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HOW TO KNOW IF YOU HAVE KIDNEY PROBLEMS [Free dialysis video training]



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hello everyone this is Magda Castaneda

from utopia Hill Career Center and I am

a certified nephrology nurse and I am

here today with another short video

class and this class is called how to

know if you have kidney disease okay so

how would you know so this is gonna be a

short class is going to be fast I am

going to share my screen so hopefully

this is the first time I do it like this

so hopefully you're gonna be able to see

me and see my my screen but what we're

gonna be talking about today is how to

know that you have kidney disease okay

so I am going to let me just move

something real quick in here let me make

sure okay so let me make sure that

everyone is hearing me hi everyone again

my name is Magda Castaneda from utopia

health Career Center I'm a stratified

nephrology nurse and today I'm gonna

talk about how do you how would you know

how to know that you have kidney disease

so that's gonna be the class for today

and I am trying to do something that I

have not done before and that is sharing

my screen okay so I'm going to try to

share my screen and share and you know

keep myself on the camera so bear with

me for a minute

because I want to close out my camera a

little bit more I want to close out that

there we go okay here we go

okay so I think I'm good here let me

just move myself a little bit to the

side and here we go okay so hi Veronica

have it on you guys giving me a thumbs

up so if you are here you're watching me

if you want to say hi shadow box is

giving me a thumbs up so thank you so

much for watching and

go ahead and start with the this is

gonna be a short short class real fast

okay so I am going to go ahead and share

give me one minute

okay so now this is what we're going to

do okay so I'm gonna be talking about

how to know if you have kidney disease

and how to slow down the process which

is super important so with your the

renal anatomy what most people have the

normal renal anatomy is that we have two

kidneys and they are about the size of a

fist and they weigh about five ounces

each of them so if you do a fist like

this okay so everyone do a fist like

this and look at it that's the size of

your kidney okay that's the size of your

kidney you do two fifths these are the

sizes of your kidneys and they're

located in the back of the body

like around this area so they're like

around this area over here so I hope

everyone can see around here okay so

they are protected by pads of fat and

the ribcage and they have millions and

millions of nephrons and nephrons are

going to be the cells inside of the

kidneys there are two different types of

kidney disease one is called acute

kidney failure which is a KF we

recognize it as that and the other one

is chronic kidney disease which is CKD

okay so acute kidney failure could be

due to an accident trauma or a person

that had a drug overdose

medicine stuff like that an acute kidney

failure

it could be reversible so the person

could have kidney function again now in

chronic kidney disease is the slow loss

of nephrons of the kidney cells okay so

it's gradually the kidney function will

go down and down and down and

unfortunately that one is non reversible

okay so once we lose nephrons those are

that's it those are lost we cannot

regenerate new cells in our kid

okay the initial screening for CKD so

how can you know you know if you have

kidney disease er now you can ask your

doctor you can ask that your doctor for

a simple screening is very simple the

screaming is the urine test a simple

urine test and a blood pressure check

those two things can give you like an

idea if you have some type of kidney

failure or if you are at risk for kidney

failure okay so when you go to your DAP

doctor just ask for a urine test and a

blood pressure check and that's gonna be

the initial screening if something comes

out out of range then the doctor is

going to perform more testing more

testing another very common test that

the doctors perform is the creatinine

let's see how the creatinine is okay so

let's talk about the stages of CKD or

chronic kidney disease so when a person

is already diagnosed with chronic kidney

disease then it is said that there are

five stages okay it goes from one to

five and these stages are going to be

determined by the GFR or structural

abnormalities of the kidneys and what is

this let me translate this for you

so GFR is going to be the glomerular

filtration rate and that tells us how

good your kidney is functioning is the

percentage so we should all have a

hundred percent if we have a hundred

percent it means that our kidneys are

working well good filtration we're

eliminating water or fluid well okay so

if we don't have a hundred percent if we

have something lower then we go into the

stages of chronic kidney disease so just

to kind of elaborate a little bit more

on that let me discuss this table okay

so on the first stage which is the first

one the first line or probably the the

first line is the description line and

then

second line that one is the stage so it

says stage 1 and in description it says

kidney damage with normal or higher GFR

and again the GFR is how well the the

kidney is filtering so in this case

there's not much to do the person could

have a stage 1 because they have for

example one kidney or the structure of

the kidney is not normal there are some

scars in the kidneys some abnormalities

in that case this person is to be you

know it said that this person is on

