Evaluation and Management of the Older Adult with Chronic Kidney Disease

  • Kenya M. Rivas Velasquez
  • , Elizabeth Hames
  • , Hady Masri

    Research output: Contribution to journalReview articlepeer-review

    Abstract

    Chronic kidney disease (CKD) has a high prevalence in the elderly population. Almost half of the population reaches moderate impairment (CKD 3) by 65 years of age. This article describes CKD staging in the geriatric population and several common clinical presentations of renal disease. Diagnosis and treatment regimens of CKD are discussed. Geriatric patients are at an increased risk for renal dysfunction from many causes. Some causes are inherent with aging, such as gross structural and cellular changes, decrease in physiologic function, and lowered vascular compensatory reserve. Exposures, including medications and diagnostic testing, are contributors to acute kidney injury.

    Original languageEnglish
    Pages (from-to)857-874
    Number of pages18
    JournalPrimary Care - Clinics in Office Practice
    Volume41
    Issue number4
    DOIs
    StatePublished - Dec 1 2014

    Bibliographical note

    Publisher Copyright:
    © 2014 Elsevier Inc.

    ASJC Scopus Subject Areas

    • Pharmacology (medical)

    Keywords

    • Acute kidney injury (AKI)
    • Chronic kidney disease (CKD)
    • Kidney failure
    • Older adult
    • Renal replacement therapy (RRT)

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