Study of clinical profile of the patient with chronic kidney disease under hemodialysis

Dr Tikamchand More; Dr. Sudha Alawe

Volume : IX, Issue : I, January - 2020

Study of clinical profile of the patient with chronic kidney disease under hemodialysis

Dr Tikamchand More, Dr. Sudha Alawe

Abstract :

Background: Chronic kidney disease (CKD) in initial stages is usually asymptomatic. Recognition of CKD using clinical profile can assist in early interventions to delay the progression to ESRD and reduce morbidity and mortality. Aims and Objectives: To study the clinical profile of patients with CKD under hemodialysis. Materials and Methods: Hundred CKD patients having age >18 years were studied at Department of general medicine, Gandhi Medical College, & associated Hospitals (Hamidia Hospital) Bhopal from 2017 to 2020. Viral markers, CBC, fasting and post prandial blood sugar, serum electrolytes, serum urea and creatinine, Liver function test, serum profile, coagulation profile, ECG and Chest X ray was performed. Results: CKD was more prevalent in age group of 20–30 years (29%) who were males (65%). Majority had stage 4 CKD. 14% had abnormal serum creatinine level, 73% had abnormal blood urea level and 21% had abnormal potassium levels. Majority had abnormal (55%) serum calcium level and only 2% had abnormal uric acid level. Conclusion: Electrolyte disturbances are commonly associated with the patients with CKD. Abnormal serum creatinine and urea is the important predictor of the CKD. Early recognition can reduce the progression to further complications.