Living with
Chronic Kidney Disease
Adult Patients
Purpose
▪ Educate patients and family members diagnosed
with chronic kidney disease how to manage
their disease.
▪ Education can be done independently or used to
introduce as well as reinforce teaching.
Target Audience
▪ Adult patients with newly diagnosed chronic kidney
disease.
▪ Adult patients with chronic kidney disease and non-
compliance with medication and treatment plan.
▪ Adult patients hospitalized with chronic kidney disease.
▪ Adult patients at risk of developing chronic kidney
disease.
Goals
The patient identifies: • The patient identifies causes of
chronic kidney disease and
• side effects they may experience how to manage symptoms.
with chronic kidney disease.
• proper food choices associated
with chronic kidney disease.
• when it is important to notify
their healthcare provider of
changes and when to
seek immediate medical
attention.
Lifespan.io
Objectives
▪ Determine the appropriate patient population to educate on chronic
kidney disease.
▪ Describe the pathophysiology of chronic kidney disease.
▪ Educate the patient on how to manage chronic kidney disease at
home.
▪ Determine that the patient knows when to notify healthcare provider
and when to seek immediate medical attention.
What is Chronic Kidney
Disease?
▪ Condition in which the body is
not able to remove waste and
extra fluid normally removed
with urine.
▪ Buildup of waste can make you
sick.
▪ Buildup of fluid can occur.
▪ Symptoms may not be present.
Causes of Chronic
Kidney Disease
▪ Dehydration, or not drinking enough
fluids, can cause kidney damage.
▪ Some people are more likely to
develop kidney disease related to
family history, race, or sex. African
Americans, Hispanics, American
Indians, and men are more likely to
have kidney disease.
▪ Some medications are harmful to
the kidneys. Speak to your
healthcare provider about all
medications you take and prior to
taking new medications.
Credihealth.com
Managing Chronic Kidney Disease
▪ Manage your health problems.
High blood sugar and high blood
pressure can damage your kidneys.
▪ If your kidneys are sick enough, you
may need dialysis (a machine that
filters your blood as your kidneys
should) or a kidney transplant.
▪ Practice healthy habits. Be active
and follow a diet that is healthy for
your kidneys. Avoid salt, limit
protein, and decrease potassium
intake.
Foods to Limit: Sodium, Potassium, and
Protein
Medications for Chronic Kidney Disease
▪ Blood pressure medications may be needed as high blood pressure can cause
injury to your kidneys. Lowering the blood pressure also allows the kidneys to filter
waste better.
▪ Diuretics, or water pills, may be needed to help the body get rid of extra fluid and
salt. These medications make you pee a lot.
▪ Phosphate levels can rise with chronic kidney disease, so medications called
phosphate binders may be needed to help lower the amount of phosphate in the
body.
▪ Anemia, or too few red blood cells, can be caused by chronic kidney diseases.
Some medications help the body produce red blood cells.
▪ People with chronic kidney disease are more likely to have high levels of acid in the
body. To help lower the acid level, a medication called sodium bicarbonate is given.
What to Avoid with
Chronic Kidney Disease
• Discuss all medications you take
with your healthcare provider.
Many medication can make
chronic kidney disease worse.
Speak with your healthcare
provider prior to taking new
medications or over the counter
medications, vitamins, minerals,
or herbals.
• Stop smoking and avoid illegal
drug use.
• Limit alcohol intake.
When to Seek Help
Call your doctor if you are experiencing
headache, new or increasing shortness of breath,
or increased swelling.
Call 9-1-1 if you are experiencing
severe shortness of breath or chest pain.
References
Bharat, M. Do you know signs & symptoms of chronic kidney
disease? https://www.facebook.com/drbharatmaheshwari/posts/chronic-kidney-disease-
also-called-chronic-kidney-failure-describes-the-gradual-/695041271332900/
Proscia, A. (2014). MyPlate for healthy eating with chronic kidney disease (MyPlate
education for patients with chronic kidney disease receiving hemodialysis and peritoneal
dialysis treatment). Journal of Renal Nutrition, 24 (3), 23-25.
DOI:https://doi.org/10.1053/j.jrn.2014.02.003
UpToDate. (2022, April 21). Overview of the management of chronic kidney
disease in adults. https://www.uptodate.com/contents/overview-of-the-management-of-
chronic-kidney-disease-in-adults?search=chronic%20kidney%20disease&source=
search_result&selectedTitle=1~150&usage_type=default&display_rank=1
UpToDate. (2022, April 21). Patient education: Medication for chronic kidney
disease (the basics). https://www.uptodate.com/contents/medicines-for-chronic-kidney-
disease-the-basics?search=chronic%20kidney%20disease&topicRef=7172&source
=see_link
