Chronic Renal Failure - Renal Disease in Children

Chronic Renal Failure

·        Incidence: 1 – 2 kids per million per year

·        Disaster for families® very demanding treatment

·        Causes:

o   Obstruction/congenital

o   Dysplasia (never developed normally)

o   Severe reflux

o   Glomerulonephritis

·        Problems:

o   Nutrition (need ­­ calories ® ?NG tube)

o   ¯Linear growth: due to ¯nutrition, ­PO4 ® secondary hyperparathyroidism, ¯ vitamin D 

o   Anaemia: due to ¯erythropoietin

o   Na/H2O/K balance (may loose or retain too much)

o   Hypertension: angiotensin, overload, drugs

o   Ca balance

o   Development (always tired)

·        Treatment: peritoneal dialysis