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1 | mobile-kidney-web-2.0.0.zip\mobile-kidney-web\acceptance_test\watir\datasheet | Kidney_Info_Text_Content.xls | Wed Apr 4 20:16:46 2018 UTC |
2 | mobile-kidney-web-2.0.0.zip\mobile-kidney-web\acceptance_test\watir\datasheet | Kidney_Info_Text_Content.xls | Tue May 22 19:24:38 2018 UTC |
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1 | SHEET: kid neyAndKidn eyDisease | |
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3 | Section, N avigatitio n, Section Image, Im age Alt Te xt, Sectio n Header, Content Se gment 1, S egment 2, Segment 3, Segment 4 , Segment 5, Segment 6 | |
4 | 1, learnMo re>kidneyI nfo>1, dis ease-1.jpg , anatomic al drawing of a kidn ey section , Healthy Kidneys, H ealthy kid neys work 24 hours a day, 7 da ys a week. They clea n your blo od and kee p water an d minerals at the le vels your body needs . | |
5 | 2, learnMo re>kidneyI nfo>1, dis ease-2.jpg , location of kidney s in the b ody, Where Your Kidn eys are Lo cated, Mos t people h ave two ki dneys, eac h about th e size of a fist. Th e kidneys are locate d in the b ack of the body abov e the wais t. The rib cage prot ects them. , Each kid ney has a ureter—a t ube that b rings urin e from the kidneys t o the blad der. | |
6 | 3, learnMo re>kidneyI nfo>1, bal anced.jpg, two equal weights b alanced on a board, The Job of Healthy K idneys is BALANCE, Y our body w orks best when water and chemi cals in yo ur blood s tay in a t ight range all the t ime. To ke ep your bl ood in bal ance, heal thy kidney s do three main thin gs:, Kidne ys remove wastes and excess wa ter from y our blood. Each time you eat, take medic ine, or mo ve your mu scles, was tes build up in your blood. Yo ur kidneys send thes e wastes ( and extra water) to the “trash can”—your bladder. The wastes and water leave you r body as urine., Ki dneys make messages, called ho rmones. Ki dney hormo nes help y ou make re d blood ce lls, have healthy bo nes, and c ontrol you r blood pr essure., K idneys con trol level s of elect rolytes in your bloo d. In your body, ele ctrolytes— such as po tassium an d calcium— carry nerv e signals, help your blood to clot, and do many ot her key ta sks. | |
7 | 4, learnMo re>kidneyI nfo>1, art eries.jpg, human bod y illustra ting veins and arter ies, Kidne ys Help Bl ood Vessel s and Nerv es Stay He althy, Bec ause kidne ys keep wa ter and el ectrolytes in balanc e, they he lp control blood pre ssure and keep your blood vess els and he art health y. And, ki dneys clea n wastes o ut of your blood so your body works the way it sho uld. | |
8 | 5, learnMo re>kidneyI nfo>1, dis ease-5.jpg , arrow sh owing rang es of pH l evels: aci d pH is 0, neutral p H is 7, an d a pH of 14 is a ba se, Kidney s Help Con trol Acid Levels in the Blood, Healthy k idneys—alo ng with yo ur lungs—k eep tight control on the level of acid w astes in y our blood. They remo ve excess acid waste s from the blood. Ha ving this balance th rown off c an affect many organ s., The ac id level o f your blo od is meas ured using pH values . A pH of 7.0 is neu tral. In m ost people , blood pH is about 7.4. Your clinic may measure y our blood pH. | |
9 | 6, learnMo re>kidneyI nfo>1, red -blood-cel ls.jpg, re d blood ce lls, Kidne ys Help Yo ur Blood C arry Oxyge n, Healthy kidneys c heck the n umber of r ed blood c ells in yo ur blood. If there a re not eno ugh, they send a hor mone (call ed erythro poietin, o r EPO) to your bone marrow to say: 'make more!', Y our red bl ood cells carry oxyg en from yo ur lungs t o all the cells in y our body. | |
10 | 7, learnMo re>kidneyI nfo>1, ske leton.jpg, human ske leton, Kid neys Help Build Stro ng Bones, Finally, h ealthy kid neys help your bones in 3 ways . They:, T urn Vitami n D in you r body int o its acti ve form. Y our gut ne eds active Vitamin D to absorb calcium f rom what y ou eat and drink. Wi thout it, it doesn’t matter ho w much cal cium you g et., Contr ol levels of calcium and phosp horus in y our blood. Calcium a nd phospho rus are mi nerals fou nd in many foods. Yo ur bones a nd teeth a re made of these min erals., Ke ep levels of parathy roid hormo ne (PTH) i n check by having th e right le vels of ca lcium and phosphorus in your b ones. If P TH levels get too hi gh, your b ones could become we ak., Kidne ys play a big role i n your ove rall healt h. | |
11 | 8, learnMo re>kidneyI nfo>1, dis ease-8.png , one side of the te eter totte r has a he avier obje ct, Kidney Disease T hrows the Body Out o f Balance, When the kidneys do n’t work a s they sho uld, your whole body can feel the impact . | |
12 | 9, learnMo re>kidneyI nfo>1, dis ease-9.jpg , poison h azard sign , Acute Ki dney Injur y = Sudden Damage, W hy do kidn eys fail? There are two kinds of kidney failure: a cute and c hronic., A cute kidne y injury i s caused b y sudden h arm to the kidneys. Some commo n causes a re a sever e loss of blood, a s evere drop in blood pressure, or a toxin , such as a medicine . Toxins t hat can ca use acute kidney inj ury includ e:, Some p ain pills (non-stero idal anti- inflammato ry drugs, or NSAIDs) , IV contr ast dye fr om X-ray t ests, Some antibioti cs, like g entamicin or vancomy cin, If so meone live s through acute kidn ey injury, their kid neys may g et some fu nction bac k—but they may not. Having fun ction come back may take as lo ng as a ye ar. Some p eople who live throu gh acute k idney inju ry are lef t with chr onic kidne y disease. | |
13 | 10, learnM ore>kidney Info>1, di sease-10.j pg, sand m oving thro ugh an hou rglass, Ch ronic Kidn ey Disease = Slow Pr ocess of D amage, Chr onic kidne y disease gets worse over time . It can l ead to kid ney failur e (the los s of kidne y function ). Damage happens so slowly th at you wil l likely n ot feel a thing unti l it becom es severe. This is w hy some pe ople have a hard tim e believin g that the y really h ave a kidn ey problem . If your kidneys fa il, with t reatment y ou can tur n the hour glass over and start a new lif e. Even wi th kidney failure yo ur life CA N still be good. | |
