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Chronic Kidney Disease: An Overview
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Sally Burrows-Hudson MS, RN
$7.95
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AJN, American Journal of Nursing
February 2005
Volume 105 Number 2
Pages 40 - 49
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ABSTRACT
Outline
- RISK FACTORS
- BARRIERS TO PREVENTION OR EARLY TREATMENT
- SCREENING AND STAGING
- Proteinuria screening.
- DIAGNOSIS
- AS SYMPTOMS ARISE
- COMPLICATIONS
- Malnutrition.
- Functional status and well-being.
- NURSING IMPLICATIONS
- A LOOK AHEAD
- REFERENCES
Graphics
- Figure 1
- Figure 2
- FIGURE. The Cockcrof...
- Table 1
- FIGURE. RESOURCES...
My 41-year-old stepson called recently to tell his father and me that he had been diagnosed with gout. His questions were basic: What is gout? Will it go away? When could he get back to work? I thought of the family history of diabetes and hypertension, and red flags started waving in my mind. Calmly, I asked him why the physician at the urgent-care center had diagnosed gout.
“Well, my foot swelled up, and the swelling wouldn’t go down, and it hurt to walk on it,” he said.
“What did they do?” I asked.
“They took some blood and gave me a steroid shot and some pills to take.” I didn’t want to upset him, but I knew what I had to ask. “Did you tell them that you have a strong family history of diabetes? That your father has diabetes and hypertension? That your mother died of complications associated with an amputation as a result of her diabetes?”
After a long silence, he admitted that he had not.
My stepson has other risk factors for diabetes, including being black and overweight. Four days later, with a new diagnosis of diabetes and not gout, he was hospitalized for debridement of his infected foot wound, and antibiotics were started. A hemoglobin A 1c (HbA 1c ) assay, which measures a type of glycosylated hemoglobin and ...
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