stage one okay on stage two if you look

at the GFR the GFR is going down now the

GFR is from sixty to eighty nine okay

this means that this person is on stage

two stage three the GFR is between

thirty and fifty nine so now things

symptoms are getting a little stronger

here visible symptoms this this person

is going to have visible symptoms and

we're going to have to start treating

this person stage four there is going to

be a severe drop in GFR the GFR is going

to be between fifteen and twenty nine

okay and again GFR is how well the

kidneys are filtering this means that

this person doesn't have a good

filtration so remember the GFR that we

want is a hundred in this case you in

stage four we have a person with a GFR

of between fifteen and twenty nine so

this is this is already you know we have

to do something in state five it's

called the end-stage renal disease

this person has kidney failure there's

you know no going back and the GFR for

this person is less than fifteen so we

have to start something we have to start

dialysis or we have to give this person

a transplant okay

so part of the symptoms that this person

is going to have this person may have an

email fatigue building up fluid all

those things and we noticed like if you

your legs are very swollen and stuff

like that just make sure that you're yet

your doctor is testing you for kidney

failure so in the lab results when the

doctor just look at your last lab

results and look for the one that says

EGFR okay so the e is for estimated and

then GFR is for glomerular filtration

rate what that means is how your kidneys

are working the kidney function okay so

normally in your lab results you will

see something like greater than 60 so if

you see greater than 60 don't get scared

or anything because I know I mentioned

it has to be a hundred but for the lab

results normally the general lab results

that you're going to get is either

greater than 60 or lower than 60 okay so

if it's greater than 60 it means that

you're good no kidney failure if it's

lower than 60% for three months then you

have kidney failure okay so look at the

lab the last lab results that you that

you had now for example if it's greater

than 60% but you're having some symptoms

like you're getting swollen of building

up fluid high blood pressure all those

things then the doctor is going to go

deep into testing do other testings that

are going to tell him if you really you

know if there's something that we should

be worried worried about your kidneys

okay but on your lab results this is

what you're gonna see either greater

than 60 or lower than 60 okay okay so

the symptoms what type of symptoms you

may have if you have kidney failure you

when your kidneys are not working

there's gonna be a buildup of waste and

this is called uremia okay and in in

very simple words people understand this

best if we tell them this is urine in

the blood okay because it's something

similar to that it's almost like if you

had urine in your blood okay so what are

you gonna have you're gonna have

swelling of your feet hands and face

trouble breathe breathing because

there's gonna be an accumulation of

fluid it's gonna the fluid accumulates

everywhere in the soft tissue inside of

the lungs the person may be making more

or less urine and maybe during the night

which is called nocturia during the

night this person may go to the bathroom

several times and it's because it's when

the body is laying down and the kidneys

the circulation starts concentrating in

the kidney area and there is like the

the kidneys are trying to catch up for

what they haven't done during the entire

day so that's why normally people that

have CKD or chronic kidney disease they

present lots of nocturia another thing

is foamy or a bubbly urine okay so when

when you go to the bathroom if it's a

very foamy now don't start looking at

the toilet and say Magda told me that if

I have foam I have kidney failure no no

the foam is gonna be a lot like just

imagine when you are serving a beer in a

glass that has a lot of foam it's like a

lot of foam okay not just the little

bubbles there's a lot of foam and that

is because there are there's protein in

the urine and we should not have protein

in the urine okay so when we have

protein in the urine and we urinate we

look at the toilet and you're gonna see

all that foam okay so the person may

have severe itching also ammonia breath

or the metal taste nausea avoidance of

protein food this

may not be wanting to eat protein food

but one of the things that I wanted to

point out that is very interesting and

is one of the first signs of kidney

failure is the ammonia breath it's

almost like you can smell urine through

the breath of this person okay

I've had I've you know i I've had I've

had a person that I knew that I didn't

know that this person had kidney failure

but I smelled it okay

I could i catched on the smell and i

asked this person have you tested your

your kidneys like have you gone to the

doctor and have you tested the kidney

and this person told me oh my god I went

to my doctor and he said that there was

something wrong with my lab results and

I was referred to a nephrologist the

nephrologist is the kidney doctor okay

and I said to the person can I see your

lab results and she said of course and

she gave me the lab results and sure

enough when I looked at the GFR the GFR

was 40 okay so she was already in the

CKD stages she was 40 so that's stage

three okay so that's how I knew she'd

never told me she didn't tell me that

she had problems with the kidneys or all

that but I smelled it okay so the person