14 | 11, learnM ore>kidney Info>1, gf r-scale.jp g, stages of chronic kidney di sease. Sta ge 1 has a GFR of 90 or greate r. Stage 2 has a GFR range of 60 to 90, Stage 3 ha s a GFR ra nge of 30 to 59. Sta ge 4 has a GFR range of 15 to 29 and Sta ge 5 has a GFR of 15 or less, Stages of Chronic Ki dney Disea se, Chroni c kidney d isease, or CKD, has five stage s:, In sta ges 1 and 2, the kid neys work but there is some da mage and p rotein in the urine. , Most peo ple find o ut that th ey have CK D in stage 3 or 4, w hen kidney function starts to drop. (Som e never ha ve stages 1 or 2.), During sta ge 5 CKD, the kidney s hardly w ork at all . This is kidney fai lure, or e nd-stage r enal disea se (ESRD). If the ki dneys reac h end-stag e due to C KD, there is no way to make th em work ag ain. You o nly need a bout 10% o f your kid ney functi on to live —and if yo u have les s than tha t, there a re treatme nts that c an keep yo u alive an d let you have a goo d life. Yo u can live with kidn ey failure with dial ysis or a transplant . To learn more, vis it the Tre atment Roo m., A mark er called eGFR is us ed to see how well y our kidney s are work ing. eGFR may drop a little ea ch year ju st due to normal agi ng. eGFR t ells you w hat percen t kidney f unction yo u have. Mo st healthy people ha ve an eGFR of 90 or higher (90 % function ). The goo d news is, there’s a lot you c an do to p rotect you r kidneys once you k now you ha ve a probl em., What’ s your eGF R? If you don’t know , ask your care team . Or, if y ou know yo ur serum c reatinine level, vis it the eKi dney Clini c site and you can f ind out wi th the eGF R Calculat or. | |
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16 | SHEET: sym ptomsOfKid neyDisease | |
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18 | Section, N avigatitio n, Section Image, Im age Alt Te xt, Sectio n Header, Content Se gment 1, S egment 2, Segment 3, Segment 4 , Segment 5, Segment 6, Segmen t 7, Segme nt 8, Segm ent 9, Seg ment 10, S egment 11, Segment 1 2, Segment 13, Segme nt 14, Seg ment 15, S egment 15 | |
19 | 1, learnMo re>kidneyI nfo>1, sym ptoms-1.jp g, physici an and pat ient talki ng, Talk t o Your Doc tor About Symptoms, Even if a doctor has told you that chron ic kidney disease is harming y our kidney s, you may not feel the effect s. Many pe ople don’t notice an y symptoms until the ir kidneys hardly wo rk at all. Or, you m ay have sy mptoms and wonder if they migh t be cause d by a kid ney proble m. The onl y way to k now for su re is to s ee your do ctor. Symp toms can b e a clue, but the sa me symptom s can have many caus es. Only a doctor ca n diagnose kidney di sease, and this is d one with b lood and u rine tests . | |
20 | 2, learnMo re>kidneyI nfo>1, sym ptoms-2.jp g | |
21 | U.S. Navy photo by M ate 2nd Cl ass Michae l Sandberg , male hav ing blood taken from arm for m edical tes t, Not Sur e if Your Kidneys ar e Healthy? Ask Your Doctor, If you are n ot sure ab out your k idney heal th, your V A health c are team c an help. T hey can do some simp le lab tes ts to see how well y our kidney s are work ing. Lab t ests measu re levels of chemica ls or cell s in your blood or u rine to ch eck for ki dney probl ems. They will want to check y our blood pressure a nd test yo ur urine f or protein and other substance s. They wi ll take a small bloo d sample t o measure kidney fun ction by l ooking for a build-u p of waste s. You may need an u ltrasound or other t ests as we ll. Visit the Labora tory for m ore inform ation. | |
22 | 3, learnMo re>kidneyI nfo>1, sym ptoms-3.jp g, man wit h eyes clo sed holdin g head, Te ll Your Ca re Team if You Have Any of The se Symptom s, Some pe ople say t hey felt “ fine” righ t up until their kid neys stopp ed working . Maybe th ey didn’t have any s ymptoms. O r, maybe t hey didn’t know what to look f or. Your c are team w ill be abl e to help you feel b etter if y ou tell th em about a ny symptom s you have . Here is a list of common sym ptoms of s evere chro nic kidney disease:, I’m so ti red!, I fe el cold al l the time , My feet are so swo llen that my shoes d on’t fit, My fingers are so sw ollen that my rings don’t fit, My face l ooks puffy , It’s har d to breat he, I itch all over, The thoug ht or smel l of meat makes me s ick to my stomach, I feel sick to my sto mach a lot , I feel f aint or di zzy, or pa ss out, Fo od doesn’t taste rig ht—it all tastes lik e metal, I can’t thi nk clearly , My urine is foamy or bubbly, a dark co lor like c ola, or I feel press ure when I have to g o, People tell me my breath sm ells like ammonia, D ownload a CKD Sympto m Diary an d write do wn any sym ptoms you notice. As k your pro vider abou t any of y our sympto ms: either call his/ her office , use secu re messagi ng (availa ble throug h MyHealth Vet), or b ring the l ist to you r next VA clinic app ointment. If you hav e a sympto m now, it doesn’t me an that yo u always w ill. Many of these s ymptoms ca n be treat ed and you can feel better. In most case s, CKD doe s NOT caus e kidney p ain. | |
23 | 4, learnMo re>kidneyI nfo>1, bat htub-water .jpg, wate r draining out of a bathtub, W ater and S alt Build Up in Your Body, Kid neys that don’t work well don’ t remove a ll of the excess wat er and sal t from the body. Thi nk of your body as a bathtub. When your kidneys wo rk well, y ou fill up the “tub” by drinki ng—and the n the wate r and salt go down t he drain a s urine. B ut when yo ur kidneys don’t wor k well, wa ter and sa lt stay in the “tub” and only drain out slowly. If your kidn eys fail, the water and salt d on’t drain out at al l, and you need trea tment to l ive. | |
24 | 5, learnMo re>kidneyI nfo>1, sym ptoms-5.jp g, swollen feet prop ped on a c hair, Swel ling in th e Hands, F eet, or Fa ce, When t he kidneys don’t wor k well, ex cess water and salt can build up in the hands, fee t, or face (often un der the ey es). This problem is most comm on in kidn ey disease s that cau se protein to leak i nto the ur ine (calle d proteinu ria)., Cut ting back on salt in your diet will help because s alt holds water in y our body., Medicines may help, too:, Diu retics (wa ter pills) prescribe d by a doc tor can he lp your bo dy get rid of some e xcess wate r and salt (as long as your ki dneys are still work ing)., Blo od pressur e pills ca lled ACE i nhibitors or ARBs ma y help slo w the type s of kidne y problems that caus e swelling ., To lear n more abo ut medicin es, visit the Pharma cy. | |
25 | 6, learnMo re>kidneyI nfo>1, foa my-urine.p ng, urine with bubbl es, Change s in Urine , Some kid ney proble ms can cau se changes in the co lor or amo unt of you r urine. D iseases th at damage the filter s in the k idneys can let prote in from th e blood le ak out int o the urin e., If thi s happens, you might notice th at your ur ine looks bubbly, fo amy, or da rk. You mi ght also m ake more o r less uri ne than us ual, or ha ve blood i n your uri ne. | |
26 | 7, learnMo re>kidneyI nfo>1, red -blood-cel ls.jpg, re d blood ce lls, Anemi a: Too Few Red Blood Cells, He althy kidn eys tell y our bone m arrow to m ake red bl ood cells. How? They make a ch emical mes sage. The kidneys se nd a hormo ne called erythropoi etin, or E PO, to the bone marr ow where r ed blood c ells are m ade. Hormo nes are ch emical sig nals made in one par t of the b ody that c ontrol ano ther part of the bod y. Kidneys make thre e hormones :, Erythro poietin (E PO) – help s you make red blood cells., C alcitriol (active vi tamin D) – helps you absorb ca lcium from food., Re nin – help s control blood pres sure., Kid neys that don’t work right mak e less EPO . This can mean that you don’t have enou gh red blo od cells—a problem c alled anem ia. Slight anemia is okay when you have a kidney p roblem. Yo u might no t even kno w you have it. But s evere anem ia causes many of th e symptoms of chroni c kidney d isease, li ke:, Fatig ue, Feelin g cold all the time, Fuzzy thi nking, The good news is anemia can be tr eated so y ou have mo re energy. | |
