Treatments for Kidney failure
Treatment list for Kidney failure:
The list of treatments mentioned in various sources
for Kidney failure
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
- Treatment of acute kidney failure:
- Treatment of chronic kidney failure:
Kidney failure: Research Doctors & Specialists
- Urinary & Bladder Specialists (Urology):
- Kidney Health Specialists (Nephrology):
- more specialists...»
Research all specialists including ratings, affiliations, and sanctions.
Drugs and Medications used to treat Kidney failure:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Kidney failure include:
- Minoxidil
- Kresse
- Loniten
- Med-Minoxidil
- Minocalve 5
- Minodyl
- Minoximen
Latest treatments for Kidney failure:
The following are some of the latest treatments for Kidney failure:
Medical news summaries about treatments for Kidney failure:
The following medical news items
are relevant to treatment of Kidney failure:
Discussion of treatments for Kidney failure:
Kidney Failure Choosing a Treatment That's Right for You: NIDDK (Excerpt)
Treatment Choice:
Hemodialysis
PurposeHemodialysis cleans and
filters your blood using a machine to temporarily rid your body of
harmful wastes, extra salt, and extra water. Hemodialysis helps
control blood pressure and helps your body keep the proper balance
of important chemicals such as potassium, sodium, calcium, and
bicarbonate.
(Source: excerpt from
Kidney Failure Choosing a Treatment That's Right for You: NIDDK)
Kidney Failure Choosing a Treatment That's Right for You: NIDDK (Excerpt)
]
Treatment Choice: Peritoneal
Dialysis
PurposePeritoneal dialysis is another
procedure that removes extra water, wastes, and chemicals from your
body. This type of dialysis uses the lining of your abdomen to
filter your blood. This lining is called the peritoneal membrane and
acts as the artificial kidney.
(Source: excerpt from
Kidney Failure Choosing a Treatment That's Right for You: NIDDK)
Kidney Failure Choosing a Treatment That's Right for You: NIDDK (Excerpt)
Types of Peritoneal Dialysis
There are three types of
peritoneal dialysis.
1. Continuous Ambulatory Peritoneal Dialysis
(CAPD)
CAPD is the most common type of peritoneal dialysis.
It requires no machine and can be done in any clean, well-lit place.
With CAPD, your blood is always being cleaned. The dialysis solution
passes from a plastic bag through the catheter and into your
abdomen, where it stays for several hours with the catheter sealed.
The period that dialysis solution is in your abdomen is called the
dwell time. Next, you drain the dialysis solution back into the bag
for disposal. You then use the same catheter to refill your abdomen
with fresh dialysis solution so the cleaning process can begin
again. With CAPD, the dialysis solution stays in your abdomen for a
dwell time of 4 to 6 hours (or more). The process of draining the
used dialysis solution and replacing it with fresh solution takes
about 30 to 40 minutes. Most people change the dialysis solution at
least four times a day and sleep with solution in their abdomen at
night. With CAPD, it's not necessary to wake up and perform dialysis
tasks during the night.
2. Continuous Cycler-Assisted Peritoneal Dialysis
(CCPD)
CCPD uses a machine called a cycler to fill and empty
your abdomen three to five times during the night while you sleep.
In the morning, you begin one exchange with a dwell time that lasts
the entire day. You may do an additional exchange in the middle of
the afternoon without the cycler to increase the amount of waste
removed and to reduce the amount of fluid left behind in your body.
3. Combination of CAPD and CCPD
If you weigh more than
175 pounds or if your peritoneum filters wastes slowly, you may need
a combination of CAPD and CCPD to get the right dialysis dose. For
example, some people use a cycler at night but also perform one
exchange during the day. Others do four exchanges during the day and
use a minicycler to perform one or more exchanges during the night.
You'll work with your health care team to determine the best
schedule for you.
(Source: excerpt from Kidney Failure Choosing a Treatment That's Right for You: NIDDK)
Kidney Failure Choosing a Treatment That's Right for You: NIDDK (Excerpt)
Treatment Choice: Kidney
Transplantation
PurposeKidney transplantation
surgically places a healthy kidney from another person into your
body. The donated kidney does the work that your two failed kidneys
used to do.
