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Renal Disease
Glossary of Terms


Acute Kidney Failure A form of kidney failure that happens quickly. It may be caused by injury or drugs. With proper treatment, kidneys may return to normal function following acute kidney failure.
Adequacy Receiving a minimally acceptable level of dialysis (dialysis effectiveness and nutritional status) to prevent uremic symptoms like poor appetite and nausea.
Anemia People with a low red blood cell count have anemia, or are said to be anemic.
APD or Automated
Peritoneal Dialysis
A term used to describe a method of PD that uses a machine (cycler) for installation and drainage of the dialysis solution.
Catheter A tube used to remove or instill dialysis solution into the peritoneal cavity.
CAPD or Continuous Ambulatory Peritoneal Dialysis One method of peritoneal dialysis that is performed using a gravity-based technology instead of the use of a cycler.
Clearance The rate at which a given substance is removed from a solution (e.g., the clearance of urea from the blood by the natural or artificial kidney). Defined as the number of milliliters of solution that would be completely cleared of a given solute in a preferred time period.
Creatinine A byproduct of normal muscle metabolism that is produced at a fairly constant rate in the body and normally filtered by the kidneys and excreted in the urine. Measuring creatinine is the simplest way to monitor kidney function.
CRF or Chronic
Renal Failure
Gradual destruction (over a period of time) of kidney tissue that will eventually result in reduced kidney function.
Dialysis Removal of waste products and excess water through a semipermeable membrane. There are two general types of dialysis: hemodialysis (HD) and peritoneal dialysis (PD).
Dwell time The amount of time dialysis solution remains in the abdominal cavity during peritoneal dialysis.
DOQI Dialysis Outcomes Quality Initiative. Clinical practice guidelines for ESRD patients established by the National Kidney Foundation in the U.S.
ESRD or End-Stage
Renal Disease
Stands for "end-stage renal disease," which means "kidney failure," which requires dialysis or kidney transplant to live.
Exchange In peritoneal dialysis, the procedure of discarding the used dialysis solution and instilling fresh dialysis solution into the abdominal cavity.
Hematocrit Hematocrit is a measure of the level of red blood cells in the bloodstream.
Hemodialysis (HD) A modality for treating renal failure that cleans the blood by taking it outside of the body and pumping it through a filter called a dialyzer.
Hemoglobin A measure of the blood's ability to carry oxygen.
Nephrologist A physician who specializes in the diagnosis and treatment of diseases of the kidney.
Percent kidney
function
Perecent kidney function is a number that tells how much of the kidneys are working. This is calculated from blood and urine tests.
Peritoneal cavity Part of the abdominal cavity in the body where organs like the stomach, liver, instestines and spleen are located. This is the site where peritoneal dialysis takes place.
Peritoneal dialysis
(PD)
A modality for treating renal failure utilizing the peritoneal membrane that lines the abdominal cavity as the semipermeable membrane to remove excess water and toxins from the blood via osmosis and diffusion.
Peritoneum The membrane covering the tissue and lining of the abdominal cavity.
Renal Relating to, involving, or located in the region of the kidneys.
RRF or Residual
Renal Function
The amount of remaining function of the kidneys. An important factor to know when prescribing the amount of dialysis required. The longer a patient is on dialysis, the less RRF the patient has, until it is completely gone.
Serum albumin Serum albumin is a protein in the blood that is often monitored in patients to determine how well the patients are nourished.
Transplantation A treatment for kidney disease. A kidney from a living donor or from someone who has died is surgically placed into a patient's body to replace the function of the impaired kidney.
Ultrafiltration Removing of fluids through a membrane by exerting greater hydrostatic or osmotic pressure on one side of the membrane.
Urea A waste product of digested protein normally filtered out by the kidneys and excreted from the body in urine.
Uremia The condition in which a person gets sick from wastes (toxins) that build up in the blood. Someone who has uremia may experience nausea, weakness, weight loss, memory problems, and/or trouble sleeping.
Urine Excess fluid and waste products excreted from the body by the kidneys.
Solute A substance dissolved in a solution.

 
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