End-Stage Renal Disease

Contents

Contributors

Foreword

Preface


1 Renal Physiology and Pathophysiology of Renal Failure

I. Anatomy

II. Renal Blood Flow

III. Glomerular Filtration

IV. Renal Handling of Macromolecules

V. Renal Tubular Function

VI. Sodium

VII. Potassium

VIII. Calcium and Inorganic Phosphorus (Phosphate)

IX. Renal Regulation of Acid-Base Balance

X. Urinary Dilution and Concentration

XI. Renal Endocrine Function

General References

References


2 The Presentation of the Patient with Chronic Renal Failure

I. A Summary ofPatients~ Initial Modes of Presentation

II. The Uremic Illness

General References

References


3 Medical Complications of End-Stage Renal Disease

I. Introduction

II. Reversible Aspects of Renal Failure

III. Organ System Involvement and Other Complications

References


4 Endocrine and Metabolic Changes Accompanying End-Stage Renal Disease

I. Introduction

II. Abnormalities of Basal Metabolism and Thyroid Hormone Economy

III. Glucose and Insulin Metabolism in Uremia

IV. The Hyperlipidemias

V. Growth Hormone and Somatomedin Metabolism in Uremia

VI. Pituitary Adrenocortical Function in Uremia

VII. Pituitary-Gonadal Axis

VIII. Gastrointestinal Hormones

IX. Synthesis

General Reference

References


5 Psychiatric Aspects of End-Stage Renal Disease: Diagnosis and Management

I. Personality Changes in End-Stage Renal Disease

II. Education for Patients with Pre-End-Stage and End-Stage Renal Disease

III. Psychological Factors Influencing the Choice of Alternative Methods of Treatment

IV. Neuropsychiatric Manifestations with End-Stage Renal Disease

V. Reactions of Staff in a Dialysis Center

VI. The Role of Psychiatrist as a Team Member of a Nephrology Unit

VII. Summary

General References

References


6 Social Work with Renal Failure Patients: Roles of the Social Worker

I. Introduction

II. Roles of the Social Worker

III. Concluding Statement

General References

References


7 The Problem of Vascular Access in the Management of End-Stage Renal Disease: The Various Possibilities of Producing a Shunt

I. Access for Hemodialysis

II. Access for Peritoneal Dialysis

III. Conclusion

General References

References


8 Dialysis

I. Introduction

II. Hemodialysis

III. Peritoneal Dialysis

IV. Results of Dialysis

References


9 Technical Aspects of Dialysis

I. Introduction

II. Water Treatment

III. Hemodialysis Systems

IV. Dialyzer Reuse

V. Peritoneal Dialysis

VI. Patient Education

References


10 The Case for Renal Transplantation

I. The Concept of Transplantation

II. Recipient Selection

III. The Evaluation of Prospective Kidney Donors

IV. The Surgical Procedure

V. Immunosuppression

VI. Long-Term Management

VII. Long-Term Complications Following Transplantation

VIII. Data Analysis

General References

References


11 Nursing Care of the Patient with End-Stage Renal Disease

I. Introduction

II. The Renal Clinic

III. Hemodialysis

IV. Peritoneal Dialysis

V. In-Center Dialysis

VI. Renal Transplantation

VII. Conclusion

References


12 The Role of Nutrition in End-Stage Renal Disease

I. Introduction and General Principles

II. Predialysis and Dialysis: Individual Components of the Diet

III. Transplantation

IV. Special Considerations

V. Compliance

VI. Conclusion

References


13 End-Stage Renal Disease: An Integrated Approach

Subject Index