Anemia in Chronic Kidney Disease - ECAB - E-Book

ECAB Dietary Protein Restriction in Chronic Kidney Disease (Compendium) - E-Book

With the increase in lifestyle-related diseases like diabetes and hypertension the prevalence of Chronic Kidney Disease (CKD) is increasing exponentially and with it is increasing the burden of its ominous consequence, End Stage Renal Disease (ESRD). While ESRD is no longer a death sentence with the advent of efficient renal replacement therapies and the success of renal transplantation, factors such as high cost of these procedures, limited availability of donated kidneys and not enough number of centers equipped with these facilities puts the effective management of ESRD beyond the reach of an average person many-a-times. Additionally the presence of co-existing diseases that contribute to and sometimes complicate the renal impairment as well as delayed referral of the patients to nephrologists also makes matters worse. ESRD is not just a medical but also a social and economic condition that devastates the person and his/her entire family. Hence, early detection and effective prevention of progression of CKD in early stages to advanced CKD and ESRD is the call of the day. In fact, understanding the pathophysiology of the condition and adopting methods of primordial prevention in populations at risk may be desirable to ensure reduction in the incidence of CKD. In those with established CKD, a proactive approach to manage the disease manifestations and limit the ravages of other comorbidities is desirable. For those in advanced stages of CKD, the institution of an appropriate renal replacement therapy individually suited to the patient keeping in view the medical status, lifestyle requirements, economic viability and social acceptability should be advised. This book will help the reader understand the intricacies of the aspects mentioned above and guide the practitioner to diagnose and manage End Stage Renal Disease with special reference to practical experience of the same in India. The authors have put together the most relevant facts about the disease for an easy comprehension and understanding of the same by practitioners and students across the specialty.

Childhood Renal Disorders - ECAB - E-Book

Anemia in Chronic Kidney Disease - ECAB

Continuous ambulatory peritoneal dialysis (CAPD) was introduced by Popovich et al. in 1976, with 4–6 exchanges per day and long dwell time between the exchanges. Later, a group from Seattle used the combination of cyclic and automated PD in their patients and then it was called as continuous automated ambulatory peritoneal dialysis (CAAPD). Later in 1981, this technique was given the name continuous cycling peritoneal dialysis (CCPD) by Diaz-Buxo. Currently, over 130,000 patients are on CAPD worldwide, and it is the most popular form of peritoneal dialysis. This book on continuous ambulatory peritoneal dialysis is designed to address the various clinical decision questions supported by typical clinical scenarios, with which all readers will be able to identify. Thus, it provides an excellent opportunity to widen one’s perspective in this area.

There are certain structural and functional changes that develop in the urinary tract during normal regnancy, which are significantly different than non-pregnant normal females. During pregnancy in women with underlying chronic kidney disease (CKD), the adaptation to these changes may not be optimal. Under these circumstances, the pregnancy outcome as well as maternal CKD may be affected. The issue focuses on the physiological changes in the kidney and assessment of proteinuria and GFR during pregnancy. The current update also details the cases of pregnancy in the setting of CKD describing the effect of CKD on pregnancy as well as effect of pregnancy on CKD. The chapter on pregnancy-induced hypertension―Pre-eclampsia focuses on the prevention and management of complications in the patient. The authors also give an insight into the pregnancy in cases after kidney transplantation.