PERFIL BIOQUÍMICO E HEMATOLÓGICO DE PACIENTES COM DOENÇA RENAL CRÔNICA SOB TRATAMENTO DE HEMODIÁLISE

Abstract

Objective: To determine the acceptable value for each biochemical and hematological dosage for patients on dialysis and build the profile for these patients with the data. Methods: Sixteen blood samples were collected from patients at the Kidney Diseases Clinic in the city of Varginha, Minas Gerais, where blood counts were performed using the automated method, using the ABX-Micros 60 Cell Counter and the preparation of hematology slides to be The shape, color and size of red blood cells were observed using optical microscopy. Another 18 samples from the same patients were collected for biochemical and electrolyte dosages (glucose, urea, creatinine, magnesium, uric acid, total cholesterol, HDL cholesterol, triglycerides, sodium and potassium), which were analyzed by the automated method using the RA 100 Analyzer and the 7000 Flame Photometer. Results: From the analyzed blood counts, 80% of the patients were found with normocytic and normochromic anemia, 15 with microcytic and hypochromic anemia and 5% with macrocytosis. Biochemical analyzes revealed that 225 had hyperglycemia, 16% had increased uric acid, 95% had increased urea, 100% had increased creatinine, 45% had increased potassium, 5.5% had increased Total Cholesterol, 44% had high Triglycerides, 5% patient with low HDL, 100% with magnesium above the reference value and 83% with hypernatremia. Conclusion: With the present work we can conclude that patients with chronic kidney disease present arterial hypertension as the main indication of kidney disease, later evolving to loss of kidney function. The laboratory findings studied show that the hematological and biochemical measurements are directly related to the clinical status of these patients, showing that for this pathology, these values ​​can be considered normal. The patients in this study have hyperglycemia, hypomagnesemia, hyperkalemia, hypernatremia, normocytic and nomnochromic anemia, which are characteristic of patients with this disease.