kidney patients

Prince Daniel will forever be a kidney patient after the transplant he underwent in 2009. Since then, he has Talked about it a few times. But Whenever he gets the chance he sets up to bring light to kidney disease patient and the importance of the donors. And now he does it again!

Already this week, March 8, Prince Daniel will be located at the University Hospital in Uppsala on the occasion of World Kidney Day. Paying attention to this day is somethingthat is done globally to highlight how Important it is to Reduce kidney diseases and other health problems related to kidney problems.

ACE Inhibitors

Examples:  lisinopril, enalapril, and captopril 

Action:  decreases peripheral vascular resistance to decrease blood pressure; indicated for heart failure and hypertension 

Side effects:  postural hypotension, dizziness, nonproductive cough, angioedema, kidney injury, and hyperkalemia

Nursing considerations:  (1) assess patient for history of renal impairment, as ACE inhibitors may exacerbate kidney injury; (2) teach patient to seek immediate medical attention if he/she experiences swelling of the lips (angioedema; as pictured), as severe angioedema may cause respiratory distress; (3) teach patient to notify HCP if a nagging cough develops

Also of note:  ACE inhibitors are contraindicated during second- and third-trimester pregnancies

My clinical experience:  

(1) Angioedema with ACE inhibitor use is quite common, especially with African Americans and may not manifest itself for months/years after starting an ACE inhibitor. 

(2) In light of acute kidney injury, doctors do often suspect fault with ACE Inhibitors and will hold/discontinue medications as appropriate. 

(3) A patient with a nonproductive cough, another common complication, although certainly not an immediate concern, will likely be switched to another class of medication. 

(4) Remember, when heart failure arises, the goal is to DECREASE the WORK LOAD of the heart in any way. ACE inhibitors accomplish this by decreasing RESISTANCE of blood against arterial walls, thus increasing CARDIAC OUTPUT. 

New Nurse Tips: Lovenox vs. Heparin for DVT Prophylaxis

Nursing school is hard. Anyone who’s been through it knows. Perhaps the general public might not fully understand, but maybe they do, since nursing is once again the most trusted profession in the United States. (Yay team!)

The amount of knowledge thrown at nursing students is so voluminous that many new grads walk away a little shell shocked and wondering if they learned anything at all. 

Originally posted by yourreactiongifs

In fact, I don’t know a single nurse who didn’t feel a little overwhelmed and nervous when they started caring for patients all by their lonesome. In the short time I’ve been a BSN, RN, I’ve already learned stuff, or in many cases, re-learned stuff, that if you’d asked me on the first day of nursing school, I would have just given you a blank stare.

Originally posted by plumkat

Yeah, pretty much exactly like that.

So! Anyway, long story short, as I embark on my second career as a nurse, I thought I might be able to pass along some of the practical knowledge I’ve gained to nursing students and new nurse grads, that may help them in their clinicals and/or roles as RNs.

Our first topic: Enoxaparin (Lovenox) vs. Heparin for DVT prophylaxis

I am an ICU nurse and pretty much every patient in our ICU will be on either Lovenox or Heparin for DVT prophylaxis. There are also SCD’s, but that’s a topic for another day; I’m trying to keep these posts relatively short.

If a patient has hepatic (liver) dysfunction, then most likely, they will not get Lovenox because it is metabolized in the liver. So, if the liver isn’t working, it may not clear the drug resulting in hepatotoxicity.

While Lovenox is metabolized in the liver, it’s primarily cleared through the kidneys. So, if the patient has kidney dysfunction, with no liver issues, they can still receive Lovenox, but at an adjusted dose.

TL;DR: Don’t give Lovenox to patients with liver problems.

Disclaimer: By no means is this a comprehensive analysis of enoxaparin and heparin for DVT prophylaxis. There are numerous other conditions in which cautious use of either would be warranted. The main point of these posts will be to hit the highlights. For example, in this case, if you get a patient on admission and you see they have a past medical history of liver dysfunction/failure, the first thing you should be thinking is, “be on the lookout for hepatotoxic medications.” You see what I’m getting at? I’m sure there are some nurses out there who have cared for patients who received Lovenox even though the patient has a liver dysfunction. That’s fine, but it’s the exception, not the rule.

Congratulations! If you made this far, send me a chat message and I’ll respond with a random fact about myself.


