Management of Complications in Chronic Kidney Disease

Published on:31 Dec 2015
Journal of Clinical Practice and Health Sciences, 2015; 1(2):16-18
Case Study | doi:
Authors:

Yusra Habib khan1, Azmi Sarriff1, Azreen syazril Adnan2, Tauqeer Hussain Mallhi1, Raja Ahsan Aftab1
1Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800
Penang, Malaysia
2Chronic Kidney Disease (CKD) Resource Center, School of Medical Sciences, University Science
Malaysia, 16150 Kota Bharu, Kelantan, Malaysia

Address for correspondence:
Yusra Habib khan
Department of Clinical Pharmacy,
School of Pharmaceutical Sciences,
Universiti Sains Malaysia,
11800 Penang, Malaysia
Email: yusrahabib@ymail.com

Abstract:

Background: Chronic kidney disease (CKD) involves a progressive loss of function over several months to years, characterized by gradual replacement of normal kidney architecture with parenchymal fibrosis. Case presentation: A 68 years old Malay female, admitted to Hospital UniversitiSains Malaysia (HUSM) with complaints of lethargy, nausea, vomiting, low appetite, on and off shortness of breath and chest discomfort. She was diagnosed as advanced chronic kidney disease approaching end stage renal disease (ESRD) with uremic symptom, hyperkalemia, metabolic acidosis as well as hypertension, diabetes mellitus type II, severe hypochromic microcytic anemia and gouty arthritis. Patient was then resuscitated by hemodialysis to remove excess volume that ultimately controlled blood pressure as well as shortness of breath. Conclusion: Chronic kidney disease is a silently progressive disease associated with complications leading to high morbidity and mortality. Therefore, proper management and treatment should be given to patients approaching ESRD.

Keywords: Chronic Kidney Disease, End Stage Renal Disease, Dialysis

 

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