55year old male with CKD on MHD

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C/o decreased urine output ,pedal edema,sob since 1year.
Patient was apparently asymptomatic 1year back then he developed bilateral pedal oedema (pitting type). Gradually progressive a/w sob and h/o decreased urine output.no h/o palpitation,burning micturition.
K/c/o HTN ON tablet Nocardia 10mg
N/k/c/o DM,TB,ASTHAMA, EPILEPSY,CAD.
ON EXAMINATION_PATIENT IS CONSCIOUS,COHERENT , COOPERATIVE.
TEMP-AFEBRILE.
PR-83BPM
BP-120/80MMHG
RR-17CPM
SPO2-98
GRBS-121MG/DL
CVS-S1S2+
RS-BAE+,NVBS.
CNS-NAD

INVESTIGATIONS-
ON 22/12/2021
BLOOD UREA-79MG/DL
SERUM CREATININE-7.4MG/DL
SODIUM-148MEQ/L
POTASSIUM-3.9MEq/L
CHLORIDE-98mEq/L
SERUM IRON- 94ug/dl
HBsAg-negative
HIV-NON REACTIVE
HCV-NEGATIVE
BLOOD GROUP-O POSITIVE
PROVISIONAL DIAGNOSIS-
CKD ON MHD

TREATMENT-
1.FLUID RESTRICTION LESSTHAN 2LIT /DAY
2.TAB.LASIX 40MG PO/BD
3.TAB.NICARDIA 10MG PO/BD
4.TAB.OROFER PO/OD
5.TAB.SHELCAL PO /OD
6.TAB.NODOSIS PO/BD
7.BP/PR/RR /TEMP 6TH HRLY ,I/O CHARTING.

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