(Source: excerpt from
Kidney Failure Choosing a Treatment That's Right for You: NIDDK)
Treatment Methods for Kidney Failure Hemodialysis: NIDDK (Excerpt)
Hemodialysis is the most common method used
to treat advanced and permanent kidney failure. Since the 1960s,
when hemodialysis first became a practical treatment for kidney
failure, we've learned much about how to make hemodialysis
treatments more effective and minimize side effects. But even with
better procedures and equipment, hemodialysis is still a complicated
and inconvenient therapy that requires a coordinated effort from
your whole health care team, including your nephrologist, dialysis
nurse, dialysis technician, dietitian, and social worker. But the
most important members of your health care team are you and your
family. By learning about your treatment, you can work with your
health care team to give yourself the best possible results, and you
can lead a full, active life.
(Source: excerpt from Treatment Methods for Kidney Failure Hemodialysis: NIDDK)
Treatment Methods for Kidney Failure Kidney Transplantation: NIDDK (Excerpt)
If you have advanced and permanent kidney failure, kidney
transplantation may be the treatment option that allows you to live
much like you lived before your kidneys failed. Since the 1950s,
when the first kidney transplants were performed, we've learned much
about how to prevent rejection and minimize the side effects of
medicines. (Source: excerpt from Treatment Methods for Kidney Failure Kidney Transplantation: NIDDK)
Keep your kidneys healthy: NIDDK (Excerpt)
Dialysis is a
treatment that does the work your kidneys used to do. There are two types
of dialysis. You and your doctor will decide what type will work best for
you.
|
Dialysis is a treatment that takes waste products
and extra fluid out of your body. |
- Hemodialysis (HE-mo-dy-AL-ih-sis). In hemodialysis, your
blood flows through a tube from your arm to a machine that filters out
the waste products and extra fluid. The clean blood flows back to your
arm.
- Peritoneal dialysis (PEH-rih-tuh-NEE-ul dy-AL-ih-sis). In
peritoneal dialysis, your belly is filled with a special fluid. The
fluid collects waste products and extra water from your blood. Then the
fluid is drained from your belly and thrown away.
Second, you may be able to have a kidney transplant. This operation
gives you a new kidney. The kidney can be from a close family member,
friend, or someone you do not know. You may be on dialysis for a long
time. Many people are waiting for new kidneys. A new kidney must be a good
match for your body.
(Source: excerpt from Keep your kidneys healthy: NIDDK)
Treatments of Kidney failure: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about the treatments of Kidney failure.
Polycystic kidney disease:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Polycystic kidney disease can’t be cured. The primary goal of treatment is preserving renal parenchyma and preventing infectious complications. Management of secondary hypertension will also help prevent rapid deterioration in function. Progressive renal failure requires treatment similar to that for other types of renal disease, including dialysis or, rarely, kidney transplantation.
When adult polycystic kidney disease is discovered in the asymptomatic stage, careful monitoring is required, including urine cultures and creatinine clearance tests every 6 months. Prompt and vigorous antibiotic treatment is needed when a urine culture reveals infection — even when the patient is asymptomatic. As renal impairment progresses, selected patients may undergo dialysis, transplantation, or both. Cystic abscess or retroperitoneal bleeding may require surgical drainage; intractable pain (a rare symptom) may also require surgery. However, because this disease affects both kidneys, nephrectomy usually isn’t recommended because it increases the risk of infection in the remaining kidney.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Acute renal failure:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Strict fluid management, supportive care (electrolyte replacement; high-calorie, low-
protein diet), hemodialysis or peritoneal dialysis
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Chronic renal failure:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment focuses on controlling the symptoms, minimizing complications, and slowing the progression of the disease. Associated diseases that cause or result from chronic renal failure must be controlled such as hypertension. Conservative treatment aims to correct specific symptoms. A low-protein diet reduces the production of end products of protein metabolism that the kidneys can’t excrete. (A patient receiving continuous peritoneal dialysis should have a high-protein diet.) A high-calorie diet prevents ketoacidosis and the negative nitrogen balance that results in catabolism and tissue atrophy, and restricts sodium and potassium.
