Kidney Stone Essay

Ms. S.M. was a patient admitted for the management of renal failure. During morning rounds, we noticed her potassium levels to be elevated. She was asymptomatic and her EKG did not show any abnormal changes. As a team, we coordinated with each other and successfully managed her potassium levels. The hours spent to manage this patient helped me to understand the importance of clear communication and the dynamics of team work in a hospital setting. Though we managed her hyperkalemia, the patient was still facing an uncertain prognosis with her kidney disease. Her family members were worried about providing financial support for her care, which is a major problem in India. It made me wonder if there was anything more we could do for her. However, along with providing clinical care, establishing a relationship with her and her son gave me a sense of satisfaction. It made me realize the potential of developing long term relations with my patients in this field.

Anas Hanini CHM 211L Professor: Bruce Bondurant 10/09/2017 Introduction The objective of this experiment was to carry out the alkylation of sodium saccharin with iodoethane and to analyze the product mixture to determine the structure of the major product. In this reaction, the leaving group is the iodide ion. The nucleophile in sodium saccharine is either the oxygen atom or the nitrogen atom.

The chemicals that should be mixed together include: 1 teaspoon of calcium chloride and 5 milliliters of phenol red

Marine stones: cold stone, made from sedimentary rock should be recharged by leaving in sunlight/moonlight or burying in the earth overnight.

End-stage kidney or renal disease (ESRD) is the final stage of chronic kidney disease in which the kidneys no longer function well enough to meet the needs of daily life. End stage renal disease (ESRD) is the last stage (stage five) of chronic kidney disease (CKD). Kidneys function at below 15 percent of their normal capacity, is said to be in the 5th stage which is referred to as the End- stage kidney disease. During this stage, the damaged kidney cannot effectively do their job, such as remove waste or excess fluid from your blood. Stage 5 results when the kidneys cannot remove the body’s metabolic wastes or perform their regulatory functions; renal replacement therapies are required to sustain life (Hinkle & Cheever, 2014).

Cirrhosis is the eighth leading cause of death in the United States and the thirteenth leading cause of death worldwide.1 Cirrhosis is the irreversible fibrosis of the liver characterized by hepatic architectural distortion secondary to fibrous tissue and the formation of regenerative nodules.2 These anatomical changes cause hepatic vascular resistance and an increase in blood flow leading to portal hypertension. Porto-systemic collaterals develop in order to overcome the increased portal pressure gradient.3 Nitric oxide, an endogenous vasodilator is also released in effort to overcome portal pressure with the expense of causing systemic vasodilation and a decrease in blood pressure. As a result, a marked activation of neurohumoral vasoactive factors occurs in an effort to maintain an effective arterial blood pressure. Hypervolemia, increased cardiac index, decreased systemic vascular resistance, and systemic hypotension are manifestations of portal hypertension.3 Chronic hepatitis B virus (HBV), hepatitis C virus (HCV), alcoholism, nonalcoholic steatohepatitis (NASH), and non-alcoholic fatty liver disease (NAFLD) are all major causes of cirrhosis.

Acute Kidney Injury (AKI) refers to the rapid decline of renal filtration and urine production. Damage is often due to an injury, causing functional and/or structural deviations in the kidney. This can lead to complications such an increased risk of chronic kidney disease, or it can affect other organ systems. Additionally, AKI can potentially lead to death. Hypoxia (deficiency of the amount of oxygen reaching tissues) often causes inflammation of the kidney, creating damage.

Acute renal failure, also known as acute kidney injury is described to be a rapid loss of

Chronic kidney disease (CKD) is a worldwide problem that is currently three times higher for African Americans, Hispanics, Pacific Islanders, American Indians and seniors (The National Kidney Foundation, 2013). CKD occurs when the kidneys are damaged by a pathogen or injury and they can no longer adequately maintain proper levels of regulated chemicals in the bloodstream. There are many risk associated with CKD. According to the National Kidney Foundation, two of the major risks are Chronic Renal Failure (CRF) and Cardiovascular Disease. Currently twenty million American adults have CKD and millions of others are at increased risk. Age has no barrier on getting CKD. People with pre-existing health issues, and a part of certain population

After completing this 3 times I will reduce the amount of vinegar by 1 tsp and repeat this 3 times. Then I will reduce the vinegar another 1 tsp and repeat that 3 times. Next, I will investigate the effect of the baking soda. First, I will reduce the baking soda by ½ tsp and use the same amount of vinegar I used on the first test.

3.0g of salicylic acid was weighed then 3.0mL of acetic anhydride and 6 drops of 85% H3PO4 were added to it. The mixture was warmed over a water bath for 5 minutes while stirring. After warming, 20 drops of distilled water was slowly added. 15mL of water was added then the solution was heated until it became clear. It was allowed to cool and was placed in an ice bath until the solution becomes cloudy. Using pre-weighed filter paper, the mixture was filtered and was allowed to dry in the filter paper.

     Luckily, after the excruciating occurrence, the stone usually doesn’t damage anything. Sometimes there comes a situation where the kidney stone either becomes too big or for some reason gets wedged in the urinary tract and the pain worsens. Also, the urine begins to get backed up, and the bladder and urinary tract begins to get infected. Thus, an operation must be performed. Originally, they were removed, either by slicing the bladder or kidney open, or by shoving an instrument up the ureter. Fortunately, through the miracles of technology, one does not necessarily have to go through this “invasive” treatment. Instead, there is a treatment that uses shockwaves to slice up the stone. This is called kidney stone lithotripsy. A large machine uses sound waves to break up the stone into small fragments that can be more easily passed through.

Hemodialysis (HD) is one of several renal replacement therapies used for the treatment of end stage kidney disease (ESKD) and kidney failure. Dialysis removes excess fluids and waste products and restores chemical and electrolyte balance. HD involves passing the patient’s blood through an artificial semipermeable membrane to perform the filtering and excretion functions of the kidney. One important step before starting regular hemodialysis sessions is preparing the vascular access; ideally, a vascular access should be placed weeks or months before you start dialysis. The

Glomerulonephritis (GN), or the inflammation of glomeruli, is a leading cause of renal failure worldwide. Inflammation is characterized by vascular fragility, infiltration of leukocytes, and edema. Glomerular disease may manifest by three major syndromes: nephritic syndrome, nephrotic syndrome, and rapidly progressive glomerulonephritis (RPGN). Nephritic syndrome consists of sudden onset of hematuria, non-nephrotic range proteinuria (1.5 g/24 h), active sediment with red blood cell (RBC) casts or dysmorphic RBCs, acute renal failure, and hypertension. Nephrotic syndrome is characterized by heavy proteinuria (>3.5 g/24 h), edema, hypoalbuminemia, and hyperlipidemia. RPGN is characterized by active sediment (RBC casts and dysmorphic RBCs) and rapid development of acute renal failure usually over a period of weeks to months. Glomerulonephritis accounts for the majority of progressive renal disease in many parts of the world.

There is a pair of kidneys in the human body. They are situated towards the back of the body under the ribs, just at the level of the waist where one on either side of the body. Each kidney is composed of about one million units which are called nephrons and each nephron consists of two parts: a filter which is called the glomerulus and a tubule leading out from the nephron (Cameron 1999). According to Marshall and Bangert (2008) the kidneys have three major functions. Firstly, the kidneys are excretion of waste from plasma in the blood. The second function is that, they maintain of extracellular fluid volume and composition. Lastly, the kidneys have a role in hormone synthesis.