27 | 8, learnMo re>kidneyI nfo>1, sym ptoms-8.jp g | |
28 | Photo Cred it: Minnie Jones, ar my vet wor king on ho rse, Worki ng? Don’t Quit Becau se You’re Tired!, An emia from kidney dis ease can m ake people so tired that they feel like they have to quit th eir jobs. But, if yo u work, th ink twice before you quit. Tak ing disabi lity may n ot be your best choi ce. Why?, Disability does not pay as muc h as your job—you wi ll get onl y about 1⁄ 3 of your income., I f you quit , you may find it ha rd to find a new job ., Work ca n give you a sense o f pride an d help you feel valu ed., Anemi a can be t reated and you can h ave more e nergy to d o things y ou want to do., The treatment for anemia can take three form s:, Iron, which your body need s as a bui lding bloc k to make red blood cells., Ma nmade eryt hropoietin , or EPO., Blood tra nsfusion, as a last resort., I f you feel too tired to work, talk to yo ur care te am. Ask to be tested for anemi a. The tes t is a blo od count f or hemoglo bin—your l evel of re d blood ce lls. To le arn more, visit the Laboratory . | |
29 | 9, learnMo re>kidneyI nfo>1, cou ghing.jpg, adult man coughing, Shortness of Breath , If you f eel like y ou get win ded easily , it might be a symp tom of kid ney diseas e. Shortne ss of brea th in peop le with ki dney probl ems can be caused by a build-u p of exces s fluid or by anemia . Both of these can be treated —and you c an feel be tter. | |
30 | 10, learnM ore>kidney Info>1, st atue-scrat ching.jpg, statue ho lding scra tcher and scratching under arm , Itching Can Be Tre ated—Ask H ow, Late s tage chron ic kidney disease ca n make you itch! It may be tha t your ski n is dry. Try a loti on. In man y cases, t he cause i s a build- up of phos phorus in your blood . As kidne y function drops, th e kidneys remove les s phosphor us. You ta ke in phos phorus eac h time you eat. It’s one of th e most com mon minera ls in our food suppl y. Nearly all foods have at le ast some. Foods with the most phosphorus include:, Meats, Da iry, Nuts, Beans, Wh ole grains , Chocolat e, Cola dr inks, Tryi ng to limi t foods wi th phospho rus can be a challen ge, but th ere are wa ys to do i t. To lear n more, vi sit the Nu trition Ro om. | |
31 | 11, learnM ore>kidney Info>1, ph osphorus-m agnet.gif, circles r epresentin g phosphor us moving towards a horseshoe magnet, It ching Trea tment: Pho sphate Bin ders, Your doctor ma y prescrib e medicine s for you called pho sphate bin ders. Like a magnet, binders a ttract and hold phos phorus bef ore it can get into your blood stream. Th e phosphor us passes through yo ur gut and is remove d in your stool. Mos t binders are prescr ibed by yo ur doctor. Taking ph osphate bi nders and watching w hat you ea t go hand in hand to help you feel your best., You take phos phate bind ers:, WITH food—whil e you are eating, so they are in your gu t with you r food, Wi th ALL foo d—meals an d snacks, ONLY with food—if yo u forget, wait until your next meal or s nack, To l earn more, visit the Pharmacy. | |
32 | 12, learnM ore>kidney Info>1, gu y-plugging -nose.jpg, adult man plugging his nose, Can’t Eat Protein? T alk to You r Care Tea m, If you find that you can’t face eatin g protein foods like meat—or c an’t eat m uch at all —see your health car e team rig ht away. N ausea and loss of ap petite can occur wit h kidney p roblems, o r can be a symptom o f another illness., Kidney dis ease can c ause many kinds of s ymptoms—or no sympto ms at all: , If you w orry that you might have a kid ney proble m, please set up a t ime to see your VA h ealth care team., If you know you have a kidney pr oblem and you now fe el nausea or don’t w ant to eat , ask your care team to check your level of kidney function. , Keeping track of y our sympto ms can hel p you get the care y ou need to feel your best. | |
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34 | SHEET: how ToProtectY ourKidneys | |
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36 | Section, N avigatitio n, Section Image, Im age Alt Te xt, Sectio n Header, Content Se gment 1, S egment 2, Segment 3, Segment 4 , Segment 5, Segment 6, Segmen t 7, Segme nt 8, Segm ent 9, Seg ment 10, S egment 11, Segment 1 2, Segment 13, Segme nt 14, Seg ment 15 | |
37 | 1, learnMo re>kidneyI nfo>1, pro tect-1.jpg , drawing of cupped hands hold ing kidney s, Manage Health Pro blems, The re are ste ps you can take to p rotect you r kidneys. These can range fro m keeping other heal th problem s in contr ol to chan ging some parts of y our lifest yle. If yo u are over weight, lo sing weigh t can help protect y our kidney s. The cha nges are w orth it. H aving even a little bit of kid ney functi on is much better th an not hav ing any., Two health problems cause most of the ki dney failu re in the U.S.: diab etes and h igh blood pressure., To learn more about diabetes, visit How to Slow K idney Dise ase: When You Have D iabetes., To learn m ore about high blood pressure, visit How to Slow K idney Dise ase: When You Have H igh Blood Pressure. | |
38 | 2, learnMo re>kidneyI nfo>1, pro tect-2.jpg , pie char t of cause s of kidne y disease: Type 2 di abetes cau ses 42% of kidney di sease. Hig h Blood pr essure cau ses 28%. G lomerular diseases c ause 7%. M iscellaneo us items c ause 6%. 4 % of chron ic kidney disease ar e from unk nown cause s. Type 1 diabetes c auses 4%. Cystic or hereditary problems cause 3%. Nephritis and Tumors each caus e 3% of ch ronic kidn ey disease ., To Slow Chronic K idney Dise ase, Treat the Cause , As you c an see in the pie ch art on the right (cl ick on the image to enlarge it ) , there are many h ealth prob lems that can damage the kidne ys. Most k idney fail ure in the U.S. is c aused by e ither type 2 diabete s or high blood pres sure—or bo th at the same time. Diabetes mellitus i s a diseas e where th ere is too much suga r in your blood—whic h goes thr ough into your urine . Diabetes is the le ading caus e of kidne y failure in the U.S . To learn more:, If you have diabetes, visit How to Slow Ki dney Disea se: When Y ou Have Di abetes., I f you have high bloo d pressure , visit Ho w to Slow Kidney Dis ease: When You Have High Blood Pressure. | |
