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Chronic Kidney Disease (CKD) BY: DR. NAUSHAD PERVEZ

Chronic Kidney Disease (CKD)

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Chronic Kidney Disease (CKD). BY: DR. NAUSHAD PERVEZ. Chronic Kidney Disease (CKD). Chronic Kidney Disease (CKD). What Kidneys Do? Filter waste from blood Remove excess fluid Adjust the levels of minerals and chemicals Produce hormones regulating blood - PowerPoint PPT Presentation

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Page 1: Chronic Kidney Disease (CKD)

Chronic Kidney Disease (CKD)

BY: DR. NAUSHAD PERVEZ

Page 2: Chronic Kidney Disease (CKD)

Chronic Kidney Disease (CKD)

Page 3: Chronic Kidney Disease (CKD)

What Kidneys Do?

Filter waste from blood Remove excess fluid Adjust the levels of minerals and chemicals Produce hormones regulating blood pressure and other body functions

Chronic Kidney Disease (CKD)

Page 4: Chronic Kidney Disease (CKD)

Causes of Kidney Disease

Diabetes: Well controlled blood sugar will slow the

progression to a kidney disease

Chronic Kidney Disease (CKD)

Category of a Person

Minimal Fasting Value

Maximum Fasting Value

2 hours after

consuming glucose

Normal 70 100 Less than 140

Early Diabetes

101 126 140 to 200

Established Diabetes

More than 126

- More than 200

Page 5: Chronic Kidney Disease (CKD)
Page 6: Chronic Kidney Disease (CKD)

Causes of Kidney Disease Cont.

High Blood Pressure (Hypertension): Damages the blood vessels and reduces the

blood supply to the kidneys. Proper control can slow the progression to kidney disease

Chronic Kidney Disease (CKD)

Page 7: Chronic Kidney Disease (CKD)
Page 8: Chronic Kidney Disease (CKD)

Top number (systolic) in mm Hg

  Bottom number

(diastolic) in mm Hg

Your category* What to do**

Below 120 and Below 80 Normal blood pressure

Maintain or adopt a healthy lifestyle.

120-139 or 80-89 Prehypertension Maintain or adopt a healthy lifestyle.

140-159 or 90-99 Stage 1 hypertension

Maintain or adopt a healthy lifestyle. If blood pressure goal isn't reached in about six months, talk to your doctor about taking one or more medications.

160 or more or 100 or more Stage 2 hypertension

Maintain or adopt a healthy lifestyle. Talk to your doctor about taking more than one medication.

blood pressure control

Page 9: Chronic Kidney Disease (CKD)

Causes of Kidney Disease Cont.

Glomerulonephritis Nephrotic Syndrome Polycystic Kidney Disease Systemic Lupus Erythematotsus Kidney Infections Kidney Stones Prostate Obstruction Illegal Drugs and Alcohol Excessive Use of OTC (over the counter)

Medication

Chronic Kidney Disease (CKD)

Page 10: Chronic Kidney Disease (CKD)

Signs and Symptoms Of Kidney

Disease Initially NO SYMPTOMS Cloudy of Foamy urine (reddish or brown in

color) Fatigue and Weakness Decreased appetite Swelling of Legs and Puffiness of eyelids Metallic taste in the mouth Shortness of breath

Chronic Kidney Disease (CKD)

Page 11: Chronic Kidney Disease (CKD)

Chronic Kidney Disease (CKD)

Page 12: Chronic Kidney Disease (CKD)

Complications of Kidney Disease

Increased Heart Attacks Increased Strokes Increased Infections Weak Bones Anemia Dialysis Death

Chronic Kidney Disease (CKD)

Page 13: Chronic Kidney Disease (CKD)

Stages of CKD

Chronic Kidney Disease (CKD)

STAGES DESCRIPTION GFR1 Kidney Damage (e.g. protein in the

urine) and Normal Kidney FunctionAbove 90

2 Kidney DamageAnd Mild Loss of Kidney Function

60 to 89

3 Moderate Loss of Kidney Function 30 to 59

4 Severe Loss of Kidney Function 15 to 29

5 Kidney Failure Below 15

Page 14: Chronic Kidney Disease (CKD)

Know Your

Glomerular Filtration Rate (GFR) GFR is a calculation of your kidney function

GFR can be calculated from the results of a simple blood test considering factors such as age, race and gender

If you have Diabetes, High Blood Pressure, a Family History of Kidney Disease, or any other risk factor, ask your doctor about having tests done for GFR

Chronic Kidney Disease (CKD)

Page 15: Chronic Kidney Disease (CKD)

Prevention

Maintain a healthy weight Check cholesterol at least yearly – must be less than 199 Check Blood Sugar at least once a day – must be

controlled at 70-120 before meals Check HgA1C (if a diabetic) quarterly – must be less than

6.2 Check your Creatinine – normal 0.6 – 1.2 Ask your physician to check your urine for protein Good blood pressure control (120/70) through proper

diet and exercise. Take blood pressure medications as prescribed by your physician

Avoid Arthritis medications Avoid smoking Maintain a yearly physical

Chronic Kidney Disease (CKD)

Page 16: Chronic Kidney Disease (CKD)

Facts About Chronic Kidney Disease (CKD) 20 million Americans – 1 in 9 US adults have CKD and

another 20 million more are at increased risk Early detection can help prevent the progression of

kidney disease to kidney failure Heart disease is the major cause of death for all people

with CKD Glomerular filtration rate (GFR) is the best estimate of

kidney function Hypertension causes CKD and CKD causes hypertension

Chronic Kidney Disease (CKD)

Page 17: Chronic Kidney Disease (CKD)

Facts About Chronic Kidney Disease (CKD)

Cont. Persistent proteinuria means CKD High-risk groups include those with diabetes,

hypertension and family history of kidney disease

African American, Hispanics, Pacific Islanders, Native American and seniors are at an increased risk

Three simple tests can detect CKD:1. Blood Pressure2. Urine Albumin3. Serum Creatinine

Chronic Kidney Disease (CKD)

Page 18: Chronic Kidney Disease (CKD)