetite ๏ƒ˜ Swollen ankles, feet or hands- as a result of water retention (oedema) ๏ƒ˜ Shortness of breath ๏ƒ˜ Tiredness ๏ƒ˜ Blood in your pee (urine) ๏ƒ˜ Erectile dysfunction in men An increased need to pee- particularly at night ๏ƒ˜ Difficulty sleeping (insomnia) ๏ƒ˜ Itchy skin ๏ƒ˜ Muscle cramps ๏ƒ˜ Headaches
  • 7. Diagnosis Tests For CKD: Blood test ๏‚ง The main test for kidney disease is a blood test(measures the levels creatinine in your blood.) ๏‚ง This calculation is known as your estimated glomerular filtration rate (eGFR). ๏‚ง Healthy kidneys should be able to filter more than 90ml/min. You may have CKD if your rate is lower than this.
  • 8. Diagnosis ๏ฏ Urine test ๏‚ง check the levels of substances called albumin and creatinine in your urine โ€“ known as the albumin : creatinine ratio, or ACR.check for blood or protein in your urine ๏ฏOther tests: ๏ƒ˜an ultrasound scan, MRI scan or CT scan โ€“ to see what the kidneys look like and check whether there are any blockages ๏ƒ˜a kidney biopsy โ€“ a small sample of kidney tissue is removed using a needle and the cells are examined under a microscope for signs of damage
  • 9.
  • 10.
  • 11. Treatments For CKD NONPHARMACOLOGIC THERAPY Restriction Of protein Encourage smoking cessation Encourage exercise Achievement of BMI OF 20- 25KG/m2
  • 12. Treatments For CKD PHARMACOLOGIC THERAPY Anemia of CKD Phosophate Bindng Agents
  • 14. Treatments for end-stage Dialysis. Dialysis artificially removes waste products and extra fluid from your blood when your kidneys can no longer do this. In hemodialysis, a machine filters waste and excess fluids from your blood. In peritoneal dialysis, a thin tube (catheter) inserted into your abdomen which fills your abdominal cavity with a dialysis solution that absorbs waste and excess fluids. After a period of time, the dialysis solution drains from your body, carrying the waste with it.
  • 15. Treatments for end-stage Kidney transplant A kidney transplant involves surgically placing a healthy kidney from a donor into your body. Transplanted kidneys can come from deceased or living donors. You'll need to take medications for the rest of your life to keep your body from rejecting the new organ. You don't need to be on dialysis to have a kidney transplant.
  • 16.
  • 17.
  • 18. Clinical Case Study Mohammad Fardous Alam Khan, a 44-year-old man, was visited to the hospital because of increasing the rate of urination specially at night. For the past few days he experiencing swollen ankles, difficulty in sleeping, also he notice the blood in his urine.
  • 19. Clinical Case Study Physicianโ€™s Examination โ—BP: 140/100 โ—Pulse: 76 โ—Lungs: 56 โ—Oedema: (+) โ—Anaemia: (+) โ—Abdomen: Yes
  • 23. Evaluation โ—There's no cure for chronic kidney disease (CKD), but treatment can help relieve the symptoms and stop it getting worse. โ—Treatment will depend on the stage of CKD.
  • 24.