39 | 3, learnMo re>kidneyI nfo>1, blo od-pressur e-cuff.jpg , blood pr essure cuf f, sphygmo manometer, and steth oscope, Te st for and Treat Hig h Blood Su gar and Bl ood Pressu re, If you have diab etes, good blood sug ar control can help protect yo ur kidneys . Knowing what your blood suga r is and h ow it reac ts to what you do an d what you eat is th e first st ep to keep ing it in control. Y our care t eam will t ell you wh at blood s ugar targe ts to aim for., Keep ing your b lood press ure in the target ra nge can al so protect your kidn eys. Like blood suga r, knowing your bloo d pressure is the fi rst step t o getting it in cont rol. | |
40 | 4, learnMo re>kidneyI nfo>1, pro tect-4.jpg , man and womam look ing at com puter, Stu dy YOUR Ca use of Kid ney Diseas e, Learn a bout the i llness tha t caused y our kidney problem. Look it up . HOW?, As k your car e team how to spell the name o f your pro blem so yo u can lear n more abo ut it., Go to a libr ary and ta lk to a li brarian., The VA Med ical Cente r library is even be tter. Use the online Veteran's Health Li brary (VHL ) to find resources. , Use othe r sites on the Inter net. Put t he name of your prob lem into a search en gine and g o to a gov ernment or non-profi t site, li ke Medline Plus from the Natio nal Instit utes of He alth* or t he Nationa l Kidney D isease Edu cation Pro gram*., Go to your V A patient education nurse and ask for he lp., Talk to your ca re team ab out what y ou learn. You just m ight find your way t o somethin g that can help you. , *Links w ill take y ou outside of the De partment o f Veterans Affairs w ebsite. VA does not endorse an d is not r esponsible for the c ontent of the linked websites | |
41 | 5, learnMo re>kidneyI nfo>1, pro tect-5.jpg , red, ora nge, and g reen veget ables arra nged in a heart shap e, Make Go od Food an d Drink Ch oices, Peo ple often want to kn ow what th ey can eat or drink to keep th eir kidney s healthy. Good choi ces are fo ods that a re healthf ul in gene ral—like f ruits and vegetables . Also, tr y to eat f oods that are fresh and have f ew ingredi ents. Eat a rainbow! , To prote ct your ki dneys you can also:, Avoid sal ty, deep f ried, and highly pro cessed foo ds like “h elpers,” c anned soup s, fast fo od, and so da., Drink water—not soda, jui ce, or die t drinks w ith artifi cial sweet eners., To learn mor e about it , visit th e Nutritio n Room., N OTE: If yo ur kidneys have fail ed, you ma y have lim its on wha t you can eat and dr ink based on the typ e of treat ment you c hoose. Tal k to your dietitian to learn w hat’s best for you. | |
42 | 6, learnMo re>kidneyI nfo>1, pro tect-6.jpg , deck of cards, A P rotein Ser ving is Ab out the Si ze of the Deck of Ca rds, Some doctors ma y ask you to eat les s protein to ease th e burden o n weak kid neys. Eati ng less pr otein may help slow kidney dis ease. But, you do ha ve to eat SOME prote in. Protei n is a key building block for your body. If you li mit it too much, you r body may break dow n muscle., A piece o f meat the size of a deck of c ards is ab out 4 oz o f protein. This is o ne serving . You may need to ad just the a mount of p rotein you eat durin g a meal. Small piec es in a ke bab, salad , or stir- fry are a good way t o get enou gh, but no t too much . | |
43 | 7, learnMo re>kidneyI nfo>1, pro tect-7.jpg , man jogg ing on a p ath, Stay Active in Life, Bein g active c an help pr otect your kidneys. Exercise h elps your whole body work the way it sho uld, and k eeps you f eeling goo d about yo ur life an d what you can do. I f you have not been active, ta lk with yo ur care te am about a n exercise plan. A r eferral to a physica l therapis t may help you get s tarted., V isit MOVE! ®, a VA pr ogram to h elp you ge t started with exerc ise and we ight manag ement. | |
44 | 8, learnMo re>kidneyI nfo>1, pro tect-8.jpg , bottle o f pills la beled NSAI DS with a big red wa rning symb ol flashin g across t he label, Avoid NSAI D Pain Pil ls, Non-st eroidal an ti-inflamm atory pain pills, or NSAIDS, a re a rare cause of k idney fail ure—most o ften if th ey are tak en daily f or a year or more. O r, they ca n make the disease p rogress fa ster. Most NSAIDS ar e over-the -counter, like:, Ibu profen, Na proxen, Av oid NSAIDS as much a s you can. , Other NS AIDS are p rescribed by a docto r, like:, Indomethac in, Piroxi cam, Nabum etone, Cel ecoxib, Ta lk to your care team about pai n treatmen t that's s afe for yo u to use a nd won't h urt your k idneys, li ke:, Cold or heat, P hysical th erapy, TEN S (electri cal stimul ation), Bi ofeedback, Acupunctu re, A refe rral to th e VA Pain Clinic | |
45 | 9, learnMo re>kidneyI nfo>1, pro tect-9.jpg , collage of street drugs and parapherna lia, Avoid Substance Use, Kidn ey disease is not so mething to take ligh tly. Many street dru gs and IV drugs can damage you r kidneys. These inc lude:, Aer osols, Coc aine and c rack cocai ne, Ecstas y, Heroin, LSD, Meth , PCP, Pop pers, To f ind out if a street drug can h arm your k idneys, pu t the drug name and the word ' kidneys' i nto an Int ernet sear ch engine. , If you u se drugs a nd need he lp to stop , talk to your care team. The VA has sub stance use treatment s that can help you. Your care team can refer you. Learn mor e about su bstance us e treatmen t. | |
46 | 10, learnM ore>kidney Info>1, pr otect-10.j pg, ashtra y full of cigarette butts, Smo king Makes Kidney Di sease Get Worse, Mos t of us kn ow that sm oking is b ad for us. It causes lung canc er and hea rt disease . Most peo ple don't know that smoking sp eeds up ki dney disea se, too., The tiny f ilters ins ide your k idneys are blood ves sels, and smoking gu ms up bloo d vessels. If you sm oke and ha ve kidney problems, quitting i s one of t he best gi fts you ca n give you rself., Th e VA offer s smoking cessation classes an d treatmen t, like pa tches and gum. Talk to your ca re team if you need help to st op smoking . | |
47 | 11, learnM ore>kidney Info>1, pr otect-11.j pg, MRI ma chine, Pro tect Your Kidneys if You Need an X-ray T est with D ye, IV con trast dye given for some X-ray tests can harm your kidneys. If you hav e a kidney problem, tell the r adiologist . The doct or may be able to:, Not use co ntrast dye , Do an ul trasound i nstead of an X-ray, Dilute the dye so it is thinne r and less likely to harm your kidneys, Flush the dye out wi th lots of IV fluids , If you m ust have d ye, your d octor may prescribe a drug cal led acetyl cysteine t o help pro tect your kidneys fr om harm. Y ou would n eed to tak e it the d ay before an X-ray d ye test. T alk to you r care tea m about ho w much to drink befo re an X-ra y dye test and wheth er to skip a water p ill if you take one. If you ta ke some ty pes of blo od pressur e pills, l ike ACE-in hibitors o r ARBs, yo ur doctor may ask yo u to stop taking the m a few da ys before the test. (You would start tak ing them a gain after the test is done.), Avoid gad olinium co ntrast dye (used for some MRI tests). It can cause a rare bu t severe p roblem cal led nephro genic syst emic fibro sis (NSF) when the k idneys don 't work we ll. Ask th e doctor t o be sure you are no t given th is dye. | |
