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end-stage renal disease

The last stage of chronic kidney disease, when the kidneys have lost almost all of their function for good.

END-stayj REE-nul dih-ZEEZ noun

Word parts

ren/o kidney-al relating to

What it means

Stage 5 chronic kidney diseaseKRON-ik KID-nee dih-ZEEZKidney damage or reduced kidney function that lasts longer than three months.Full entry , with a glomerular filtration rate below 15 mL/min. The kidneys can no longer remove wastes and fluid or balance electrolytes well enough to keep the person alive, so dialysisdy-AL-ih-sisA treatment that removes wastes and extra fluid from the blood when the kidneys can no longer do it.dia- through, apart-lysis separation, looseningFull entry or a kidney transplant is needed. Diabetes and high blood pressure are the leading causes. It is also called end-stage kidney disease.

For the nurse

Weigh the client daily, limit fluids, sodium, potassium and phosphorus as ordered, and check potassium closely. Protect the arm with a dialysis fistula or graft: no blood pressures or blood draws on it, and feel for the thrill.

At a glance

AbbreviationsESRD; ESKD
Spanishenfermedad renal terminal
Also writtenESRD, end-stage kidney disease, ESKD

Related terms

hyperkalemia

A blood potassium level above normal, over 5.0 mEq/L.

chronic kidney disease

Kidney damage or reduced kidney function that lasts longer than three months.

dialysis

A treatment that removes wastes and extra fluid from the blood when the kidneys can no longer do it.

renal

Relating to the kidneys.

glomerular filtration rate

How much blood the kidneys filter each minute, used as the main measure of kidney function.

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