Evaluation of Impaired Renal Function in Critical Care Units of Telangana Population

Abstract

42 patients (30 males and 12 females) aged between 30 to 65 years having renal impaired functions were studied the clinical manifestations were 16 (38%) had fatigue, 3(7.1%) had clubbing, 9(21.4%) had anemia, 2(4.7%) had cynosis, 5(11.9%) had joint pain 4(p.5%) had dyspnea with excretion, 3(7.1%) had dyspnea without excretion. The associated diseases were 11(26.1%) had hypertensive, 19(45.2%) had diabetes mellitus, 8(19%) had cardiac diseases, 4(9.5%) had urinary tract infections. The GIT manifestations were 4(9.5%) had mouth ulcer, 9(21.4%) had change in taste, 11(26.1%) had anorexia, 6(14.2%) had nusea, 7(16.6%) had vomiting, 5(11.9%) had hiccough. The CNS and PNS manifestations were in 12(28.5%) conscious state, 9(21.4%) were in confused state (poor attention), 7 (16.6%) had slurred speech, 6(14.2%) had ataxia, 5(11.9%) had tremours, 3(7%) had burning sensation of feet and hand. The GFR status according to cock-craft Gaultformula method 6(14.2%) were in stage I, 11(26.1%) were in stage. II, 17(40.4%) were in stage III, 8(19%) were in stage IV. This study of analysis of impaired functions of kidney will be quite useful to physician, Uro-surgoen, to treat such patients efficiently to prevent morbidity and mortality because about 90000 Indian patients develop renal failure every year