48 | 12, learnM ore>kidney Info>1, pr otect-12.j pg, pharma cist talki ng to cust omer, Ask a Pharmaci st BEFORE You Take A ny New Med icines, Wa stes that build up w hen your b ody breaks down medi cines can be cleaned out of yo ur blood b y your kid neys. When your kidn eys don’t work well, you may n eed a lowe r dose of some medic ines. Be s ure to tel l your hea lth care t eam about ALL medici nes you ta ke. This i ncludes:, Over-the-c ounter pro ducts, Dru gs a docto r prescrib es for you , Herbal o r folk rem edies, Ask before yo u take a n ew medicin e—just in case. To l earn more about medi cines, vis it the Pha rmacy. | |
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50 | SHEET: how ToSlowKDWi thDiabetes | |
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53 | 1, learnMo re>kidneyI nfo>1, slo w-diabetes -1.jpg, ma n testing blood suga r on his f inger, Dia betes and Kidney Fai lure, Diab etes, or h igh blood sugar, is the number one cause of kidney failure i n the U.S. If you ha ve diabete s and kidn ey problem s, there a re steps y ou can tak e to keep your kidne ys working as long a s possible . The goal is to hel p your kid neys live as long as you do. | |
54 | 2, learnMo re>kidneyI nfo>1, slo w-diabetes -2.jpg, lo cation of pancreas i n the huma n body, Tw o Types of Diabetes, Insulin i s a hormon e in the b ody that i s made by the pancre as and con trols bloo d sugar. Y our body n eeds insul in to use sugar as e nergy. Hav ing diabet es means n ot having enough ins ulin or no t being ab le to use it:, In ty pe 1 diabe tes, the b ody's immu ne system attacks an d kills th e cells in the pancr eas that m ake insuli n, so ther e is not e nough. Inj ections of insulin a re needed to live., Type 2 dia betes occu rs when th e body's c ells can't use insul in the way they shou ld. Increa sed body f at can mak e it hard for the bo dy to use insulin. W eight loss and exerc ise can he lp. Many p eople with type 2 ca n take pil ls to trea t it, but most will need injec tions of i nsulin as time goes on., Both types of d iabetes ha rm blood v essels all over the body. Thes e include large bloo d vessels in the hea rt, brain, and limbs —and small blood ves sels in th e eyes and kidneys. | |
55 | 3, learnMo re>kidneyI nfo>1, glu cometer.jp g, testing blood fro m finger u sing gluco meter and test strip , Test You r Sugar an d Know How it Reacts to What Y ou Eat, Th e good new s is, only about one in four p eople with diabetes ever has k idney prob lems. And, if you do have kidn ey problem s, you can be treate d., If you have diab etes, good blood sug ar control can help protect yo ur kidneys —and the r est of you . Knowing what your blood suga r is and h ow it reac ts to what you do an d what you eat is th e first st ep to keep ing it in control. W ith test s trips and a glucomet er, you ca n check yo ur blood s ugar daily and track the resul ts. The VA provides these for you at no charge. Yo ur care te am will te ll you wha t blood su gar target s to aim f or., A tes t called h emoglobin A1c can ch eck your 3 -month blo od sugar a verage. It can help you see if you are o n the righ t track fo r blood su gar contro l. | |
56 | 4, learnMo re>kidneyI nfo>1, bp- meter.jpg, blood pre ssure cuff , Know You r Blood Pr essure and How it Re acts, Havi ng diabete s and high blood pre ssure at t he same ti me is a "d ouble wham my" for th e kidneys. Both dama ge the blo od vessels and the t iny filter s inside t he kidneys ., Have yo ur blood p ressure ch ecked—or c heck it yo urself wit h a home b lood press ure cuff. You can ge t a home b lood press ure cuff f rom the VA . Ask your care team for one. If your bl ood pressu re is high , talk wit h your car e team abo ut treatme nt options to get it under con trol., To learn more about blo od pressur e and your kidneys, visit How to Slow Ki dney Disea se: When Y ou Have Hi gh Blood P ressure. | |
57 | 5, learnMo re>kidneyI nfo>1, slo w-diabetes -5.gif, wa rning symb ol flashin g on top o f a pictur e of donut s, Limit S weets and Starchy Fo ods, Stayi ng in the target ran ge your ca re team gi ves you fo r blood su gar can he lp protect your kidn eys. Sweet s and star chy foods can raise your blood sugar. Th ese includ e:, Candy, Ice cream , Cakes, p ies, dough nuts, cook ies, Bread , bagels, muffins, c rackers, P asta, rice , potatoes , Cornbrea d, corn ch ips, Eatin g less of these food s can help you stay in the tar get range. This can be a hard change to make! Take small ste ps. Try ch anging one thing at a time. | |
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59 | Photo from Paralympi c Division , U.S. Oly mpic Commi ttee, adul t male thr owing shot put, Eat Lots of Ve getables a nd Get Exe rcise, Eat ing right and stayin g active c an help yo u stay in your targe t range. T hese thing s are in y our contro l. No one else can e at or exer cise for y ou., Based on your k idney func tion, you may need t o limit fo ods that a re high in potassium —like coff ee, milk, bananas, o range juic e, tomatoe s, and pot atoes. Tal k to a VA dietitian about the best food choices fo r you., Vi sit MOVE!® , a VA pro gram to he lp you get started w ith exerci se and wei ght manage ment. | |
60 | 7, learnMo re>kidneyI nfo>1, slo w-diabetes -7.jpg, th ree comput er generat ed body im ages showi ng: thin, average, a nd overwei ght, Find a Healthy Weight for You, In s ome cases, people wi th type 2 diabetes w ho lose we ight can s top taking diabetes medicines. Losing we ight, if y ou are ove rweight, c an also he lp lower y our blood pressure s o you may not need a s many blo od pressur e pills. V isit MOVE! ®, a VA pr ogram to h elp you ma ke a weigh t loss pla n. | |
61 | 8, learnMo re>kidneyI nfo>1, uri ne-sample. jpg, urine in a test cup, Get a Urine Te st Once a Year, Prot ein in you r urine is an early sign of ki dney probl ems. If yo u have dia betes, get your eyes and your urine chec ked each y ear. Ask y our health care team to check your urine for prote in. A test for album inuria whi ch is incr eased amou nts of pro tein in yo ur urine c an find ki dney disea se. To tes t for albu minuria, y our care t eam will a test stri p in your urine., If you have protein in your urin e, certain blood pre ssure pill s can help protect y our kidney s, even if your bloo d pressure is not hi gh. These pills are in the ACE -inhibitor or ARB cl ass. ACE-i nhibitors can cause a dry coug h. If this is a prob lem for yo u, your do ctor can s witch you to an ARB instead. T o learn mo re about p rotein in your urine , visit th e Laborato ry. | |
