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Stage 5 CKD: Say Good Bye to Critically Ill Notice

2014-05-05 00:18| Font Size A A A

Name: Daye

Gender: Male

Age: 50 years old

Martial status: Married

Country: Guinea

Why come to our hospital?

6 months ago, he wen to the local hospital for a check-up due to nausea and vomiting. And the report show blood pressure 190/100mmHg, serum creatinine 1060umol/L, BUN 40mmol/L, hemoglobin 70g/L. Doctors there take treatments to lower blood pressure, correct anemia. Meanwhile, after dialysis, nausea improved gradually. However, chest distress and other discomforts begin to occur early last month. To seek for better curative effect, he came to our hospital eventually.

Diagnosis

Combining with medical history, physical examination and auxiliary examination, he was diagnosed with chronic glomerulonephritis, chronic renal insufficiency, stage 5 CKD, renal anemia, renal hypertension and multi-vessel coronary disease.

Analysis

Due to high levels of toxins in the body, various systems will be affected, such as, nervous system, respiratory system, circulatory system, digestive system and so on. And circulation problems are the major cause of death for ESRD patients, after hospital admission, our experienced nephrologists regard him as a anuria patient, meanwhile, his potassium level reach up to 6.0mmol/L.

Condition after treatment

At one time, he was given an “critically ill notice”. After a period of both active and effective treatments, his condition improve gradually. See the following contents to get more information:

1. Cardiac function get improved.

2. Increased urine output, maximum value 600ml/24h.

3. Feel good about himself, without chest distress and other discomforts.

                                                            Before                                                                 After

Hemoglobin                                      80g/L                                                                100g/L

Creatinine                                   1300umol/L                                                         760umol/L

BUN                                              39mmol/L                                                            19mmol/L

K                                                   6.0mmol/L                                                            4.0mmol/L

CO2                                             11mmol/L                                                              19mmol/L

NTproBNP                                12210pg/ml                                                             7210pg/ml


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