What are the long term symptoms of chronic kidney disease?
Fatigue (due to anaemia)
People with CKD suffer a lot ___.
anger, denial, depression, loss of self confidence
ask about impact of ckd on daily living e.g eating, relationships, occupation, hobbies
What aspects of diet are controlled in patients with CKD?
so big impact on diet
What problems do excess
b) salt (Na, Cl etc)
cause in CKD?
c) Osteoporosis (causes hypocalcaemia)
How much fluid are people with CKD allowed each day?
1L - 1.5L minimum
The types of food that people with CKD can eat are ___.
How do CKD patients adapt to strict fluid restrictions?
Use small cups or glasses
Sucking on ice cubes
How do CKD patients adapt to strict food restrictions?
Use smaller amounts of spicier foods
What do people with CKD tend to have as treats?
Fruit, veg and fish are high in which electrolyte?
How should veg e.g broccoli be prepared to minimise its electrolyte content?
which makes it mushy and tasteless
Red meat and dairy products are high in which electrolyte?
What are the symptoms of fluid overload associated with drinking too much between dialysis sessions?
Pulmonary oedema +/- orthopnoea, PND
Apart from dialysis or palliative care, what is the other option for treatment of chronic kidney disease?
(Dialysis / Transplant) offers patients a much greater quality of life.
don't need to go in for dialysis or organise it yourself, freedom
What is a survey commonly used to assess a patient's quality of life?
What drugs need to be given alongside transplants to prevent rejection?
Transplant patients on immunosuppression develop recurrent ___.
What cancer is very common in transplant patients?
long term immunosuppression
Which types of skin cancer are common in people on immunosuppression long-term?
Long term steroid immunosuppression suppresses what?
leading to addison's, hirsutism
People on long term immunosuppression (gain/lose) weight.
What are the two types of coping?
Avoidance coping (denial, anger, avoid confrontation)
Approach coping (confront, learn, take action)
separated by a transition phase