1. 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

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

4. Types of Kidney Failure: Acute Kidney Failure

5. Types of Kidney Failure: Chronic Kidney Failure

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

7. 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.

8. 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

9. 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

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

11. 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

12. Kidney Transplant Procedure

13. 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

14. 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

16. Conclusion