Renal Failure

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Renal failure occurs when the kidneys are unable to perform their normal functions. The two main types of renal failure are acute and chronic. Acute renal failure occurs suddenly and there is an acute reduction in renal function. Because of the abruptness, people who experience acute renal failure are quickly hospitalized and treated. Chronic renal failure occurs slowly over time, and is typically not discovered until the kidney function is 25% less than normal, at which the condition is usually irreversible. There are several terms to understand when discussing renal failure. The term renal failure means significant loss of renal functioning. The term renal insufficiency means renal function is less than 25% of normal. The term end stage renal disease means that only 10% or less of renal function remains. The term azotemia means the kidneys cannot remove urea from the blood so it removes it from the sweat glands. The last term when describing renal failure is uremia which means azotemia is occurring and there are elevated blood urea and creatinine levels. If a client is in acute renal failure, the massage is postponed until the condition is resolved. If a client is in chronic renal failure, massage is contraindicated.

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