Nefrologia

This is the best reference on end-stage renal disease. This authoritative resource has been thoroughly revised for physicians caring for the rapidly growing population of renal patients, in an expanding number of dialysis centers. Written by world-class experts, it provides coverage of essential new techniques in peritoneal dialysis, home dialysis, pediatric dialysis, and more.

The field of intensive care in nephrology is a rapidly evolving one, with research starting to translate into clinical guidelines and standards. Encompassing core subjects in critical care and nephrology, as well as specific related consultative topics, this clearly presented text is organized into three sections focusing on: * up-to-date background information on the critically ill patient, including chapters on respiratory, circulatory, renal, and multi-organ failure * core topics in ICU nephrology, including prevention and medical therapy of acute renal failure (ARF), and provision of a variety of renal replacement therapy (RRT) modalities * a series of common ICU consultative nephrology topics. An authoritative and practical reference, and the first text to bring together experts from the various specialties involved, this multi-disciplinary book is a highly useful resource for any practitioner responsible for the care of critically ill patients.

Basic Clinical Dialysis presents highly practical information on the clinical care and management of chronic kidney disease through dialysis treatment. The book clearly explains basic principles of dialysis, the different stages of kidney disease and presents all the treatment options and techniques for management. It deals specifically with chronic dialysis and chronic kidney disease, chronic haemodialysis, chronic peritoneal dialysis and acute dialytic therapies. The book will be a handy reference guide for medical students, interns, residents, basic physician trainees, nurses, general physicians, and paramedical staff. It is written in a concise and easy to understand format which is popular among busy practitioners and will be a small trim size to fit in their pockets and take on the wards.

Diabetes, when untreated, leads to damage to several organs within the body, particularly the kidneys. This damage may also go undetected for several years, until the later stages of kidney failure are reached, with a need for kidney replacement therapy - either dialysis or transplantation. Such progression is not inevitable. With good management, diabetes can be well controlled and kidney function can be maintained; to a certain extent, the damage can even be reversed. Diabetes and the Kidney is written for people with diabetes, their families and carers. It describes the function of the kidneys, the development of nephropathy, the ways to recognize it early and the correct way to manage it. The title emphasizes how people should take responsibility for their own health, with information on diet, giving up smoking and taking exercise. Clearly written description of kidney function, how it goes wrong in diabetic nephropathy and ways to prevent this. Guidance on diet, exercise and generally encouraging people to become involved in their own health care. Information on treatment of kidney disease and kidney replacement therapy.

This handbook provides a quick review of fluids and electrolytes, focusing on the essential clinical facts that nurses need to interpret laboratory tests and implement swift, appropriate patient care. Information is presented in a quick-reference bulleted format, with numerous illustrations and flow charts. Every major fluid, electrolyte, and acid-base imbalance is covered, with key points on pathophysiology, causes, signs and symptoms, diagnostic test results, and management. A chapter focuses on disorders that cause imbalances, particularly heart failure, respiratory failure, burns, acute and chronic renal failure, and excessive fluid loss. Treatments for fluid imbalances are also covered, including I.V. replacement therapy, TPN, transfusions, and renal dialysis.

Now in its sixth edition, The Kidney and Hypertension in Diabetes Mellitus retains its position as the comprehensive resource for information on diabetic kidney disease. The book covers all aspects of renal involvement in diabetes and incorporates information from important publications and new trials conducted during the last three years. The new edition focuses on pressure-induced and metabolic related aberration in relation to genetic abnormalities, and also changes developing in fetal life. New chapters explore exercise, lipidemia, and retinopathy in diabetic renal disease and new data are presented regarding structural changes in NIDDM-patients and the comparison of diabetic and non-diabetic renal disease. The book covers new guidelines and definitions in type 2 diabetes, management of end-stage renal failure, and demographic trends in the patient population. Other topics include diabetic nephropathy, glycemic control, and early treatment in normotensive patients with microalbuminuria with ACE-inhibitors.

Hypertension is common in patients with kidney disease for a number of reasons, including retention, inappropriate action by the renin-angiotensin system, and overactivity of the sympathetic nervous system. Of all causes of hypertension, renal artery stenosis (narrowing) has attracted considerable attention, because it was once thought to be a rare cause of hypertension, but is now known to be the most common cause of secondary hypertension. In The Kidney and Hypertension, George Bakris and a host of international contributors examine all aspects of hypertension in the renal patient. A reference book covering specific and common topics in the area of kidney disease and hypertension, it is an essential guide to the effective management of the renovascular patient. It covers everything from how to properly measure blood pressure to the assessment and treatment of elevated blood pressure in high-risk groups such as dialysis patients and pregnant women. Kidney and Hypertension also thoroughly discusses reducing cardiovascular risk in people with kidney disease due to its role as a leading cause of death among kidney patients. Additionally, there is a chapter on diabetes and its role as a common cause of kidney failure. As an introduction to basic concepts in the treatment of hypertension, Dr. Bakris's book will serve as an excellent reference to nephrologists, cardiologists, and cardiovascular surgeons in their efforts to reduce the risks of advanced kidney disease and cardiovascular disease.

