MANAGEMENT OF ACUTE AND CHRONIC RENAL FAILURE

Chronic Kidney Disease(CKD) is a condition where the body suffers from weak kidneys. Your kidneys clean and purify the blood by removing waste products and extra fluid. When the kidneys are weak, waste and toxins remain in the blood and cause disease. In the most extreme form of CKD, patients require dialysis or a Kidney Transplant in Ahmedabad. Most patients have milder disease that can be treated with medications and diet. Risk factors for CKD include:

• Diabetes
• High blood pressure
• Heart disease
• Family history of kidney disease

Chronic Kidney Disease (CKD)

Chronic Kidney Disease can be managed with early detection and treatment. Dr. Saurin Dalal will explain how lifestyle changes and medication can help to slow the progression of the disease and improve your quality of life. Often-times people are frightened by the thought of damaged kidneys, and if they do not have visible symptoms they ignore the problem. One of Dr. Saurin´s main objectives in working with patients is to educate them on the realities of kidney disease. It is a disease that you can have an impact on and halt progression. Being proactive, managing your disease, and monitoring the patient while advocating preventive measures is Dr. Saurin´s philosophy that results in much better outcomes overall.

Acute renal failure (ARF)

Acute renal failure is the rapid breakdown of renal (kidney) function that occurs when high levels of uremic toxins (waste products of the body's metabolism) accumulate in the blood. ARF occurs when the kidneys are unable to excrete (discharge) the daily load of toxins in the urine

Patients with acute kidney injury generally should be hospitalized unless the condition is mild and clearly resulting from an easily reversible cause. The key to management is assuring adequate renal perfusion by achieving and maintaining hemodynamic stability and avoiding hypovolemia. In some patients, clinical assessment of intravascular volume status and avoidance of volume overload may be difficult, in which case measurement of central venous pressures in an intensive care setting may be helpful.

In some patients, the metabolic consequences of acute kidney injury cannot be adequately controlled with conservative management, and renal replacement therapy will be required. The indications for initiation of renal replacement therapy include refractory hyperkalemia, volume overload refractory to medical management, uremic pericarditis or pleuritis, uremic encephalopathy, intractable acidosis, and certain poisonings and intoxications.

Patients with acute kidney injury are more likely to develop chronic kidney disease in the future. They are also at higher risk of end-stage renal disease and premature death. Patients who have an episode of acute kidney injury should be monitored for the development or worsening of chronic kidney disease.