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Jeffrey Chiv, FNP, FNP-BP

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Specializes in: Family Medicine and Nephrology (Kidney Disease)

Professional interests include: hypertension (high blood pressure), dialysis

375 Wampanoag Trail
Riverside, RI 02915

(401) 649-4060

Jeffrey Chiv, FNP, FNP-BP is a nurse in Riverside, RI specializing in family medicine and nephrology (kidney disease). Jeffrey Chiv, FNP, FNP-BP is affiliated with Brown Medicine, The Miriam Hospital, Brown Physicians Incorporated, Rhode Island Hospital (RIH) and MINUTECLINIC DIAGNOSTIC OF RHODE ISLAND LLC.

Office Locations

Address:

375 Wampanoag Trail
Riverside, RI 02915

Address:

375 Wampanoag Trail Division of Kidney Disease & Hypertension
East Providence, RI 02915

Some issues Jeffrey Chiv, FNP, FNP-BP can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

doctor visit	10

**Gender**
Male	40
Female	72

**Age**
From 65 to 74	60
From 75 to 84	28
85 and over	0
Less than 65	0

Hypertension	57
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	23
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	29
Dementia	0
Cancer	0

doctor visit	10

**Gender**
Male	17
Female	30

**Age**
From 65 to 74	24
From 75 to 84	11
85 and over	0
Less than 65	0

Hypertension	51
High Cholesterol	62
Stroke	0
Ischemic Heart Disease	0
Depression	23
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

doctor visit	22

**Age**
From 65 to 74	23
From 75 to 84	0
85 and over	0
Less than 65	11

Hypertension	57
High Cholesterol	30
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

doctor visit	40

**Gender**
Male	18
Female	42

**Age**
From 65 to 74	28
From 75 to 84	16
85 and over	0
Less than 65	0

Hypertension	60
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	18
Depression	0
Chronic Kidney Disease	22
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	27
Dementia	0
Cancer	0

doctor visit	38

**Gender**
Male	18
Female	36

**Age**
From 65 to 74	30
From 75 to 84	12
85 and over	0
Less than 65	0

Hypertension	63
High Cholesterol	65
Stroke	0
Ischemic Heart Disease	22
Depression	41
Chronic Kidney Disease	22
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	22
Dementia	0
Cancer	0

doctor visit	77

**Gender**
Male	44
Female	64

**Ethnicity**
Non-Hispanic White	93
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	65
From 75 to 84	22
85 and over	0
Less than 65	0

Hypertension	49
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	20
Depression	15
Chronic Kidney Disease	15
Asthma	12
Osteoperosis	10
Atrial Fibrilation	0
Heart Failure	10
Chronic Obstructive Pulmonary Disease	0
Diabetes	13
Dementia	0
Cancer	11

doctor visit	148

Average Medicare Procedure Volume From 2015 - 2021

Volume of procedures performed by Jeffrey Chiv, FNP, FNP-BP for Medicare patients.

doctor visit	54

Average Medicare Patient Data From 2015 - 2021

Information about Medicare patients treated by Jeffrey Chiv, FNP, FNP-BP.

**Gender**
Male	15
Female	27

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	9
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	0
75 to 84	8
Less than 65	1
65 to 74	23

Average of Total of Conditions of Medicare patients treated by Jeffrey Chiv, FNP, FNP-BP From 2015 - 2021

The highest averages of the most common conditions of Medicare patients that Jeffrey Chiv, FNP, FNP-BP treated were hypertension, high cholesterol, diabetes and depression.

Hypertension	33
High Cholesterol	31
Stroke	0
Ischemic Heart Disease	8
Depression	7
Chronic Kidney Disease	5
Asthma	1
Osteoporosis	1
Heart Failure	1
Chronic Obstructive Pulmonary Disease	0
Diabetes	9
Atrial Fibrillation	0
Dementia	0
Cancer	1

Education & Training

He has a state license in Rhode Island.

Licensed In: Rhode Island

Affiliations & Hospitals

Jeffrey Chiv, FNP, FNP-BP is associated with these hospitals and organizations:

Brown Medicine

The Miriam Hospital

Brown Physicians Incorporated

Rhode Island Hospital (RIH)

MINUTECLINIC DIAGNOSTIC OF RHODE ISLAND LLC

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Biography

Mr. Jeffrey Chiv's areas of specialization are family medicine and nephrology (kidney disease); he sees patients in Riverside, RI and East Providence, RI. Mr. Chiv has a special interest in hypertension (high blood pressure) and dialysis. His professional affiliations include Brown Medicine, The Miriam Hospital, and Rhode Island Hospital (RIH).