Anaemia in Patient with Chronic Kidney DiseaseCreated by:
There are a lot of different causes for chronic renal impairment, like diabetes mellitus, hypertension, polycystic kidnes disease, glomerulonephritis,and obstructive uropathy. The reduction of renal function can be progressive, with stage I to V Chronic Kidney Disease. In patient with chronic kidney disease, the prodcution of erythropoietin can be reduced. As GFR falls, the prodcution of erythropoietin can be falling as well, leading to lower haemoglobin level. The pattern of anaemia in this case will be usually normochromic normocytic anaemia. Patient will let more lethargy, fatigue when the haemoglobullin is dropping. The treatment option for anaemia secondary to chronic kidney disease will be the recombinant erythropoietin, aim to maintain the haemoglobin above 10.5 g/DL. Close monitoring of haemoglobin is required in patient with chronic kidney impairment.