Why Ayurveda Treatment Is The Best For Kidney Disease In India? | Real Testmonial Kidney Patient |

Why Ayurveda Treatment Is The Best For Kidney Disease In India?
#Kidney_Problems can be distressing if not treated on time. Frequently, such
problems are found in diabetic and patients suffering from high blood-sugar level. Going for a kidney transplant or allopathic medicine can be the easiest option, but  if you want to get a permanent cure, the best option is to go for Ayurveda.

Ayurveda is the natural remedy for any type of health problem. It is believed that
kidney cells can revive itself naturally with the use of natural herbs. Karma
Ayurveda is one of the oldest names in Ayurveda which has treated many kidney
patients completely. It has a team of one of the well-known and eminent
physicians. Dr. Puneet Dhawan is a well-known face in Ayurveda and truly
believes in the magic of Ayurveda. He is an experienced physician who has cured many kidney patients with the right guidance with right #Kidney_Diet_Plan.

Hi everyone! Quick recap of the last 4 years since I passed my Nclex: I have been working as an RN for almost 4 years now - all in transplantation. I worked as a beside transplant nurse for 2.5 years, during that time I obtained my CCTN Certification (Certified Clinical Transplant Nurse). Always strive to grow within your profession. Certification is a great way to improve your skills and knowledge. I then became a Transplant Coordinator. I have been working as a coordinator for over a year. I take care of liver, kidney and pancreas transplant patients post-transplant. I provide transplant education, med teaching, etc. I also follow patients if they are readmitted to hospital for various reasons - infection, graft rejection, graft failure, etc. I am also in Grad School working towards my Doctorates of Nursing Practice (DNP) degree to become a Family Nurse Practitioner. I’m currently in year 2 of 4. I hope you enjoy my posts during my new journey. 

Patient: I have no medical history whatsoever.

Me: Are you sure?  Do you have any breathing problems, like asthma?

Patient: None.

Me: Ever had a seizure or a stroke?

Patient: Never!

Me: Kidney disease, liver problems?

Patient: Perish the thought!

Me: What about cardiac issues?  Anything wrong with your heart?

Patient: There is absolutely nothing wrong with my heart!

Patient: Well, except for that congestion … congested …

Me: *side-eye* … Congestive heart failure?

Patient: Yeah, that’s it.  I have that.

A brain in a vat is at the wheel of a runaway trolley, approaching a fork in the track. The brain is hooked up to the trolley in such a way that the brain can determine which course the trolley will take. There are only two options: the right side of the fork, or the left side. There is no way to derail or stop the trolley, and the brain is aware of this.

On the right side of the track there is a single railroad worker, Jones, who will definitely be killed if the brain steers the trolley to the right. If Jones lives he will go on to kill five men for the sake of thirty orphans (one of the five men he will kill is planning to destroy a bridge that the orphans’ bus will be crossing later that night). One of the orphans who will be killed would have grown up to become a tyrant who made good, utilitarian men do bad things, another would have become John Sununu, a third would have invented the pop-top can.

If the brain in the vat chooses the left side of the track, the trolley will definitely hit and kill another railman, Leftie, and will hit and destroy ten beating hearts on the track that would have been transplanted into ten patients at the local hospital who will die without donor hearts. These are the only hearts available, and the brain is aware of this. If the railman on the left side of the track lives, he, too, will kill five men – in fact, the same five that the railman on the right would kill. However, Leftie will kill the five as an unintended consequence of saving ten men: he will inadvertently kill the five men as he rushes the ten hearts to the local hospital for transplantation. A further result of Leftie’s act is that the busload of orphans will be spared. Among the five men killed by Leftie is the man responsible for putting the brain at the controls of the trolley. If the ten hearts and Leftie are killed by the trolley, the ten prospective heart-transplant patients will die and their kidneys will be used to save the lives of twenty kidney transplant patients, one of whom will grow up to cure cancer and one of whom will grow up to be Hitler. There are other kidneys and dialysis machines available, but the brain does not know this.

Assume that the brain’s choice, whatever it turns out to be, will serve as an example to other brains in vats, and thus the effects of its decision will be amplified. Also assume that if the brain chooses the right side of the fork, an unjust war free of war crimes will ensue, whereas if the brain chooses the left fork, a just war fraught with war crimes will result. Furthermore, there is an intermittently active Cartesian demon deceiving the brain in such a way that the brain is never sure that it is being deceived.

Question: Ethically speaking, what should the brain do?

