Kariah Healthcare Solutions Kidney Disease Esther Wanjiru Mbugua, MSN, BSN, RN, BS Kariah Health Clinic, Silver Spring, MD Bean shaped organs about the size of a fist In the abdomen toward the back One on each side of the spine

Kidney Disease Prevalence: Age Cost of healthcare Ke/US Transplant cost Ke/US US cost burden

Types of Kidney Failure: Acute Kidney Failure

Types of Kidney Failure: Chronic Kidney Failure

End-Stage Renal Disease When your kidneys fail: GFR = 0-15mg/mh Treatment Options Dialysis Transplant

Dialysis: Hemodialysis Uses a dialyzer (machine filter) Blood is removed from the body and flows through tubing into the machine, where it passes next to a filter membrane. A specialized chemical solution (dialysate) flows on the other side of the membrane. The dialysate is formulated to draw impurities from the blood through the filter membrane. Blood and dialysate never touch in the artificial kidney machines Or this type of dialysis you need a special access - fistula Dialysis treatments normally occur three times a week and last a few hours at a time.

Dialysis: Peritoneal dialysis Types Continuous Ambulatory Peritoneal Dialysis (CAPD) Automated Peritoneal Dialysis (APD). During the treatment, your abdominal area (called the peritoneal cavity) is slowly filled with dialysate through the catheter Extra fluid and waste products are drawn out of your blood and into the dialysate

Kidney transplant Will dialysis cure my kidney disease? No You will need dialysis treatments for the rest of your life unless you are able to get a kidney transplant. Kidney transplant is often the treatment of choice for kidney failure compared to a lifetime on dialysis Compared to dialysis, kidney transplant is associated with Better quality of life Fewer dietary restrictions Lower treatment cost

Types of Kidney transplant Living donor kidney transplant Deceased donor kidney transplant Pre-emptive kidney transplant

How to prepare Evaluation Find a transplant center Find a match Physical exam Blood tests Imaging scans Psychological exam Find a transplant center Find a match Blood typing Tissue typing Crossmatch

Kidney Transplant Procedure

Complications Rejection of donated kidney After transplant you will take medications to help prevent your body from rejecting the donor kidney Failure of the donated kidney Infection Bleeding Blood clots Death, heart attack, and stroke

After the Procedure Spend several days in the hospital Frequent checkups Take medication for the rest of your life Coping and Support Support group Setting realistic goals and expectations Educating yourself

Conclusion