Kidneys - a paired organ that maintaining the life in a balanced state . Kidneys role in maintaining the homeostasis is a non replaceable one .They receiving 1100 to 1200 ml of blood /minute .Their work in excreating the products of metabolism make the body a functional one .They also play a vital role in maintaining BP,producing RBC’s too .But what if they fail?
Yes ,although kidneys were the paired organs they may fail (both) .They are the first organs to go into insult due to ischemia- shock,heavy bleeding - lead to AKI and changes due to raised blood pressure - hypertension - LEAD TO CKD
So many other reasons also there for the renal impairment.Then what is the remedy - what we can do if our kidneys fail
We now got a life saving one - dialysis .A medical management through which we can able to remove waste products and excess of fluids from the body .Here only our VOWELS
A,E,I,O,U coming into action .What are these vowels in dialysis
A- ACIDOSIS ,PH of less than 7.2 - refractory to the treatment (metabolic acidosis)
E- ELECTROLYTE IMBALANCE - (HYPERKALEMIA -REFRACTORY IS THE MAIN INDICATION ,also other electrolyte imbalances too ,hyperphosphatemia,hypocalcemia .etc)
I-INTOXICATION - due to drugs such as INH,salicylates,theophylline ,lithium ,DABIGATRON , Ethylene glycol and poisons such as methanol
O- OVERLOAD/ NIL OUTPUT - volume overload,
U- UREMIA - more than 50-55 mmol/L
So these vowels were the indications for dialysis .Thus it is jusfiable to call them as VOWELS OF LIFE -RIGHT
MBH/PS