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Consulting & Team
Composition of service
The Caen Normandy University Hospital Nephrology medical team has organized itself into a Regional Nephrology Medical Team headquartered at the University Hospital.
The medical team works in collaboration with the nursing teams (health executives, advanced practice nurse, nurses, nursing assistants, paramedics) and the administrative management teams of the three partners, which are the CHU of Caen, the CH of Flers and the ANIDER .- 1 University Professor · Hospital Practitioner
- 1 Associate Professor Hospital Practitioner
- 1 University Lecturer · Hospital Practitioner
- 9 Hospital Practitioners
- 3 health executives
- 1 Advanced Practice Nurse
- 1 Nurse Coordinator
- 1 dietitian
- 1 Psychologist
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frequently asked Questions
What is kidney failure?
The kidneys are located in the abdomen. These are two filters, in which the blood passes day and night, which creates the urine which flows into the bladder. The human body thus eliminates the various molecules, toxins and drugs that are absorbed throughout the day.
Kidney failure corresponds to a clogging of these two filters, resulting in an accumulation of toxins which, in the long term, can be responsible for various symptoms, some of which can, in serious cases, lead to death.
How to detect kidney disease?
The diagnosis of kidney disease can be made either:
- through a blood test , which may show an accumulation of toxins
- by urine analysis using a urine dipstick, which may show the abnormal presence of protein and/or microscopic blood.
- by renal ultrasound which can show an anomaly of the kidneys and/or the good flow of urine towards the bladder.
What is renal replacement therapy?
Extra-renal purification corresponds to the implementation of a treatment which takes over the role of the two diseased kidneys. Currently, it is possible to offer a kidney transplant or dialysis .
The implementation of these treatments is done through an apprenticeship and training that the doctors carry out in coordination with the nurses over a series of consultations.
The dangers of kidney failure
It should be remembered that if the filters of the human body are clogged, molecules will accumulate in the blood and then cause symptoms. In the event of advanced renal failure, the main molecules responsible for symptoms are:
- Sodium , corresponding to table salt which is in crystal form. Once in the blood, the salt dissolves and does not return to its crystal form. If the kidneys are no longer able to eliminate the salt eaten, the latter will be stored and retain water with it. This will cause various symptoms such as high blood pressure , edema , weight gain , unusual shortness of breath especially when lying down. In the event of excessive hydrosodic retention, respiratory distress appears in connection with acute pulmonary edema requiring emergency hospitalization.
- Potassium is a molecule involved in nerve conduction allowing the muscles of the body to contract. Its accumulation in the blood will cause a blockage of this muscle contraction. This results in a loss of muscle strength which can manifest itself by an inability to stand up, but above all a blockage of the contraction of the heart muscle leading to cardiac arrest in severe forms. A high potassium level in the blood requires emergency hospitalization.
- Uremic toxins, which represent all the cellular waste produced by the body every day. Their accumulation can cause: itching, excessive fatigue, loss of appetite and weight loss. We speak of uremic syndrome, the human body then draws on its reserves until it is exhausted.
- Medications , since some are mainly eliminated through the urine. Their accumulation causes overdose symptoms. Note especially painkillers (except paracetamol) , sleeping pills, some anti-diabetics and some antibiotics.
What is dialysis?
Dialysis is an extra-renal purification treatment where toxins are extracted thanks to contact between the patient's blood and a liquid called dialysate. The toxins will pass from the blood to the dialysate via a membrane. It is possible to carry out this exchange using two techniques:
- Hemodialysis. With this technique, the exchanges between the blood and the dialysate take place via an extracorporeal circuit. The blood leaves the body to be purified in a machine, then returns to the body. This method of dialysis can be practiced independently at home or in a hemodialysis center, day or night. To be able to carry out this hemodialysis, it is necessary to create an arteriovenous fistula or to place a dialysis catheter in the neck.
- Peritoneal dialysis. With this technique, the exchanges between the blood and the dialysate take place in the human body. The dialysate is infused in the belly using a catheter, it will then be loaded with toxins present in the blood, then it is drained towards the outside of the belly. This method of dialysis is practiced at home, day or night. It is necessary to set up a peritoneal dialysis catheter to be able to perform this technique.
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University Center for Kidney Diseases
Avenue de la Côte de Nacre
CS 30001
14033 CAEN cedex 9
Nephrology
CUMR Access
CUMR Access
Main Access
Main Access
CUMR Access
| Level | GPS access | Car park | Hall | |||
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Consulting
University Center for Kidney Diseases
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Level :
1
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GPS Access:
CUMR
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Car Park:
Car Park 2
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Hemodialysis
University Center for Kidney Diseases
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Level :
0
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GPS Access:
CUMR
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Car Park:
Car Park 2
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Conventional hospitalization
Côte de Nacre Tower
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Level :
21
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GPS Access:
Main
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Car Park:
Car Park 1
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Continuing care hospitalization
Côte de Nacre Tower
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Level :
16
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GPS Access:
Main
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Car Park:
Car Park 1
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Day hospital
University Center for Kidney Diseases
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Level :
1
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GPS Access:
CUMR
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Car Park:
Car Park 2
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Hemodialysis and consultation in Flers
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