HCM CityMissing her dialysis appointment by just one day, a 54-year-old woman was admitted to the emergency room in critical condition. The doctor diagnosed respiratory failure due to acute pulmonary edema and myocardial damage.
The patient has end-stage chronic kidney failure with hypertension, type 2 diabetes, and dyslipidemia, currently undergoing dialysis treatment 3 times a week. On March 20, she was scheduled for dialysis but was busy attending a wedding party so she postponed the appointment for one day. 3 minutes after the party, she had difficulty breathing, had a headache, and had bloating, and was taken to Xuyen A General Hospital for emergency treatment.
The patient's Glasgow (coma scale) score was 6 points and the cardiac arrest was successfully resuscitated. Test results and X-rays diagnosed acute respiratory failure due to acute pulmonary edema and myocardial damage. The doctor determined that it was due to not having dialysis on schedule.
Doctors consulted, placed endotracheal tubes, performed cardiopulmonary resuscitation, used high doses of vasopressors and specialized medications, and filtered blood to detoxify the patient. After 4 hours, the patient's health gradually improved. She opened her eyes, understood the medical orders, breathed smoothly, and her blood pressure was stable, so she was weaned off the ventilator and continued dialysis treatment according to a regular schedule.
The patient received dialysis and his health is stable. Image: Hospital provides
MSc. Vu Le Anh, Head of the Department of Nephrology, recommends that people with end-stage chronic kidney disease need to follow dialysis on time and on schedule. Skipping the dialysis schedule puts the patient in danger such as fluid overload leading to high blood pressure, vomiting, and fatigue; Excess water causes pulmonary edema; Hyperkalemia affects heart rate, cardiac arrest...
Patients need to follow a bland diet and limit foods and drinks high in potassium. Take medication as prescribed and control underlying medical conditions well.
Chronic kidney failure is a disease that often progresses silently and without symptoms. Therefore, it is important to detect the disease early. Three high-risk groups are people with diabetes, people with hypertension, and people with a family history of kidney disease. They need annual health screening for early detection and timely treatment.
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