This is the leading textbook on the subject. It is a completely rewritten and up-to-date fifth edition, based upon the highly respected fourth edition, edited by C. Jacobs, C.M. Kjellstrand, K.M. Koch and J.F. Winchester. Considered the global resource for dialysis specialists, dialysis manufacturers and scientists for over two decades, this authoritative, highly acclaimed major reference work has been completely rewritten and revised in a much-awaited 5th edition. All previous chapters have been updated to include the very latest advancements and understandings in this critical and complex field. New sections include those on computerization of dialysis records, online monitoring and biofeedback, patient sexual function, patient selection and integration, use of exercise in improving patient health, design of randomized trials, and more. This new edition is truly global in scope and features the contributions the top experts from around the world.

This highly acclaimed book deals with all the key kidney, ureter and bladder problems likely to be encountered by the non-specialist paediatrician and paediatric nephrologist. The book adopts an evidence-based, problem solving approach and focuses on presenting clinical symptoms rather than being disease orientated. Emphasis is placed on differential diagnosis, evaluation and treatment. Where no evidence is available or where controversy exists, a clear opinion on the most appropriate treatment is provided. For this completely revised and updated edition over half of the text is revised. New chapters have been added on psychosocial care principles, drug prescribing in children and paediatric nephrology in the third world. Certain chapters have been condensed for clarity and other chapters have been combined to facilitate practical use. This edition is based around practical guidelines and contributions have been collected from international experts in the field. The chapters contain key point boxes highlighting the important take-home messages. The well-structured text is ideal for trainee and non-specialist paediatricians, for paediatric nephrologists and for nephrologists and urologists with an interest in children. This book is undoubtedly regarded as 'the' paediatric nephrology textbook to be held on the shelves of all general paediatric departmental libraries.

This book considers the aetiological factors that render renal patients at risk of infection and covers the infectious complications of the major modalities of renal replacement therapy. The book has been written by a combination of microbiologists, clinical scientists and clinicians active in the care of kidney patients at all stages in their treatment from chronic renal insufficiency through dialysis and on to transplantation. It brings together a large body of clinical and scientific material to help clinicians manage infectious complications of kidney disease. As far as is possible a clinical chapter is balanced by a chapter dealing with pathophysiology. The book is divided in to three sections: Basic Mechanisms, Infectious Complications of Common Renal Conditions, Renal Failure and Transplantation, and Prevention and Management. The uraemic condition as a state of immunosupression is discussed to set the scene for why renal patients are prone to so many diverse infections. Increasingly potent immunosuppressive drugs are being deployed in a variety of primary conditions and also to prevent renal allograft rejection. The mechanisms by which these drugs predispose to infection are discussed. A chapter deals specifically with peritoneal defence mechanisms of critical importance in the management of infection complicating continuous ambulatory peritoneal dialysis. The second section of the book deals specifically with infectious complications in defined situations. For example, diabetes mellitus is discussed in detail as this is now the major cause of endstage chronic renal failure. Infectious complications of glomerulonephritis and vasculitis are discussed, and this relates to the effects of the potent immunosuppressive agents now deployed. Specific chapters are devoted to infectious complications of peritoneal dialysis and haemodialysis including a chapter on mucormycosis. Hepatitis B and Hepatitis C have each been given a chapter and the impact of these hepatitis viruses on the renal patient from chronic renal failure through dialysis to transplantation is described. Infectious complications of transplantation follows and reviews the common infections as well as presenting some new data on viral induced tumours. In the final section of the book, prevention of infection is discussed with particular emphasis to vascular access and the care of the uraemic ischaemic/diabetic foot. The general principles relating to limiting the spread of infection within the Renal Unit are discussed in detail. Increasing patient mobility and travel requires that travel and vaccination in renal patients are discussed. The book ends with a practical chapter on prescribing advice for the use of common anti-microbial agents. This book will be of value to all those involved in the care of this vulnerable group, specifically nephrologists, renal transplant surgeons and physicians and diabetologists.