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Amy Doue

on 18 September 2013

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Transcript of CKD

What is chronic kidney disease (CKD)?
Chronic kidney disease includes conditions that damage your kidneys and decrease their ability to keep you healthy by doing the jobs listed. If kidney disease gets worse, wastes can build to high levels in your blood and make you feel sick. This damage may happen slowly over a long period of time.
Chronic kidney disease may be caused by
diabetes, high blood pressure and other disorders.
What do your kidneys do?
CKD Stage 1-2
GOAL: Manage your disease and risk factors

Kidney damage has already occurred (protein in the urine), and normal to mildly decreased GFR rate from 60-90.

GFR= Glomerular Filtration Rate or the percentage of your kidneys that are still working
CKD Stage 3
GFR 30-59, Moderate decreases in kidney function

Usually no symptoms. Referral to a kidney specialist is preferred.
CKD Stage 5
High blood pressure

Make urine
Filter and removes waste
Regulate your body's water and other electrolytes in your blood like sodium, potassium, calcium and phosphorus.
Release hormones that do the following:
Control blood pressure
Keep your bones strong
Tell your bone marrow to make red blood cells
Most people don't know they have kidney disease!
CKD Stage 4
GFR 15-29, a severe decrease in kidney function exists.

Must prepare for renal replacement therapy or continue medical management
Early detection and treatment can often keep chronic kidney disease
from getting worse. When kidney disease progresses, it may
eventually lead to kidney failure, which requires dialysis or a
kidney transplant to maintain life.

GFR is below 15. Treatment decision must be made to continue life, dialysis or transplant needed.
Dialysis, including hemodialysis, peritoneal dialysis, and home or nocturnal hemodialysis
No treatment, medical management only
Peritoneal Dialysis
Limit Sodium
The majority of the sodium we eat does NOT come from the salt shaker.

More than 44%of sodium comes from the following 10 types of foods:
Breads and rolls, cold cuts and cured meats such as deli or packaged ham, or turkey, pizza, fresh and processed poultry, soups, sandwiches such as cheeseburgers, cheese, pasta dishes, meat- mixed dishes such as meat loaf with tomato sauce, and snacks such as chips, pretzels, and popcorn.

2,000 mg daily
Centers for Disease Control and Prevention
1600 Clifton Rd
Atlanta, GA 30333
TTY: (888) 232-6348

•Choose to purchase healthy options and talk with your grocer or favorite restaurant about stocking lower sodium food choices.
•Read the Nutrition Facts label while shopping to find the lowest sodium options of your favorite foods.
•Eat a diet rich in fresh fruits and vegetables and frozen fruits and vegetables without sauce.
•Limit processed foods high in sodium.
•When eating out, request lower sodium options.
•Support initiatives that reduce sodium in foods in cafeterias and vending machines.

What Can You Do?
The 3 P's
10 minutes at a time is fine

We know 150 minutes each week sounds like a lot of time, but you don't have to do it all at once. As long as you're doing your activity at a moderate or vigorous effort for at least 10 minutes at a time.

Give it a try!

Try going for a 10-minute brisk walk, 3 times a day, 5 days a week. This will give you a total of 150 minutes of moderate-intensity activity.

Get Moving!
Friends don't let friends lay on the couch!!!

■Quit smoking
■Reduce unhealthy stress
■Drink in moderation
■Don't use illegal drugs
■Avoid X-rays with contrast dyes
■Avoid medications, non-steroidal anti-inflammatory drugs
(e.g., ibuprofen), and herbal supplements except as directed
by your doctor
■Use a health diary to track prescriptions and over-the-counter

Avoid Kidney Enemies
Amy Doue, RN
REACH Chronic Kidney Disease Coordinator
Full transcript