1 / 10

Chronic Renal Failure

Chronic Renal Failure . Kidney function test. The BUN test is often done to check kidney function. Normal Results 7 - 20 mg/dL. Note that normal values may vary among different laboratories. Creatinine – blood. Creatinine levels also vary according to a person's size and muscle mass.

jael
Télécharger la présentation

Chronic Renal Failure

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Chronic Renal Failure

  2. Kidney function test The BUN test is often done to check kidney function. Normal Results 7 - 20 mg/dL. Note that normal values may vary among different laboratories

  3. Creatinine – blood Creatinine levels also vary according to a person's size and muscle mass. Normal Results A normal value is 0.8 to 1.4 mg/dL. Females usually have a lower creatinine than males, because they usually have less muscle mass.

  4. Creatinine - urine Normal Results Urine creatine (24-hour sample) values can range from 500 to 2000 mg/day. Results are highly dependent on your age and amount of lean body mass.

  5. Creatinine clearance Normal Results Clearance is often measured as milliliters/minute (ml/min). Normal values are: Male: 97 to 137 ml/min. Female: 88 to 128 ml/min.

  6. Case 1 Mr. A. is a patient with CRF secondary to chronic interstitial nephritis. He complains of chronic fatigue and breathlessness on exertion; his hemoglobin concentration was found to be 5.6 g/dl. Question: How should he be treated?

  7. Case 2 Mr D, 19 year old male complaining of a 3 month history of fatigue, weakness, nausea and vomiting that he had attributed to examination stress . laboratory results are Sodium 137 mmol/L (135-145) Potassium 4.8 mmolL (3.5-5) Phosphate 2.5 mmol/L (0.9-1.5) Calcium 1.6mmol/L ( 2.2-2.55) Urea 52mmolL (3-6.5) Creatinine 620μmolL (50-120) HB 7.5 g/dl (13.5-18) Diagnosis : chronic renal failure secondary to reflux nephropathy Q: Explain the signs and symptoms and the likely course of his disease

  8. Answer of case 1 Symptoms are most likely to result from A normochromic normocytic anemia Treatment: Hemodialysis Recombinant erythropoietin for treatment of anemia

  9. Answer of case 2 Patient is suffering from the signs and symptoms of uremia resulting from CRF, this leads to accumulation of toxins (urea and creatinine ) and this causes nausea, vomiting and general malaise . Reduced erythropoietin production leads to low HB level .

  10. Answer of case 2 Renal osteodystrophy (inadequate vitamin D ) leads to hyperphosphatemia and hypocalcaemia . There is a failure in the ability of the damaged kidneys to compensate and the symptoms appears late in the condition.

More Related