What Are the Advantages and Disadvantages of Different Renal Replacement Therapies?

Discussion Kidneys are amazing in that they filter the blood, eliminate toxins, balance fluids and electrolytes plus have a lot of reserve to do the job they need to do even when injured. Therefore, depending on the problem, chronic renal disease (CRD) often allows time before renal replacement therapy (RRT) is needed. RRT currently is dialysis (peritoneal or hemodialysis) or renal transplant. In general, the patient’s own kidneys do the best job for them but there is always a balance between the problems of CRD and its management, versus the potentially improved renal function with RRT. RRT itself though has a different set of management problems. Causes of end stage renal disease include: *Congenital Hypoplasia/dysplasia (10%) Obstructive uropathies (9.5%) *Cystic Polycystic kidney disease *Hereditary Primary glomerular disease (25%) – mainly focal segmental glomerulosclerosis Secondary glomerulonephritis and vasculitis (12%) – mainly lupus nephritis Congenital, cystic and hereditary combined are the most common grouping which accounts for about 38%. Primary care providers can support patients and families in their treatment and management decisions, they can promptly evaluate and coordinate care with specialists for acute problems, and provide immunization for all non-live virus vaccines to patients and make sure that family members have all of their own vaccines including live-virus vaccines. Mental health support at all times but especially arou...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news