What to look for in the blood tests of dialysis patients

Filed in: Vitamins & Supplements.

Blood tests can tell how well dialysis is working, how well-nourished you are, the state of your bones, how much acid is in your blood, as well as your blood count. Monthly blood tests to check the levels of urea / creatinine, waste products produced by the metabolism within the body, help determine the suitability of the dialysis prescription. Another test, called Kt / V, is also performed to assess the patient's progress and the adequacy of the dialysis. Abnormal levels of electrolytes (sodium, potassium) can cause organic dysfunction, for example, in the heart and, therefore, the need for regular controls. Serum albumin levels tell us how well the patient is nourished and is the most important test to indicate future morbidity. Calcium and phosphate levels give us an indication of bone metabolism. The hemoglobin levels indicate the degree of anemia (low blood strength) and act as a guide to adjust the treatment (blood transfusions / erythropoietin injections). Blood sugar levels are important in diabetics. Testing for HIV and hepatitis B and C viruses is done routinely upon admission to the dialysis unit and every 3-4 months thereafter. There are other important tests that are performed less frequently and include lipid levels, liver function tests, iron studies, etc. .

Creatinine: this is the waste produced by the muscles. A high level of creatinine may indicate that you are not getting enough dialysis Potassium: This mineral is normally present in the blood. If the level goes too high or too low, it can cause the heart to stop. The normal level is 3.5-5.0 mmols / l. Crisis levels are less than 2 or greater than 6.5. Urea: Urea is produced when the food we eat breaks down. The normal level is 20-40mg / dl / l, but in dialysis patients the urea levels are much higher. A high level of urea will often cause diseases (nausea and vomiting) Phosphate: Phosphate is one of the substances needed in the blood to keep bones healthy. The normal level is 3-4.5mg / dl. A high level can cause itching and bone disease. Diet and phosphate binders can help control the level. Calcium: this mineral is necessary to maintain healthy bones. The normal level of calcium in the blood is 9 to 11 mg / dl. Glucose: the normal blood glucose level is 100 to 140 mg / dL. For diabetics in HD, it is important to remember that, in addition to high glucose levels, hypoglycaemia (low sugar content) can also occur

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Read the full article "What to look for in blood tests for dialysis patients" that is written by Dr. Arvind C at Practo.com here: https://www.practo.com/healthfeed/what-to-look-for – blood tests for dialysis patients-13368 / post

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