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Cardiovascular Disease in Chronic Kidney Disease
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Patricia B. McCarley MSN, RN, ACNP, CNN Patricia B. Salai MSN, RN, CRNP, CNN
$7.95
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AJN, American Journal of Nursing
April 2005
Volume 105 Number 4
Pages 40 - 52
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ABSTRACT Outline
- DEFINITION AND STAGING OF CHRONIC KIDNEY DISEASE
- RECENT FINDINGS
- ‘TRADITIONAL’ RISK FACTORS FOR CARDIOVASCULAR DISEASE
- Nonmodifiable traditional risk factors.
- CARDIOVASCULAR DISEASE RISK FACTORS RELATED TO CHRONIC KIDNEY DISEASE
- REDUCING THE RISK OF CARDIOVASCULAR DISEASE
- Management of dyslipidemias.
- Treatment for anemia.
- Management of disturbances of mineral metabolism and extraskeletal calcification.
- Management of extracellular fluid volume overload.
- Other conditions and interventions.
- PATIENT EDUCATION
- REFERENCES
Graphics
- Table 1
- Figure 1
- Table 2
- TABLE. No caption av...
People with chronic kidney disease—about one in 10 people in this country 1 —are far more likely to die from cardiovascular disease than to progress to kidney failure. 2 Death resulting from cardiovascular disease is 10 to 30 times more common in patients on dialysis than in the general U.S. population; the American Heart Association (AHA) recommends patients with chronic kidney disease be considered the “highest risk group” for cardiovascular disease. 2, 3 And as a recent Heart editorial pointed out, “even minor renal dysfunction [has been established as] an independent risk factor for cardiovascular disease.” 4
Because cardiovascular disease (including coronary artery disease, left ventricular hypertrophy, atherosclerosis, and stroke) typically begins in the early stages of chronic kidney disease, prompt recognition is essential. Risk-reduction measures taken to prevent cardiovascular disease may also help delay the progression of kidney disease.
DEFINITION AND STAGING OF CHRONIC KIDNEY ...
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