The Kidney Disease: Improving Global Outcomes (KDIGO) 2012 clinical practice guideline defines pediatric chronic kidney disease (CKD) based on a child meeting one of the following cr...
Past history
Birth history for oligohydramnios, perinatal events
Recurrent urinary tract infections (UTIs)
Enuresis
Abnormal urinary stream (PUV)
Family history
CKD, dialysis, kidney transp...
Avoid nephrotoxic medications including NSAIDs.
Fluid restriction may be necessary in patients with glomerular disease.
Monitor BP closely and initiate therapy for patients wit...
Friedman AL. Etiology, pathophysiology, diagnosis, and management of chronic renal failure in children. Curr Opin Pediatr. 1996;8(2):148–151. [View Abstract on OvidInsights]
Ki...
585.9 Chronic kidney disease, unspecified
753.3 Other specified anomalies of kidney
585.3 Chronic kidney disease, Stage III (moderate)
753.15 Renal dysplasia
585.5 Chronic kidney disease, Stage ...
Q: Which OTC medications should be avoided in children with CKD?
A: NSAIDs, pseudoephedrine (if patient is hypertensive), enemas containing phosphate, and antacids containing magnesium or aluminum ...
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Hemidialysis
<bold>Fig GU 33-1. Chronic renal failure.</bold> Parasagittal sonogram of the right kidney (RK) shows that the echogenicity of renal cortical tissue has increased to such an extent that it is now greater than that of the hepatic parenchyma (L). The renal medullary pyramids (P) are clearly visible in the right kidney. (D, diaphragm; H, head.)<sup>2</sup>
<bold>Fig GU 33-1. Chronic renal failure.</bold> Parasagittal sonogram of the right kidney (RK) shows that the echogenicity of...
FIGURE 3-2. Peritoneal dialysis, in which the dialysate is infused into the peritoneal cavity by gravity. (Reprinted with permission from Rosdahl, Kowalski. Textbook of Basic Nursing. 8th Ed. Philadelphia: Lippincott Williams & Wilkins, 2003:1208.)
FIGURE 3-2. Peritoneal dialysis, in which the dialysate is infused into the peritoneal cavity by gravity. (Reprinted with permission from...
Fig 13-7. Peritoneal dialysis. A semipermeable membrane richly supplied with small blood vessels lines the peritoneal cavity. With dialysate dwelling in the peritoneal cavity, waste products diffuse from the network of blood vessels into the dialysate.
Fig 13-7. Peritoneal dialysis. A semipermeable membrane richly supplied with small blood vessels lines the peritoneal cavity. With dialysa...
Hemodialysis.
Hemodialysis, external arteriovenous shunt. Illustration of the medial side of the right arm with an external arteriovenous shunt uses in hemodialysis.
Hemodialysis, external arteriovenous shunt. Illustration of the medial side of the right arm with an external arteriovenous shunt uses in ...
Hemodialysis, internal arteriovenous fistula. Illustration of the medial side of the right arm with an internal arteriovenous fistula used in hemodialysis.
Hemodialysis, internal arteriovenous fistula. Illustration of the medial side of the right arm with an internal arteriovenous fistula used...
Graft for hemodialysis angio access - A self-sealing polytetrafluoroethylene (PTFE) silicone graft is used as an internal bridge (AV fistula) for vascular access in patients requiring maintenance hemodialysis. In the figure the graft bridges the brachial artery to the axillary vein
Graft for hemodialysis angio access - A self-sealing polytetrafluoroethylene (PTFE) silicone graft is used as an internal bridge (AV fistu...
Continuous ambulatory peritoneal dialysis: Step 1 After applying a mask, a bag of dialysate is attached to the tube entering the patient's abdominal area so that the fluid flows into the peritoneal cavity. The mask is removed when this step is completed.
Continuous ambulatory peritoneal dialysis: Step 1 After applying a mask, a bag of dialysate is attached to the tube entering the patient's ...