Chronische Nierziekte III: Interprofessionele Zorg

Chronic Kidney Disease requires collaborative management.

Diagnosis involves measuring the glomerular filtration rate and serum creatinine, with early signs like proteinuria.

Imaging studies such as renal ultrasound assess kidney size and obstruction, CT scans detect stones and tumors, and kidney biopsy helps diagnose diseases like glomerulonephritis.

Medical management involves controlling hypertension with ACE inhibitors or angiotensin II receptor blockers to protect kidney function.

Hyperkalemia management involves dietary potassium restrictions and medications like patiromer; in emergencies, calcium gluconate stabilizes cardiac membranes, while insulin promotes cellular potassium uptake.

Dialysis is indicated for patients with end-stage kidney disease or severe complications, like fluid overload, hyperkalemia, or metabolic acidosis.

Options include hemodialysis, peritoneal dialysis, and continuous renal replacement therapy.

Nutrition therapy limits protein intake to 0.6–1.0 g/kg/day for non-dialysis patients and 1.2–1.3 g/kg/day for dialysis patients.