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Nephrology Associates of Kentuckiana, PSC provides care for all aspects of the prevention and treatment of kidney disease.

As with every organ in our bodies, our kidneys are helpful and have very important functions. In addition to removing wastes and fluid from your body, your kidneys perform these other important jobs:

  • Regulate your body water and other chemicals in your blood such as sodium, potassium, phosphorus and calcium

  • Remove drugs and toxins introduced into your body

  • Release hormones into your blood to help your body:
    - regulate blood pressure
    - make red blood cells
    - promote strong bones

Our kidneys begin to have trouble performing their jobs and may lead to chronic kidney disease (CKD) when certain conditions occur. The two main causes of chronic kidney disease are diabetes and high blood pressure, which are responsible for up to two-thirds of the cases of CKD. Other conditions that affect the kidneys are:

  • Glomerulonephritis, a group of diseases that cause inflammation and damage to the kidney's filtering units. These disorders are the third most common type of kidney disease.

  • Inherited diseases, such as polycystic kidney disease, which causes large cysts to form in the kidneys and damage the surrounding tissue.

  • Malformations that occur as a baby develops in its mother's womb. For example, a narrowing may occur that prevents normal outflow of urine and causes urine to flow back up to the kidney. This causes infections and may damage the kidneys.

  • Lupus and other diseases that affect the body's immune system.

  • Obstructions caused by problems like kidney stones, tumors or an enlarged prostate gland in men.

  • Repeated urinary infections. [Top]

There are many risk factors that affect your likelihood of facing CKD. Some of these risk factors you have control over and unfortunately, some are hereditary and you have no control. But the risk factors over which you have no control do not have to dictate your facing CKD during your lifetime - work with the risk factors you CAN control. You may want to be aware of some symptoms of CKD which will allow you to treat CKD at the early stages and avoid total kidney failure and possible transplant.

Kidneys do not fail overnight. It may take years for your kidneys to completely fail, but as with any health issue, you don't want to wait until that time to take action. Here is a chart showing the progression as well as listing some preventative actions you can take to slow the progression. [Top]

STAGE GFR DESCRIPTION TREATMENT
1 90+ Normal kidney function but urine or other abnormalities point to kidney disease. No symptoms
 
Work with your doctor to monitor your blood pressure and blood sugar. Take medications as prescribed.
2 60-89 Mildly reduced kidney function, urine or other abnormalities point to kidney disease. May not have symptoms Work with your doctor to monitor your blood pressure and blood sugar; Take medications as prescribed; Discuss a diet and exercise plan with your doctor.
 
3 30-59 Moderately reduced kidney function. Symptoms may include fatigue, swelling and high blood pressure. Work with your doctor to monitor your blood pressure and blood sugar; Take medications as prescribed; Discuss a diet and exercise plan with your doctor; Work with your doctor to monitor results of blood tests for anemia and early bone disease.
 
4 15-29 Severly reduced kidney function. Symptoms such as fatigue, swelling and high blood pressure may worsen. Work with your doctor to monitor your blood pressure and blood sugar; Take medications as prescribed; Discuss a diet and exercise plan with your doctor; Work with your doctor to monitor results of blood tests for anemia and early bone disease; Work with your doctor to begin planning for end stage renal disease by exploring treatment and access options.
 
5 Less than 15 Very severe, or end stage renal disease (ESRD) Work with your doctor to monitor your blood pressure and blood sugar; Take medications as prescribed; Discuss a diet and exercise plan with your doctor; Work with your doctor to monitor results of blood tests for anemia and early bone disease. Begin your chosen method of treatment. If you would like to be considered for a transplant, work with your doctor to complete the necessary steps for a transplant.
 

More than 26 million Americans have chronic kidney disease (CKD) and most don’t know it. The National Kidney Foundation’s Kidney Early Evaluation Program (KEEP®) offers free screenings for those at risk–anyone 18 years and older with high blood pressure, diabetes or a family history of these conditions or kidney disease. The KEEP program is finding kidney disease at the earliest stage possible. [Top]

KEEP provides three simple tests that determine kidney function. Participants receive a comprehensive health risk appraisal, blood pressure measurement, blood and urine testing and the opportunity to discuss their health and review results with onsite clinicians. Learn more and find a free screening near you.

 

The National Kidney Foundation offers a vast amount of information to help you if you are facing CKD.

SERVICES

Comprehensive Renal Care Clinic
Anemia Management
Hypertension Management
Plasmapheresis
Chronic Kidney Disease Education
Risk Factor Reduction
Use of Electronic Medical Record
Nutrition – Renal Vitamins

OUR MISSION

Is to provide the highest quality, most comprehensive and up-to-date care for patients with kidney disease in a courteous, respectful, and timely manner.

CONTACT US

6400 Dutchmans Pkwy, Suite 250
Louisville, KY 40205
Phone: 502-587-9660
877-585-9660
Fax: 502-540-5615

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© 2011 Nephrology Associates of Kentuckiana, PSC
6400 Dutchmans Parkway  |  Louisville, KY  40205
502-587-9660  |  502-540-5615 fax

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