Hemodialysis and Hemofiltration

Apr 1, 2019 by in NEPHROLOGY Comments Off on Hemodialysis and Hemofiltration

Abstract Hemodialysis is a form of extracorporeal kidney replacement therapy for patients with end-stage renal disease. Successful delivery hemodialysis requires a knowledge of the mechanisms involved in solute clearance and…

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Peritoneal Dialysis

Apr 1, 2019 by in NEPHROLOGY Comments Off on Peritoneal Dialysis

Abstract Peritoneal dialysis (PD) is an important kidney replacement therapy option and is often the modality of first choice in a patient’s journey through end-stage kidney failure. PD relies on…

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Bone and Mineral Disorders in Chronic Kidney Disease

Apr 1, 2019 by in NEPHROLOGY Comments Off on Bone and Mineral Disorders in Chronic Kidney Disease

Abstract Chronic kidney disease (CKD) alters the regulation of calcium, phosphate, and vitamin D homeostasis, leading to secondary hyperparathyroidism, elevations in serum fibroblast growth factor 23 (FGF23), metabolic bone disease,…

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Nutrition and Kidney Disease

Apr 1, 2019 by in NEPHROLOGY Comments Off on Nutrition and Kidney Disease

Abstract As chronic kidney disease (CKD) progresses, the requirements and utilization of different nutrients change significantly. Protein energy wasting (PEW), defined as a state of decreased body stores of protein…

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Staging and Management of Chronic Kidney Disease

Apr 1, 2019 by in NEPHROLOGY Comments Off on Staging and Management of Chronic Kidney Disease

Abstract The 2012 Kidney Disease: Improving Global Outcomes (KDIGO) guideline update maintained the 2002 KDOQI definition of chronic kidney disease (CKD) but revised the classification to guide management. CKD is…

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Kidney Disease in the Elderly

Apr 1, 2019 by in NEPHROLOGY Comments Off on Kidney Disease in the Elderly

Abstract This chapter describes the high prevalence of chronic kidney disease in older adults, age differences in rates of progression to end-stage renal disease, clinical significance of moderate reductions in…

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The Kidney in Pregnancy

Apr 1, 2019 by in NEPHROLOGY Comments Off on The Kidney in Pregnancy

Abstract Healthy pregnancy produces dramatic changes in kidney function, including alterations in kidney hemodynamic, endocrine, and tubular function. This chapter discusses physiologic changes in the kidneys in pregnancy. We will…

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