End-Stage Renal Disease

Body Systems › Renal / Urinary System › End-Stage Renal Disease
Renal Clinical reference

End-Stage Renal Disease

ESRD is kidney failure requiring renal replacement therapy (GFR <10). Options: hemodialysis, peritoneal dialysis, or kidney transplant. AV fistula is the preferred access.

ESRD end-stage renal disease kidney failure dialysis-dependent CKD ESKD
Terms
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ICD-10
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Evidence
5
Trials
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Latest evidence

Latest evidence

Core official overview

What this condition is

A cyst is a fluid-filled sac. You may get simple kidney cysts as you age; they are usually harmless. There are also some diseases which cause kidney cysts. One type is polycystic kidney disease (PKD). It runs in families. In PKD, many cysts grow in the kidneys. This can enlarge the kidneys and make them work poorly. About half of people with the most common type of PKD end up with kidney failure. PKD also causes cys…

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Common tests

Tests performed

BMP (pre/post dialysis) CBC Kt/V (dialysis adequacy ≥1.4) URR PTH Ferritin/transferrin saturation AV fistula assessment
Common medications

Recognize the drug and the class

Erythropoietin (EPO) IV iron Phosphate binders: Sevelamer, Calcium carbonate Calcitriol/Cinacalcet (secondary hyperparathyroidism) Antihypertensives No NSAIDs — avoid
Related nursing diagnoses

NANDA diagnoses & care plans

Use these direct links to open nursing diagnoses and care-plan support related to End-Stage Renal Disease.

Excess Fluid Volume Imbalanced Nutrition Fatigue Activity Intolerance Grieving
Official education links

Plain-language study support

Useful for plain-language reinforcement and quick review.

Kidney Cysts A cyst is a fluid-filled sac. You may get simple kidney cysts as you age; they are usually harmless. There are also some diseases which cause kidney cysts. One type is polycystic kidney disease (PKD). It runs in families. In PKD, many cysts grow in the kidneys. This can enlarge the kidneys and make them work poorly. About half of people with the most common type of PKD end up with kidney failure. PKD also causes cys… Diabetic Kidney Problems If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage your kidneys. Your kidneys clean your blood. If they are damaged, waste and fluids build up in your blood instead of leaving your body.Kidney damage from diabetes is called diabetic nephropathy. It begins long before you have symptoms. People with diabetes should get regular screenings for kidney disease. Tests… Dialysis When your kidneys are healthy, they clean your blood. They also make hormones that keep your bones strong and your blood healthy. When your kidneys fail, you need treatment to replace the work your kidneys used to do. Unless you have a kidney transplant, you will need a treatment called dialysis.There are two main types of dialysis. Both types filter your blood to rid your body of harmful wastes, extra salt, and wat… Chronic Kidney Disease You have two kidneys, each about the size of your fist. Their main job is to filter your blood. They remove wastes and extra water, which become urine. They also keep the body's chemicals balanced, help control blood pressure, and make hormones.Chronic kidney disease (CKD) means that your kidneys are damaged and can't filter blood as they should. This damage can cause wastes to build up in your body. It can also cau…