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Chapter 25 - Renal disorders in the elderly

from Section III - Care of the elderly by organ system

Published online by Cambridge University Press:  05 June 2016

By
William D. Sirover ,
Brooke Salzman  and
Christopher B. McFadden
Edited by
Jan Busby-Whitehead ,
Christine Arenson ,
Samuel C. Durso ,
Daniel Swagerty ,
Laura Mosqueda ,
Maria Fiatarone Singh  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Kidney function changes with aging. Elderly patients with kidney disease are at increased risk for a number of disorders, including alterations in electrolytes, changes in sodium absorption, and chronic changes in kidney function. Traditional estimations of glomerular filtration rate from serum creatinine, through the use of estimating equations, may not be appropriate for the geriatric population, particularly when results suggest only mild impairment in kidney function without proteinuria or hematuria. Still, as the population ages, kidney disease prevalence grows as well. Also, acute kidney injury (AKI) commonly occurs in this patient population. Anatomic and physiologic changes appear to be contributory. Complexities associated with kidney disease in the elderly include the risks as well as benefits of polypharmacy, the timing and indications of referral for specialist care, and the appropriateness of dialysis initiation, presenting challenges for the clinician.
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 357 - 365
Publisher: Cambridge University Press
Print publication year: 2016

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