Renal Diseases DTH23 Part 2 of 2 PDF

What are the signs and symptoms of kidney disease?. Signs & Symptoms of kidney disease Weight loss and Shortness of breath poor appetite (dyspnoea) Increas...

What are the signs and symptoms of kidney disease?. Signs & Symptoms of kidney disease Weight loss and Shortness of breath poor appetite (dyspnoea) Increased need to urinate Swollen ankles, feet or hands – due to (especially at night) water retention Insomnia Itchy skin Blood In urine (haematuria) 3 General Management Loading… Questions to think about What foods contain protein? Which foods contain potassium? What measures would a patient have to take to control salt and water intake? 4 General Management (continued) Dialysis can give normal life to up to 20% of patients but cannot prevent all complications Over 70% of patients on haemodialysis survive at least 5 years Renal transplant may then become necessary 5 Kidney Dialysis Loading… 6 Renal transplantations This is now common and survival of the graft can be up to 90% at one year Patients need to be immunosuppressed after the transplant Usual medications are: 7 Post Transplantation Patients may still have some of the problems associated with renal failure They are susceptible to infection (immunosuppression) 8 What are the implications for you treating this patient? Think about what you have heard Make a list of problems you might encounter when treating a patient with kidney disease Dental Relevance Patient also require steroid cover Dental Relevance Bleeding tendencies Underlying disease Impaired drug Infections with excretion hepatitis B and other viruses Hypertension Bone lesions of the jaw Corticosteroid or other Diet immunosuppressive treatment Clinical Dental Relevance Loading… 1 2 Useful References Waugh, A. and Grant, A. (2018) Ross & Wilson Anatomy And Physiology In Health And Illness. 14th ed. Elsevier. 1 3 And finally a helpful video https://youtu.be/fv53QZRk4hs