Maintaining fluid balance requires careful monitoring of vital signs, weight changes, and urine volume (if present). If some renal function remains, administration of loop diuretics such as furosemide, and fluid restriction can reduce fluid retention. Cardiac glycosides may be used to mobilize edema fluids; antihypertensives, to control blood pressure and associated edema. Antiemetics taken before meals may relieve nausea and vomiting; cimetidine or ranitidine may decrease gastric irritation. Methylcellulose or docusate can help prevent constipation.
Treatment may also include regular stool analysis (guaiac test) to detect occult blood and, as needed, cleaning enemas to remove blood from the GI tract. Anemia necessitates iron and folate supplements; severe anemia requires infusion of fresh frozen packed cells or washed packed cells. However, transfusions relieve anemia only temporarily. Epoetin alpha (erythropoietin) increases RBC production.
Drug therapy often relieves associated symptoms: an antipruritic, such as trimeprazine or diphenhydramine, for itching and aluminum hydroxide gel to lower serum phosphate levels. The patient may also benefit from supplementary vitamins (particularly B vitamins and vitamin D) and essential amino acids.
Careful monitoring of serum potassium levels is necessary to detect hyperkalemia. Emergency treatment for severe hyperkalemia includes dialysis therapy and administration of 50% hypertonic glucose I.V., regular insulin, calcium gluconate I.V., sodium bicarbonate I.V., and cation exchange resins such as sodium polystyrene sulfonate.
Alert Cardiac tamponade resulting from pericardial effusion may require emergency pericardial tap or surgery.
Blood gas measurements may indicate acidosis; intensive dialysis and thoracentesis can relieve pulmonary edema and pleural effusions.
Hemodialysis or peritoneal dialysis (particularly continuous ambulatory peritoneal dialysis and continuous cyclic peritoneal dialysis) can help control most manifestations of end-stage renal disease; altering dialyzing bath fluids can correct fluid and electrolyte disturbances. (See Comparing peritoneal dialysis and hemodialysis, page 806. Also see Continuous ambulatory peritoneal dialysis, page 807.) But anemia, peripheral neuropathy, cardiopulmonary and GI complications, sexual dysfunction, and skeletal defects may persist. Maintenance dialysis itself may produce complications, such as protein wasting, refractory ascites, and dialysis dementia. Kidney transplantation may eventually be the treatment of choice for some patients with end-stage renal disease.
PEDIATRIC TIP Children require more dialysis in relation to their body weight than adults because their metabolic rates and, therefore, food intake, are higher.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Polycystic kidney disease:
Treatment
(Handbook of Diseases)
Polycystic kidney disease can’t be cured. The primary goal of treatment is to preserve renal parenchyma and prevent infectious complications. Management of secondary hypertension will also help prevent rapid deterioration in function. Progressive renal failure requires treatment similar to that for other types of renal disease, including dialysis or, rarely, a kidney transplant.
Asymptomatic stage
When adult polycystic kidney disease is discovered in the asymptomatic stage, careful monitoring is required, including urine cultures and creatinine clearance tests every 6 months. When a urine culture detects infection, prompt and vigorous antibiotic treatment is needed (even when the patient is asymptomatic).
Progressive renal impairment
As renal impairment progresses, selected patients may undergo dialysis, transplantation, or both. Cystic abscess or retroperitoneal bleeding may require surgical drainage; intractable pain (a rare symptom) may also require surgery. Anemia is treated with iron and other supplements, erythropoietin, or blood transfusions. However, because this disease affects both kidneys, nephrectomy usually isn’t recommended because it increases the risk of infection in the remaining kidney.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Renal failure, acute:
Treatment
(Handbook of Diseases)
The goals of treatment include identifying and treating reversible causes, such as nephrotoxic drug therapy, obstructive uropathy, and volume depletion. Supportive measures include a diet high in calories and low in protein, sodium, and potassium, with supplemental vitamins and restricted fluids. Meticulous electrolyte monitoring is essential to detect hyperkalemia.