—  Maps of Meaning, Jordan Peterson

#SavingHope 5.10 “Change of Heart” Synopsis & Stills (06/08/17) #EricaDurance #MichaelShanks #JuliaTaylorRoss #StaceyFarber

While planning her mother’s memorial service, Alex (Erica Durance) treats a young chronic kidney patient who has a “savior sibling” who is going to donate one of her kidneys, but when she presents with a cardiac virus, the sick sister becomes the savior. Meanwhile, Maggie (Julia Taylor Ross) and Sydney (Stacey Farber) rediscover and rekindle their relationship while treating an interesting young couple.      

Full Gallery:  HERE

Not a checklist

Psych has been a pretty sobering rotation. It’s easy to get worn out by the stories of childhood abuse, substance dependence, poverty, poor coping skills, and maladaptive behaviors. It’s easy to get frustrated with patients who look away when you come in the room, who give monosyllabic answers, who won’t help you help them, who actively fight all your efforts. Telling yourself over and over ‘they are sick, they are sick, they are sick’ only goes so far if you’re honest with yourself.

On inpatient consult service, I was sent to see A, a quadrapalegic, Hep C+, HIV+, stage 3 kidney failure patient who was just discharged last week and returned to us with a fever and 20 bed sores, one of which was very advanced. When I went to do the new patient workup, they wouldn’t look at me, barely answered my questions. It was a frustrating interview, like most consult interviews seem to be. On rounds we diagnosed them as depressed (can you blame them though?) and prescribed an SSRI. All in all my interactions with them were less than 10 minutes total. 

The next day when I went to see them our conversation was better. They were awake, spoke loud enough for me to hear, and actually answered my questions. Then they asked if I knew someone. It took me a few minutes to figure out who they were talking about, but it turns out A was referring to one of the students who was on consult before me- Sir Orthopod. Conventiently, this student was rotating on the inpatient psych floor in the same facility. I asked A if they would like me to see if Sir Orthopod can come visit today, A said they would very much like that and actually smiled. 

I immediately texted Sir Orthopod the patient’s room number, asked him to go see the patient. Sir Orthopod remembered them, and said he’d visit as soon as he could. I went on to see my next patient, write my notes, get done as soon as possible so I could eat and relax for a little bit.

A few hours later as I was eating my lunch in the doctor’s lounge, mindlessly scrolling on Facebook, when Sir Orthopod came and sat next to me. I asked, “How is A doing? I can’t get anything out of them, but they seem to really like you.“ 

He replied, "Yeah, when we had them I had a hard time getting them to talk to me too. One day I had an extra hour so I went up there and just talked to them about stuff. They’re really lonely, and nobody spends very much time with them.”

That hit me. I definitely could have spent more time with A. I mean, they are quadrapalegic and has a huge host of chronic medical conditions and very painful bed sores. They never have visitors. They lie alone in a dark ICU room, punctuated by this or that doctor or nurse or coming in for a minute, and watch TV all day- they can’t even change the channel or volume if they want. Were I in their shoes, I’d be desperate for human interaction too. Most gut wrenching of all, I had done the thing I swore up and down I’d never do: treat patients like items on a checklist, to be taken care of as quickly as possible. 

As medical students we have the immense luck of having no real responsibilites. Sure, we see patients and write notes, but our responsibilities are very superficial in reality. The residents and attendings are the ones who are so overloaded with responsibilites that they can’t spend more then 10-20 minutes with a patient in a day. But medical students? We have all the time in the world. Today, after I finish my notes and do a set of practice questions, I’m going to see if A would like some company.

"If the liver can regenerate, how do people die of liver failure?"

I attempted to answer this question awhile ago, and I thought I’d post my answer here too. The liver fascinates me. I think because it’s really such a vital organ.

“Often the person dies before the liver has time to regenerate, like in acute liver failure. The liver does a lot of stuff for the body, so when it isn’t working properly it stuffs up a lot of other things. The combination of these things can unfortunately kill a person quite quickly, before the liver can fix itself or a new liver can be found. A damaged liver can affect:

How fast your blood clots (it will take longer in a patient with liver failure and so they can bleed easily and for long times, and will need lots of blood products to both replace the lost blood as well as shorten the clotting time of the blood)

Movement of fluid to the wrong areas of the body. The increased pressure caused by blood flowing through a damaged liver can cause the blood vessels to leak fluid out into the abdominal cavity, which is called ascities. A big belly can then cause pressure on the lungs and make it harder to breathe. On top of that, the shock that the body gets from having a sick organ can cause the body to leak fluid out of blood vessels all over, making them swollen in their arms and legs, and I’ve seen some enormous scrotums too… Because of all of this leakage, the blood pressure can drop to dangerous levels and patients often need blood products such as albumin to shift the fluid back into the blood vessels. Ascities can be drained too.

