Associates of Tidewater
Clinical Research
Improving Healthcare Through Quality Research for over 30 years
A proud member of Alliance for Multispecialty Research

Renal Failure                                                                                                      

Renal failure:  

End stage kidney disease is a complete or near complete failure of the kidneys to function to excrete wastes, concentrate urine, and regulate electrolytes. Also called End-stage renal disease (ESRD).


Causes, incidence, and risk factors:   
End-stage kidney disease occurs when the kidneys are no longer able to function at a level that is necessary for day to day life. It usually occurs as chronic renal failure worsens to the point where kidney function is less than 10% of normal.


At this point, the kidney function is so low that without dialysis or kidney transplantation, complications are multiple and severe, and death will occur from accumulation of fluids and waste products in the body.


In the U.S., more than 400,000 people are on long-term dialysis and more than 20,000 have a functioning transplanted kidney. The most common cause of ESRD in the U.S. is diabetes. ESRD almost always follows chronic kidney failure, which may exist for 10-20 years or more before progressing to become ESRD.
 

Symptoms:   
 

- Unintentional weight loss
- Nausea or vomiting
- General ill feeling
- Fatigue
- Headache
- Frequent hiccups
- Generalized itching
- Greatly decreased urine   output                                  - No urine output
- May have blood in the vomit or stools

- Easy bruising or bleeding             - Decreased alertness
- drowsiness, somnolence, lethargy
- confusion, delirium
- coma
- Muscle twitching or cramps
- Seizures
- Increased skin pigmentation
- Skin may appear yellow or brown
- Nail abnormalities
- Decreased sensation in the hands, feet, or other areas

 

 

 

 

 

________________________________________________________________________

 

 

Treatment Options 


Dialysis or kidney transplantation are the only treatments for ESRD. The physical condition of the person and other factors determines which of these is used. Other treatments of chronic kidney failure may continue but are unlikely to work without dialysis or transplantation. Current therapy includes aggressive treatment of high blood pressure with an ACE inhibitor or an angiotensin receptor blocker.

Associated diseases that cause or result from chronic renal failure must be controlled. Hypertension (high blood pressure), congestive heart failure, urinary tract infections, kidney stones, obstructions of the urinary tract, glomerulonephritis, and other disorders should be treated.

Blood transfusions and medications such as iron and erythropoietin may be needed to control anemia. Fluids may be restricted to an amount nearly equal to the volume of urine produced.

Dietary restrictions may slow the build-up of wastes in the bloodstream and control associated symptoms such as nausea and vomiting. Restrictions include a low- protein diet, with high carbohydrate levels to make up for the lost calories. Salt, potassium, phosphorus, and other electrolytes may be restricted.

 

Back to Top

Treatment Options for Renal Failure

Revised: 11/03/09.  Copyright 2006 Clinical Research Associates of Tidewater.  All rights reserved.

 

 

Our Clinical

Trial Experience

 

Acute Coronary Syndrome

Acne

African American Asthma

Allergies

Arthritis

Asthma

Atrial Fibrillation

Botulism Vaccine

Cholesterol (high)

Chronic Kidney Disease

Chronic Pain

Contraceptives

Coronary Heart Disease

Diabetes

Dialysis

End Stage Renal Disease

Endometriosis

Erosive Esophagitis

Flu (Influenza) Vaccine

Hereditary Angioedema (HAE)

Healthy Volunteers

High Blood Pressure(mild, moderate, and severe)

HPV Vaccine

Indigestion / Dyspepsia

Insomnia

Irritable Bowel

Migraines

Nail Fungus Infection

Orthopedics

Osteoporosis

Pediatric Measles, Mumps, Rubella, Varicella (MMRV) Vaccine

Pneumonia Vaccine

Post Menopausal Symptoms

Pulmonary Disease

Rosacea

Sexual Dysfunction

Sinusitis

Smoking Cessation

Weight Loss/Management

Women's Health

 

Home

Our Staff

Contact Us

Clinical Trials

Helpful Links

 Volunteers

 Sponsors

Studies

 Enrolling