62 | 9, learnMo re>kidneyI nfo>1, pil l-bottle.j pg, pill b ottle layi ng on side with many pills in and around the bottl e, Treat H igh Blood Sugar, If you have t ype 2 diab etes, your doctor ma y prescrib e medicine s to lower your bloo d sugar. T hese only work if yo u take the m. Talk to your care team if y ou need he lp to thin k of a way to remind yourself to take yo ur medicin es., If yo u need ins ulin, know ing how to use it ca n help you stay in y our target range. Te ll your ca re team th at you wou ld like to learn mor e about ho w to manag e your blo od sugar., To learn more about how to ta ke medicin es the rig ht way, vi sit the Ph armacy. | |
63 | 10, learnM ore>kidney Info>1, me tformin.gi f, warning symbol fl ashing on a bottle o f pills la beled Metf ormin, Som e Diabetes Medicines Are Not S afe if You Have Kidn ey Disease , Metformi n is NOT S AFE for yo u if your kidney dis ease is se vere or if you have heart fail ure. Metfo rmin can h ave many n ames. Look for the g eneric nam e on your pill bottl e or ask y our pharma cist if wh at you are taking is a biguani de., If th e answer i s yes, tal k to your doctor abo ut when to switch to a medicin e that is safer for people wit h kidney d isease., T alk to you r doctor b efore you start or s top taking any presc ribed drug . | |
64 | 11, learnM ore>kidney Info>1, ki dneys-diag ram.jpg, h uman anato my image w ith kidney s highligh ted, Kidne y Disease Can Change Your Diab etes Contr ol, Kidney s that don ’t work we ll can cha nge your d iabetes co ntrol. Dia betes pill s and insu lin can la st longer in your bl oodstream when your kidneys do n’t work w ell. This can cause more low b lood sugar . Stay in close touc h with you r health c are team. They can h elp you ma nage your diabetes. | |
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66 | SHEET: how ToSlowKDWi thHBP | |
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69 | 1, learnMo re>kidneyI nfo>1, slo w-high-bp- 1.jpg, smi ling coupl e in the m orning sun , High Blo od Pressur e and Kidn ey Disease , Each tim e your hea rt beats, it forces your blood through b lood vesse ls called arteries. Blood pres sure is th e pressure inside yo ur arterie s. When bl ood pressu re is high (hyperten sion), it can damage your bloo d vessels, heart, an d kidneys. High bloo d pressure is the nu mber two c ause of ki dney failu re in the U.S., afte r diabetes . If you h ave high b lood press ure and ki dney probl ems, there are steps you can t ake. The g oal is to help your kidneys li ve as long as possib le. | |
70 | 2, learnMo re>kidneyI nfo>1, art eries.jpg, human ana tomy figur e showing arteries, veins, kid neys, and heart, Art eries, Vei ns, and Bl ood Pressu re, You ha ve two typ es of bloo d vessels. Arteries, shown in the pictur e in red, take blood from your heart (wi th oxygen from your lungs) to the rest o f your bod y. Veins, shown in t he picture in blue, bring bloo d back to the lungs to pick up more oxyg en. Arteri es are str ong and fl exible. Bu t, as we a ge, they c an become stiff. Thi s is one c ause of hi gh blood p ressure., When blood pressure is high, t he force o f blood ag ainst the walls of y our arteri es can har m small bl ood vessel s—like a t ire blowou t. The tin y filters inside the kidneys a re small b lood vesse ls. This i s why high blood pre ssure can harm them. | |
71 | 3, learnMo re>kidneyI nfo>1, slo w-high-bp- 3.png, chi cken and e gg, High B lood Press ure and Yo ur Kidneys , High blo od pressur e can harm kidneys. And, damag ed kidneys can stop doing a go od job of keeping bl ood pressu re under c ontrol. Li ke the chi cken and t he egg, do ctors can' t always t ell which came first ., In most cases it is possibl e to lower blood pre ssure and protect th e kidneys from more damage. Go od blood p ressure co ntrol also helps red uce your r isk of a h eart attac k or strok e. | |
72 | 4, learnMo re>kidneyI nfo>1, bp- meter.jpg, blood pre ssure cuff , Know You r Blood Pr essure and How it Re acts, Know ing your b lood press ure is the first ste p to getti ng it in c ontrol. As k your car e team wha t your blo od pressur e goal sho uld be. A home blood pressure cuff is a great tool to have, and your V A care tea m can give you one. Then you c an:, Check your bloo d pressure when you are sittin g quietly at rest., Check your blood pre ssure if y ou feel fa int or hav e a headac he., Write down the results an d look for patterns. These can help your doctor., Let your c are team k now your n umbers., B ring a rec ord of you r numbers to your ne xt care te am visit. | |
73 | 5, learnMo re>kidneyI nfo>1, no- salt.gif, warning sy mbol flash ing on a s alt shaker , Put Away the Salt Shaker, If you are s alt sensit ive, eatin g less sal t, or sodi um, can he lp you bri ng down yo ur blood p ressure. S ea salt is just the same—and j ust as har mful for y ou—as tabl e salt. Sa lt substit utes may b e high in potassium, which is dangerous for you if your kidn eys can't remove it from your body. It's better to use herba l seasonin gs, which come in lo ts of low- salt flavo rs., Most sodium com es from pr ocessed fo ods that c ome in can s, bags, o r boxes. F ood from r estaurants also tend s to be mu ch higher in sodium than fresh foods tha t are cook ed at home ., The Ame rican Hear t Associat ion says w e should A LL limit s odium in o ur diets t o 1,500 mi lligrams ( mg) per da y. Many pe ople find that once they get u sed to eat ing less s alt, food tastes bet ter. | |
74 | 6, learnMo re>kidneyI nfo>1, slo w-high-bp- 6.gif, war ning symbo l flashing on a coll age of unh ealthy foo ds, Avoid High-Salt Fast and P rocessed F oods, Did you know t hat many A mericans e at fast fo od every d ay? A lot of fast fo od is very high in s alt—along with fat, trans fats , starch, and calori es. It's c heap and t asty, but not good f or you OR your kidne ys. You ca n get a wh ole day's worth of s alt, sugar , and fat with just one menu i tem! At re staurants where they cook to o rder, you can ask fo r food wit h no added salt, MSG , salty sa uces, or c heese on t op. This c an help yo u control your blood pressure. , About ¾ of all sal t in most people's d iets comes from proc essed food s. These h ave been c hanged in some way—c ooked, fro zen, dehyd rated. Sou ps often h ave a lot of sodium— look for l ow sodium soups. Mos t processe d meats, l ike bacon, cold cuts , and sala mi have to o much sal t to be go od choices ., Read in gredient l ists on AL L meats. S ome fresh meats are injected w ith salt o r potassiu m. You don 't want to see the w ord enhanc ed on the label. Avo id these. Condiments , like ket chup and s oy sauce, have a lot of salt. Boxed side dishes an d "helper" foods hav e too much salt. If you have h igh blood pressure, these are not a good choice. T o learn mo re about s alt in foo ds, visit the Nutrit ion Room. | |
