Chapter

Clinical strategies for the management of chronic kidney disease complications: perspectives for primary care

Monica Beaulieu, Neil Boudville and Adeera Levin

in Chronic Kidney Disease

Published on behalf of Oxford University Press

Published in print December 2009 | ISBN: 9780199549313
Published online February 2013 | e-ISBN: 9780191763465 | DOI: http://dx.doi.org/10.1093/med/9780199549313.003.0009

Series: Oxford Clinical Nephrology Series

Clinical strategies for the management of chronic kidney disease complications: perspectives for primary care

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Chronic kidney disease (CKD) is associated with a myriad of complications, both due to reduced kidney function itself and/or as a consequence of the conditions that may have caused CKD such as diabetes and cardiovascular disease (CVD). Much of the morbidity and mortality of CKD is due to CVD, which is covered more extensively in Chapter 4 of this text.

The purpose of this chapter is to identify complications specific to CKD and to outline strategies for their management. Given the increasing awareness by physicians of the prevalence of CKD, it is critical to ensure that basic strategies to address complications are implemented at early stages of the disease to reduce associated morbidity and mortality.

The management of the following key complications will be discussed and are summarized in Tables 9.1 and 9.2: ♦ CVD (more extensively covered in Chapter 4). ♦ Anaemia. ♦ Bone and mineral metabolism. ♦ Metabolic acidosis. ♦ Malnutrition.

In addition, the treatment options for patients with end-stage renal disease (ESRD) will be discussed, including: ♦ Kidney transplantation. ♦ Dialysis. • Haemodialysis. • Peritoneal dialysis. ♦ Comprehensive conservative care.

Chapter.  6504 words. 

Subjects: Nephrology

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