By Roger Gabriel (auth.)
In some ways this e-book is a staff attempt. many folks have helped me in writing it. first of all, I thank my spouse who learn the manuscript two times correcting grammatical error and spelling and clarifying many sentences. Secondly, I thank neighbors and associates at St. Mary's clinic, together with Mrs Jean Emerson, Renal Unit Social employee and Mrs June Morgan, Senior Dietician, either one of whom contributed technical info; Sisters Christine Holmes and Malinie Polpitiye who learn and criticized a few chapters; leave out Mary Williams, Mr Robert Minor and Mr Richard Viner who as sufferers learn a few sections and made necessary feedback. My thank you are as a result of leave out Veronica Adams who typed lots of the manuscript and likewise to Mrs June Marshall and leave out Joyce Meadows who helped with typing and masses photocopying. i have to thank Baxter Healthcare whose beneficiant monetary aid enabled this booklet to be released. The editorial employees of MTP Press were very useful, fast and effective in publishing the textual content. If any reader desires to be aware of extra approximately renal ailment, there are a number of strong introductory books on renal medication to be had. i'm yes that the neighborhood public library might be happy to assist. Any elements of this booklet which are incorrect or deceptive are my accountability. If someone has the power to indicate blunders to me i'm going to try and right them in any next edition.
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Additional info for A Patient’s Guide to Dialysis and Transplantation
Phosphate is one of the constituents of all foods. It is rapidly excreted by normal kidneys. In kidney failure, phosphate, like urea, builds up in the blood. If there is a persistent high blood concentration of phosphate it can combine with calcium in the blood. The calcium-phosphate mixture is then deposited in blood vessel walls and joints and damages them. Such damage can be avoided if the blood phosphate is kept about normal. There are two drugs which can be taken to reduce the amount of phosphate which is absorbed from the intestines.
7 The approximate frequency of different causes of chronic renal failure in Europe and USA 41 CAUSES AND SYMPTOMS OF KIDNEY FAILURE Symptoms of Chronic Renal Failure There are no symptoms of chronic renal failure which are caused directly by the kidney disease. It is quite common to meet young patients who have less than 10 per cent of their kidney function left but have no symptoms. In contrast, symptoms are likely to occur earlier in people aged 50-60 years or more. The following symptoms may occur in people with chronic renal failure but not all will occur in anyone person.
Within renal medicine the term 'creatinine clearance' is often simply referred to as 'clearance'. A healthy young adult has a creatinine clearance of about 120 mlfminute. People on dialysis have creatinine clearance of 1 or less than 1 mlfminute. Generally a person is transferred to a Low Clearance Clinic when his creatinine clearance is about 10 to 20 mlfminute. Low Clearance Clinics are run by nurses trained in renal medicine and dialysis, a dietician with special experience of renal diets and one of the more senior renal unit doctors.