75 | 7, learnMo re>kidneyI nfo>1, sod ium.gif, n utrition f acts label with 1,48 5mg of sod ium highli ghted, Rea d Food Lab els to Loo k for Sodi um, Does t he food in this labe l look lik e a good c hoice to p rotect you r kidneys? There is almost 1,5 00 mg of s odium in o ne serving of this f ood—a whol e day's wo rth., Most foods hav e labels l ike this t o help you make good choices. Keep a clo se eye on serving si zes:, A se rving size may be in grams or ounces, A food that comes in a bag could be two or three ser vings, not one, If y ou eat mor e than one serving, you get mo re salt, T o learn mo re about s alt and ch ronic kidn ey disease , read Sod ium: Tips for People with Chro nic Kidney Disease ( CKD)* from the Natio nal Kidney Disease E ducation P rogram (NK DEP)., * L inks will take you o utside of the Depart ment of Ve terans Aff airs websi te. VA doe s not endo rse and is not respo nsible for the conte nt of the linked web sites. | |
76 | 8, learnMo re>kidneyI nfo>1, slo w-high-bp- 8.jpg, wom an holding a we love our troop s sign whi le people are runnin g a race, Treat High Blood Pre ssure with Lifestyle Changes, Eating rig ht and sta ying activ e can help you stay in your ta rget blood pressure range. Wei ght loss i f you are overweight can help lower your blood pre ssure. The se things are in you r control. No one el se can eat or exerci se for you ., Based o n your kid ney functi on, you ma y need to limit food s that are high in p otassium—l ike coffee , milk, ba nanas, ora nge juice, tomatoes, and potat oes. Talk to a VA di etitian ab out the be st food ch oices for you., Visi t MOVE!®, a VA progr am to help you get s tarted wit h exercise and weigh t manageme nt. | |
77 | 9, learnMo re>kidneyI nfo>1, slo w-high-bp- 9.jpg, adu lt man med itating, R elaxing Ca n Help Low er Blood P ressure, S ome types of relaxat ion can he lp lower h igh blood pressure. These migh t be thing s like:, Y oga, Tai C hi, Chi Go ng, Medita tion, None of these will hurt you, and t hey may he lp. | |
78 | 10, learnM ore>kidney Info>1, pi ll-bottle. jpg, pill bottle lyi ng on side with pill s in and a round the bottle, So me Blood P ressure Pi lls Can He lp Protect the Kidne ys, Two ty pes of blo od pressur e pills ca n help pro tect the k idneys:, A CE-inhibit ors – the generic na me ends in “pril”, A ngiotensin receptor blockers ( ARBs) – th e generic name ends in “sartan ”, These a re very he lpful in d iabetes or diseases where ther e is prote in in the urine. An ACE-inhibi tor can ca use a nagg ing, dry c ough. If t his happen s, you may need to s witch to a n ARB. Not on an ACE -inhibitor or an ARB ? Ask your doctor if one might help you. If you ha ve side ef fects from blood pre ssure pill s (like er ectile dys function), tell your doctor. T here may b e others y ou can try . | |
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83 | 1, learnMo re>kidneyI nfo>1, rol e-1.jpg, m an and wom an walking down a co untry road , Taking C are of You rself, Mos t of us do n't give a lot of th ought to o ur kidneys if they a re working well. But if you ar e told tha t you have a kidney problem, a ll of a su dden your kidneys ma y be all y ou can thi nk about!, When you have a chr onic healt h problem, you have a new job. This job is to take care of y ourself. Y ou will li kely have a kidney c are team t hat may in clude a ne phrologist (kidney d octor), nu rse, socia l worker, dietitian, pharmacis t, psychol ogist, and others in primary c are and ot her fields . Your car e team mem bers are e xperts in kidney pro blems. But YOU are t he expert about you. | |
84 | 2, learnMo re>kidneyI nfo>1, rol e-2.jpg, m an sitting on exerci se ball us ing hand w eights, Ke ep a Posit ive Attitu de, There is no ques tion that it's scary to have a kidney pr oblem. A l ot of that fear come s from wor rying that if your k idneys fai l, your li fe will be over. Not true! Peo ple with k idney fail ure can li ve for dec ades with dialysis, kidney tra nsplants, or both. T hey work, travel, vo lunteer, a nd do hobb ies., The first thin g you need to know i s that you can have a good lif e, even if your kidn eys fail. But, peopl e don't li ve for yea rs with ki dney failu re by acci dent! It t akes an ac tive role on your pa rt. | |
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86 | U.S. Navy photo by p hotographe r Mate Air man Patric k M. Bonaf ede, navy rescue raf t, Knowled ge is Your Life Raft , Your car e team mem bers are e xperts in kidney pro blems. But YOU are t he expert about you. You are t he only on e who know s:, How yo u feel, Ho w medicine s affect y ou, What s ymptoms yo u have, An d, you are the only one who ca n take the steps to follow the treatment plan that you work out with y our health care team ., You cho ose what t o eat. You choose wh at to drin k. You cho ose whethe r and how to take me dicines. N o one else can do th ese tasks for you. W e call thi s self-man agement. W hen you se lf-manage, you notic e and repo rt symptom s, follow your treat ment plan, and help prevent er rors. And, to self-m anage, you need to l earn a lot . It's ver y normal t o feel as if you are adrift at sea—but y ou'll feel better wh en you fin d out what 's going o n and what you can d o about it . | |
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88 | U.S. Navy photo by p hotographe r Mate Air man Joseph R Schmitt , navy nur se giving a shot in the arm to active du ty male, S ources of Knowledge for You, W here can y ou learn w hat you ne ed to know ? The Inte rnet is on e source. Try My Hea ltheVet. T here are m any other websites., Your prim ary care h ealth team can answe r your que stions, to o. Your do ctor can r efer you t o a kidney disease s pecialist (nephrolog ist). Or, your docto r can ask questions of a nephr ologist an d get answ ers for yo u., You ma y be seen in a speci al renal c linic ("re nal" means kidneys). Or, your VA center may have a clinic fo r high blo od pressur e or other health co ncerns. Ot hers who h ave kidney problems can also b e good sou rces of kn owledge. J ust keep i n mind tha t your hea lth and th at of some one else w ith the sa me problem can still differ. | |
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90 | U.S. Navy photo by p hotographe r Mate 3rd Class She ryl Campbe ll, U.S. n avy woman holding a child, You r Job: Ask Good Ques tions, Par t of your job is ask ing good q uestions., Before yo ur clinic visit:, Wr ite down y our questi ons so you can ask t hem., List your ques tions from most to l east impor tant, in c ase you ca n't get to them all. , At your clinic vis it:, Write down the answers yo u get., As k your car e team to spell medi cal terms so you can look them up., If y ou've been doing you r homework tell your care team what you know, so t hey don't have to st art at the beginning ., Don't h old back! If you are not takin g your med icines or you use st reet drugs , your car e team nee ds to know ., It migh t also hel p to bring someone w ith you to clinic vi sits. An e xtra pair of ears ma y help in case you m iss someth ing. ASK i f somethin g does not make sens e to you. Medical te rms are ha rd to unde rstand. It 's okay to ask, "can you pleas e say that in plain English?", Tell your care team what you care about most—don' t assume t hat they k now you wa nt to keep your job, or be abl e to take care of lo ved ones. | |
