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Taking Care of Your Kidneys Part A Roseville & Sacramento Medical Centers Health Promotion Department – Nutritional Services Agenda Slide How your kidneys work Explaining chronic kidney disease Protecting your kidneys Your diet Resources 2 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Taking Care of Your Kidneys Contacts Sheryl Parks, RN Renal Care Coordinator (916) 648-6739 Monica Randel, RD, CSR (530) 757-4060 Nutrition Advice Line (916) 614-4979 3 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Free publications AAKP Patient Plan Booklet AAKP Kidney Beginnings (Quarterly) 4 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Websites www.kp.org/mydoctor Kidney related websites 5 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Recommended immunizations Pneumovax - Every 5 years Hepatitis B - 3 injections (0 - 1 - 6 months) Tetanus - Every 10 years – TDAP Flu Shots - Yearly 6 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Where are the kidneys? 7 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What do the nephrons do? Nephrons are microscopic filters inside the kidney Filter and clean the blood Add or remove chemicals your body needs Produce urine 8 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What are the functions of the kidneys? Clean the blood Filter out waste products Remove extra fluid Keep your body in balance Control red blood cells and blood pressure 9 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Measurements of kidney function Creatinine: By-product of MUSCLE metabolism Normal: <1.3 Male <1.1 Female Kidney failure: <10 ml/min GFR Blood Urea Nitrogen (BUN): By-product of PROTEIN metabolism 10 July 5, 2013 Normal: 10 - 20 mg % Kidney failure: >100 mg % | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What is kidney failure? Less than 10% Kidney Function ACUTE - Sudden condition, often temporary CHRONIC - Slower onset , not reversible 11 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What is uremia? When waste products build up in the blood Possible Symptoms: – Loss of Appetite – Nausea and Vomiting – Weakness – Drowsiness – Headache – Swelling (edema) – Shortness of breath – High blood pressure – Puffiness around the eyes – Decreased sexual interest – Decrease or increase in frequency of urination 12 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What causes kidney failure? Diabetes Hypertension Inflammation Blockage Chronic infection Heredity Autoimmune Disease Drugs and Toxins 13 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What are the treatments for kidney failure? Diet and fluid management Medication Hemodialysis (home or dialysis center) Peritoneal dialysis Kidney transplant Conservative medical management with comfort care 14 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What is blood pressure? The force of blood as it presses against the walls of your arteries Blood pressure goal: 130/85 (for Diabetics the goal is 120/75) 130 = Systolic (Measures the force when your heart beats) 85 = Diastolic (Measures the force at rest or in-between heart beats) 15 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What affects blood pressure? Medical History – Family history – African-American – Diabetes – Heart disease – Kidney disease – Cholesterol >200 Life-style – Smoking – Alcohol – Overweight – Diet – Inactivity 16 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Blood pressure medication Medication for blood pressure – Diuretics - water pills – Blood vessel expanders – Medications to slow the heart Taking your medication – Side effects – Know your blood pressure 17 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Be careful list for healthy kidneys Get information about Kidney Disease Kaiser MD homepage at: www.kp.org/mydoctor Be Current on Immunizations Blood Pressure and Blood Sugar Control – Helps control protein spilling into the urine Avoid Nephrotoxic Drugs Avoid Contrast (with xray) 18 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Be careful list for healthy kidneys - continued Stop Smoking Exercise Lose excess weight Follow nutrition guidelines Keep all MD appointments Take all prescribed medications 19 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Nutrition and kidney disease Why diet is important Individual plan Resources 20 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Why is diet important? Managing your diet can slow your renal disease progression. Your diet affects how you feel. 21 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Major parts of the renal diet: Protein Potassium Sodium Phosphorus Fluids 22 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What are proteins? 23 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What is sodium? Sodium is a mineral that can make your blood pressure go up or down. READ YOUR FOOD LABELS! – Avoid foods with too much sodium. – Avoid salt substitutes!!! – Use fresh and dried herbs 24 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What is potassium? Potassium is a mineral that helps muscles and nerves work the right way. Elevated blood potassium levels are dangerous. Medications can affect your blood potassium levels. Even if your blood potassium is within normal levels, this may change over the course of your disease process. 25 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What is phosphorus? Phosphorus is a mineral that combines with calcium to keep bones and teeth strong. A high phosphorus diet can impact bone strength Your doctor may order a phosphate binder. 26 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. What about fluids? Swelling can occur as kidney function declines It is important to keep your sodium intake low to prevent fluid retention. A normal intake of fluid is 48 ounces or 6 cups. Contact your dietitian if your doctor wants you to restrict fluid. 27 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. How do I know that my diet is working? Blood chemistries Weight Blood pressure Swelling Less Fatigue 28 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Supplements Avoid mineral and potassium supplements unless prescribed by your physician. It is recommended that you use only these “safe” vitamins: – B vitamins – Vitamin C (under 500 mg) – Calcium & Vitamin D (if recommended by your doctor) – Iron (if recommended by your doctor) Check with your Dietitian, Physician or Nephrologist for other supplements 29 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. www.kp.org – E-mail your doctor – Order prescription refills (mailed to your home at no additional cost) – Schedule routine appointments – View recent lab test results – Explore interactive health programs and research health topics – To sign up, visit kp.org/register – Have questions? Call (800) 556-7677 for kp.org telephone support. 30 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. Cancer Screening AGE 18+ 30 Breast Cancer Screening For women: ages 40 – 69 40 50 60 70 80+ Have a mammogram every 2 years. Walk-in mammograms are available at North Valley Radiology. Cervical Cancer Screening For women: ages 21-64 Have a Pap test every 3 years. Sign into kp.org to schedule an appointment for a Pap test. Colorectal Cancer Screening Ages 50 – 80 Sign into kp.org and email your doctor to order a FIT test, flexible sigmoidoscopy or colonoscopy. Have a fecal immunochemical test (FIT) once a year and/or a flexible sigmoidoscopy every 5 years or colonoscopy every 10 years. If you are not sure you are due for any of the above screenings, check with your provider. 31 July 5, 2013 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