can have jello skin this person may have

some trouble sleeping or sexual problems

and this is due to the uremia the

buildup of waste in the body okay

another thing that this person can

present is pain around the kidneys and

this pain around the kidneys is because

the kidneys get swollen and that causes

pain or the tissues around the kidney

also get a cup a little swollen and this

causes pain so those are the symptoms so

how to slow down CKD so let's say you

know a person that has been diagnosed

with chronic kidney disease or the

doctor has told you that you have

chronic kidney disease what do you do

how do you slow

down the process we are able to slow

down the process but it takes a lot of

of you right of the person that has been

diagnosed so in this case if you are

diabetic keep the blood sugar and target

okay because if you have spikes a blood

sugar that sugar is going to clog the

little veins that go to the your kidney

and once they're clogged there is very

difficult to declawed them okay so keep

your blood sugar in target keep your

blood pressure in target so if you have

been told that you have chronic kidney

disease

you really have to manage your blood

pressure okay with higher blood

pressures you can damage the the vessels

that go to your kidney and you're just

gonna progress the disease avoid pain

pills called NSAIDs those are the

non-steroidal anti-inflammatories and

these are gonna be for example nap Roxon

and ibuprofen and I know that many

people say oh my god I take that for for

my PMS the premenstrual syndrome and yes

now a normal person a normal person with

good kidneys this is not going to affect

you because your kidneys are well and

they are able to filter these medicines

this medication out but don't abuse it

okay because these type of medication

the end state's medications these are

very toxic to the kidney so don't abuse

them if you have been told that you have

kidney disease then don't use them at

all okay don't use them at all and these

are the ones that you buy

over-the-counter rather talk with your

doctor and explain to your doctor that

you have been diagnosed with chronic

kidney disease and see if there's

something else that is not a

non-steroidal anti-inflammatory okay um

medicine so quit smoking if you're small

if you're a smoker you got a quick smoke

smoking this is gonna help you slow down

the

the kidney function and then be very

careful with the x-rays and dye test the

contrast if you are going to have a test

done and you need the contrast and you

have been told that you have kidney

disease you have to make them aware you

gotta tell them that you have kidney

disease I have seen too many people too

many patients that were on stage three

and they have been pushed to Stage five

because they took a contrast during a

test so you've got to tell them that you

have kidney disease

the contrast when you have kidney

disease the contrast is very very toxic

to the kidneys and if you don't have

kidney disease and it's like a normal

test what I recommend is that you drink

plenty of water before your test the day

before your test you drink plenty of

water this is a lot of water okay like a

gallon of water during that day when you

go to your tests they will give you

saline they go give you fluid first

right and then after that they will give

you the contrast once once you're done

with your testing when you go home or in

your way home you got to start drinking

more water because now you want to flush

it out so drink another gallon of water

okay so that's very important before

hydrate a lot before and hydrate a lot

after this will help your body just

flush out that contrast okay so let's

see if you have any questions and I hope

and I hope you liked it this is this was

a short class as I said but I wanted to

come on here because I said I was going

to try to do some classes in a weekly

basis and I hope this was helpful

helpful if you have any questions just

send us an email to info at utopia HCC

comm and I'm going to open right now let

me just lower my screen here

hold on for a minute I just want to make

sure that

let me see let me go up here okay so

here we go

I just want to make sure that yeah I

have I had vid Onika I had shot ohm

I had G's Santosh Kumar hopefully I'm

pronouncing that well let me see GFR

okay so there was a question Santosh

says that what what is the GFR meaning

yes GFR means glomerular filtration rate

and a translation for that is the how

your kidneys filter okay how your

kidneys filter how was the kidney

function that you have so that's how we

measure the kidney function we measure

it with the GFR glomerular filtration

rate each one of our cells of our kidney

cells the nephrons have a glomerulus

okay so it's that's part of our kidney

cells

I hope hope that was clear if you need

some more clarification just let me know

okay let me see Hey Veronica is grateful

because this class is in English and it

helps her and it helps to keep learning

the English and practicing the English

and I have Annette Feliciano also so I

thank you all for watching I hope this

class short class and very simple was

helpful just go ahead and share this if

you will give me some likes give me some

hearts but share this this could be

useful for somebody somebody may be

going through this process and need some

type of clarification go ahead and share

this video and I hope you can use it if

you hear about somebody going through

this process so that's it for today if

you have any questions again you can

send them to info at utopia HCC calm and

we

we'll be happy to help you okay so

bye-bye it'll be until the next one bye