91 | 6, learnMo re>kidneyI nfo>1, gfr -scale.jpg , stages o f chronic kidney dis ease. Stag e 1 has a GFR of 90 or greater . Stage 2 has a GFR range of 6 0 to 90, S tage 3 has a GFR ran ge of 30 t o 59. Stag e 4 has a GFR range of 15 to 2 9 and Stag e 5 has a GFR of 15 or less, S tages of C hronic Kid ney Diseas e (CKD), C hronic kid ney diseas e, or CKD, has five stages. Th ese stages tell you about your percent o f kidney f unction an d are meas ured by eG FR (glomer ular filtr ation rate ). Your eG FR level i s about th e same as your perce nt kidney function. So, if you r eGFR is 57, it mea ns that yo u have abo ut 57% kid ney functi on. Health y people h ave an eGF R of 90 or higher. B ut, it is normal to lose a bit of kidney function with age. As kidney function d ecreases t he eGFR wi ll be lowe r., Most p eople neve r know if they have stage 1 or even stag e 2 CKD. I f you are told that you have s tage 2 CKD , your doc tor's job is to figu re out how fast your kidney pr oblem is m oving and to slow ot her proble ms that CK D can caus e. YOUR jo b is to:, Take steps to protec t your kid neys, Work with your health ca re team to try to sl ow kidney disease, T o learn mo re, visit How to Pro tect Your Kidneys. T here are t hings you can do! | |
92 | 7, learnMo re>kidneyI nfo>1, uri ne-sample. jpg, urine in a test cup, Get a Urine Te st Once a Year, Prot ein in you r urine is an early sign of ki dney probl ems. If yo u have dia betes, get your eyes and your urine chec ked each y ear. Ask y our health care team to check your urine for prote in. A test for album inuria whi ch is incr eased amou nts of pro tein in yo ur urine c an find ki dney disea se. To tes t for albu minuria, y our care t eam will t est a stri p in your urine., If you have protein in your urin e, certain blood pre ssure pill s can help protect y our kidney s, even if your bloo d pressure is not hi gh. These pills are in the ACE -inhibitor or ARB cl ass. ACE-i nhibitors can cause a dry coug h. If this is a prob lem for yo u, your do ctor can s witch you to an ARB instead. T o learn mo re about p rotein in your urine , visit th e Laborato ry. | |
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94 | U.S. Air F orce photo by MSgt J ohn Walker , young ch ildren hol ding flags with hand s over the ir heart, Manage Sym ptoms and Protect Yo ur Heart, At any sta ge of CKD, your job is to mana ge your sy mptoms and keep your heart hea lthy, alon g with you r kidneys. The kidne ys and the heart wor k together . Protect your heart AND your kidneys so you can f eel your b est as lon g as you c an. You ca n help pro tect your heart with :, Exercis e, A heart -healthy d iet, Takin g statin d rugs to tr eat high c holesterol (if your doctor pre scribes th em for you ), If you smoke, qui tting help s protect your heart and kidne ys, too! | |
95 | 9, learnMo re>kidneyI nfo>1, rol e-9.jpg, s treet sign pointing in four di fferent di rections, Choose a T reatment, At Stage 4 CKD, your job is to plan ahea d. If your kidneys a re failing , it's wis e to think about you r treatmen t options before you need one. This way, you can c hoose a tr eatment th at's a goo d fit for your life and what y ou like to do., For now, it ma y help to know that there are four main options., With a kid ney transp lant, a su rgeon give s you one new, healt hy kidney from a don or. A tran splant can give you a lifestyl e that is close to n ormal—but you need t o take med icines to suppress y our immune system fo r as long as the kid ney lasts. , Peritone al dialysi s, or PD, uses the l ining of t he inside of the bel ly as a fi lter. A ki dney docto r or surge on puts in a tube ca lled a cat heter. The tube is u sed to fil l the bell y with ste rile fluid . Wastes a nd excess water from the blood flow into the fluid , then it is drained and repla ced with f resh fluid . PD is ea sy to lear n and do, and is don e at home or work, o n your own schedule. Most peop le use a m achine to do PD at n ight while they slee p., Hemodi alysis, or HD, clean s your blo od by taki ng it out of your bo dy, passin g it throu gh a filte r, and the n bringing it back t o you. HD can be don e at home or in a cl inic, duri ng the day or at nig ht during sleep., Me dical mana gement wit hout dialy sis will t reat your pain or ot her sympto ms and giv e you comf ort care. This optio n does not extend yo ur life, b ut allows natural de ath to occ ur. Hospic e services can help you and yo ur family. , To learn more abou t treatmen t options, visit the Treatment Room. | |
96 | 10, learnM ore>kidney Info>1, ro le-10.jpg, a nurse p utting a n eedle into a patient 's arm, Pr otect Your Veins, St arting Rig ht NOW!, I f your kid neys work now, but t here is an y chance t hat they c ould fail one day, p rotect you r veins. Y ou might n eed them t o reach yo ur blood f or dialysi s (this is called an access)., One type of dialysi s access, made of an artery pl us a vein in your ar m (called a fistula) , may be y our lifeli ne. You on ly have ab out 10 pla ces on you r body whe re one can be made. So, each o ne counts! , Don't al low blood tests on t he arm you don't wri te with. I f you must have bloo d drawn on that arm, see if th ey can use your hand ., Avoid I Vs (intrav enous line s) in the arm you do n't write with., Tel l the lab tech that you have k idney prob lems and a re saving your veins for dialy sis. Some groups off er a walle t card or bracelet y ou can sho w medical staff. | |
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98 | U.S. Navy photo by M ass Commun ication Sp ecialist 3 rd Class I ndra Bosko , active d uty male i n front of fighter j et holding a baby, T ake Care o f Yourself to Have a Good Life , Your rol e is impor tant in ta king care of your ki dneys and heart. Whe n you take good care of yourse lf with ki dney disea se, you ca n keep doi ng the thi ngs you lo ve. | |
99 | 12, learnM ore>kidney Info>1, ro le-12.jpg, Senior ma n and woma n talking to their d octor, You r Job at E ach Stage of CKD, At each stag e of CKD, there is s omething t hat you ca n do to im prove your health an d quality of life. P rint a cop y of the “ Your Role at Differe nt Stages of CKD” ch art., Work with your VA care t eam and ke ep doing t he steps f rom the ea rly stages if you mo ve into la ter ones. |
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