The brain doesn’t work properly, because the toxins that the liver should be getting rid of stay in the body and travel to the brain. People become confused, agitated, drowsy, and possibly comatose if it gets too severe.

Blood sugar levels drop. The liver stores glucose, and so when it isn’t working, you can end up with dangerously low blood sugar levels. Your brain needs glucose to function!

High pressures in your blood vessels in your liver can have an affect on the blood vessels around your oesophagus, causing oesophageal varices - abnormal vessels around your oesophagus that can burst. In combination with bad clotting blood, this can cause life-threatening bleeding.

The accumulation of fluid and high pressures in your belly can squash the kidneys and their blood supply. Low blood pressure can also affect the kidneys. Often, patients in acute liver failure will require continuous dialysis for awhile because their kidneys stop working.

As for those who have chronic liver failure, this kind of stuff happens but at a slower rate. Once the liver is scarred (cirrhosis) it cannot grow back.”

Watch on

Kidney stones (renal lithiasis, nephrolithiasis) are small, hard mineral deposits that form inside your kidneys. The stones are made of mineral and acid salts.

Kidney stones have many causes and can affect any part of your urinary tract — from your kidneys to your bladder. Often, stones form when the urine becomes concentrated, allowing minerals to crystallize and stick together.

Passing kidney stones can be quite painful, but the stones usually cause no permanent damage. Depending on your situation, you may need nothing more than to take pain medication and drink lots of water to pass a kidney stone. In other instances — for example, if stones become lodged in the urinary tract or cause complications — surgery may be needed.

#kidney #kidneystones #laparoscopy #laparoscopysurgery #surgeon #surgery #renallithiasis #nephrolithiasis #nephrology #pathology #usmle #university #usmlestep1 #usmlestep2 #doctor #doctordconline #instavideo #video #hospital #hospitallife #patient #medvideos #mbbs #md #amc #plab @doctordconline

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Kidney Disease. My daughter is a pediatric dialysis patient. She is 7 years old and has been on dialysis for going on 4 years. Many people don’t think about kidney disease until it hits home(me included) There is so much to learn and understand. Its very important to know the signs and symptoms so that you can know if you need to be seen for evaluation. The American Kidney Fund is a great place to get information.

anonymous asked:

my god, you're sick. you need serious psychological help. asap

I don’t normally respond to anon hate, I don’t at all really, since my daddy reviews it, but this one really saddened me. I pity your poor soul. Why yes, my dear, I DO in fact need psychological help. And in fact I am sick. I am a chronic kidney disease patient. Survivor, too. Not in a stable condition to receive surgery for a transplant. You can’t exactly maintain a perfect state of mind when you’ve been close to death enough to question your existence every second of the day. You can’t exactly keep a peaceful state of mind when you’ve seen the tears of your family, friends and boyfriend fall to the ground thousands and thousands of times because they live in fear that each morning you wake up may be your last. You can’t exactly keep a peaceful state of mind when ambulance trips became so frequent you could memorize the whole ride to the hospital with your eyes closed and you can’t exactly be mentally perfect when all that your doctors ever tell you, is that you are not improving. You can’t exactly be mentally perfect when your best friend was killed by a drunk driver or when your first little cat, who listened to you when nobody else did suddenly took a death dive over your apartment balcony.

It’s sad I had to go this far for your sick soul to understand. And I don’t need to continue because your absolutely pitifully selfish soul does not deserve to have insight on my past pain.

Dd/lg is my escape. And it is for MANY other people as well. And you have no right to judge me or them. I don’t care if you don’t like it. Suck it up. Because of Dd/lg I no longer worry, because my boyfriend becomes my loving protector. Because I forget about the harsh fact that I may not be here tomorrow or the next day.

There are people out there who support animal cruelty and other sickening actions but you’re too busy calling ME the sick one for finding something that’s helping me cope.

I do need psychological help. Because I don’t want to feel bad, and I don’t want to die just yet. And I don’t need a despicable soul like you to remind me that I’m not okay. Please never come back. In fact just get off tumblr. Stop kink shaming. Mind your own business and respect the lives of others who do what they enjoy in life. Either deal with it or have someone knock some damn sense into your head, and THEN deal with it.

☆ Princess fucking Meowlanie ☆

P.S, if you harass or kink shame any of my angels, or just any littles or pets in general I’ll be sure to make you regret doing so.