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Lakshmana Rao, N.
- A Study of Pattern of Biochemical Changes Occuring among Patients of Acute and Chronic Renal Failure in a Tertiary Hospital of Orissa
Authors
1 Dept. of General Medicine, GSL Medical College, Rajahmundry, A. P., IN
2 Dept. of Community Medicine at GSL Medical College, Rajahmundry, A. P., IN
Source
Indian Journal of Public Health Research & Development, Vol 5, No 3 (2014), Pagination: 5-9Abstract
Background: Biochemical indicators are routinely monitored to enable timely assessment of strategies&management programmes in patient care to check the effectiveness of therapy as well as prevention of dangerous metabolic disturbances. An overview of biochemical pattern of the patients can assist the clinician in making adjustments to clinical management practices
Objectives: 1. To study the biochemical pattern of acute&chronic renal failure patients. 2. To compare the pattern of biochemical changes occurring in both the groups.
Materials and Method: Around 100 patients of acute renal failure&100 patients of Chronic Renal Failure who were admitted in the hospital during September 2008 to September 2009 were examined, investigated&interviewed with the help of a pretested proforma. The pattern of biochemical changes occurring in both groups at that time was studied.
Results: The renal parameters, electrolytes&bicarbonates were more deranged in ARF whereas in CRF, anaemia, hyperparathormone, hyperphosphatemia ,&hyperlipidemia were more seen.
Conclusions: It is important to check these parameters regularly in order to prevent the complications arising out of these in order to reduce the mortality.
Keywords
Acute & Chronic Renal Failure, Biochemical Changes, Hyperkalemia, Uraemia Etc.
- A Study of Prognostic Predictors in Organophosphate Poisoning in a Critical Care Unit of a Medical College of Andhra Pradesh
Authors
1 Dept.of General Medicine at Gsl Medical College, Rajahmundry, A.P, IN
2 Dept. of Community Medicine at Gsl Medical College, Rajahmundry, A.P, IN
Source
Indian Journal of Public Health Research & Development, Vol 5, No 3 (2014), Pagination: 78-82Abstract
Background: Diagnosis of organophosphate poisoning is purely clinical, through some biochemical test will help in diagnosis of organophosphate poisoning. There is no specific prognostic predictor in terms of duration of hospital stay and course of recovery. Good prognostic predictor can guide the clinician for further treatment.
Objectives: 1. To study the prognostic predictor with special reference to duration of the hospital stay. 2. To predict duration of hospital stay from initial clinical sign and biochemical parameters.
Materials and method: Around 240 patients of organophosphate poisoning who were admitted in the critical care unit in the hospital from January 2007 to January 2010 were examined, investigated and interview with help of semi structured proforma.
The initial clinical presentation and biochemical parameter were recorded for the study.
Result: Patients who presented clinically with severe symptoms at the time of admission, increased leucocytes counts, electrolytes and low serum acetyl choline esterase level, those patients stayed more days in ICU and most of the patients required ventilator supports.
Conclusion: It is very important to predict and select the case by detailed clinical history and biochemical examination, so that better treatment and reduction of the mortality can be achieved.