Mountain Kidney and Hypertension Associates provides the following services:
Chronic Kidney Disease Management
The goals of CKD managment include:
- Reversing kidney injury when possible,
- Slowing the rate of kidney disease or injury progression,
- Preventing complications of kidney disease such as hypertension, vascular disease, anemia and bone disease.
Anemia Managment Clinic
The kidneys regulate red blood cell production, so people with CKD are susceptible to anemia. Our doctors and nurses monitor for this, and where needed, can administer medications to bring the blood count up.
Kidneys are deeply involved in the regulation of blood pressure, and high blood pressure can cause kidney injury. Our doctors and nurses have special experience and training in the management of hypertension, as well as identification of specific causes of high blood pressure.
When kidney function is impaired, eating a proper diet can reduce the risk of medical problems such as hypertension and bone disease and in some cases slow the rate of renal decline. We have a licensed dietitian who can assist patients and their families in meal planning and coordination of meals with certain medications. Our dietitian has special expertise in planning diets for people with kidney disease and other medical conditions such as diabetes.
Our doctors and nurses participate with other medical centers in clinical trials of medications. Participation by patients is always voluntary and patients are not enrolled in trials without their knowledge and consent. These trials have in many cases helped identify more effective drugs for our patients and helped our doctors stay up to date with clinical medical research.
Pre Transplant Evaluations/Post Transplant Follow Up
When our patients with advanced kidney disease are considering kidney transplantation, our doctors and nurses can help advise them on the benefits and risks, and can help coordinate their evaluation with the medical centers where such transplants are performed. In patients with diabetes, a combined kidney and pancreas transplant may be considered.
With suitable advanced planning, some patients with advanced kidney disease can get a kidney transplant without ever having to go on dialysis.
After transplantation, our staff works closely with the transplant centers to manage immune suppressant medications and other medical issues.
When our patients with CKD appear likely to need dialysis in the future, our doctors and nurses can provide education on a range of renal replacement options. These include hemodialysis at home, peritoneal dialysis at home and hemodialysis at a dialysis clinic. For many patients, the discussion of dialysis options occurs at the same time as a discussion of kidney transplantation. Advanced planning can help make the transition to dialysis safer and easier and will help prevent difficulties and even hospitalizations down the road.
Ultrasound exams of the kidney can help diagnose many causes of kidney disease and hypertension, and can often give information about the duration a kidney injury process has been going on. Our technicians and doctors have advanced training in vascular ultrasound of the kidneys.