If hyperkalemia occurs, acute therapy may include dialysis, hypertonic glucose and insulin infusions, and calcium — all administered I.V. — and oral or rectal administration of potassium exchange resin to remove potassium from the body.
If measures fail to control uremic symptoms, hemodialysis or peritoneal dialysis may be necessary.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Renal failure, chronic:
Treatment
(Handbook of Diseases)
Conservative treatment aims to correct specific symptoms, minimize complications, and slow progression of the disease. Underlying conditions that cause chronic renal failure must be controlled.
Diet
A low-protein diet reduces the production of end products of protein metabolism that the kidneys can’t excrete. (A patient receiving continuous peritoneal dialysis should receive a high-protein diet.)
A high-calorie diet prevents ketoacidosis and the negative nitrogen balance that results in catabolism and tissue atrophy. Such a diet also restricts sodium and potassium.
Fluid status
Maintaining fluid balance requires careful monitoring of vital signs, weight changes, and urine volume (if present). Loop diuretics, such as furosemide (if some renal function remains), and fluid restriction can reduce fluid retention. A cardiac glycoside may be used to mobilize edema fluids; an antihypertensive, especially an angiotensin-converting enzyme inhibitor, to control blood pressure and associated edema.
Treatment of GI and blood problems
An antiemetic taken before meals may relieve nausea and vomiting; cimetidine, omeprazole, or ranitidine may decrease gastric irritation. Methylcellulose or docusate can help prevent constipation.
Treatment may also include regular stool analysis (guaiac test) to detect occult blood and, as needed, cleansing enemas to remove blood from the GI tract.
Anemia necessitates iron and folate supplements; severe anemia requires infusion of fresh frozen packed cells or washed packed cells. However, transfusions relieve anemia only temporarily. Synthetic erythropoietin (epoetin alfa) may be given to stimulate the division and differentiation of cells within the bone marrow to produce RBCs. An-drogen therapy (testosterone or nandrolone) may increase RBC production.
Drug therapy, surgery, and dialysis
Drug therapy can help relieve associated symptoms: an antipruritic, such as trimeprazine or diphenhydramine, to relieve itching and aluminum hydroxide gel to lower serum phosphate levels.
CLINICAL TIP: Be alert for aluminum toxicity, an adverse reaction to aluminum hydroxide.
The patient may also benefit from supplementary vitamins (particularly B vitamins and vitamin D) and essential amino acids.
Careful monitoring of serum potassium levels is necessary to detect hyperkalemia. Emergency treatment for severe hyperkalemia includes dialysis therapy and administration of 50% hypertonic glucose I.V., regular insulin, calcium gluconate I.V., sodium bicarbonate I.V., and cation exchange resins such as sodium polystyrene sulfonate. Cardiac tamponade resulting from pericardial effusion may require emergency pericardial tap or surgery.
Blood gas measurements may indicate acidosis; intensive dialysis and thoracentesis can relieve pulmonary edema and pleural effusions.
Hemodialysis or peritoneal dialysis (particularly continuous ambulatory peritoneal dialysis and continuous cyclic peritoneal dialysis) can help control most manifestations of end-stage renal disease. (See Continuous ambulatory peritoneal dialysis, page 718.) Altering dialyzing bath fluids can correct fluid and electrolyte disturbances. However, anemia, peripheral neuropathy, cardiopulmonary and GI complications, sexual dysfunction, and skeletal defects may persist.
Maintenance dialysis may produce complications, such as protein wasting, refractory ascites, and dialysis dementia. A kidney transplant may eventually be the treatment of choice for some patients with end-stage renal disease.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Buy Products Related to Treatments for Kidney failure
Rate This Website
What do you think about the features of this website?
Take our user survey and have your say:
Website User Survey
Medical Tools & Articles:
Tools & Services:
Medical Articles:
Forums & Message Boards
- Ask or answer a question at the Boards:
