Dialysis patients are required to take monthly laboratory tests. This is to ensure proper monitoring of our body’s blood and chemistry levels. These tests are also used by doctors as reference on how patient’s respond to dialysis, if they are eating right, their responsiveness to EPO shots via their hemoglobin levels, and so on. I have been through this routine tests all my dialysis years and still going through with it. My lab test schedule for the month of May would be performed on my next dialysis session, this coming Thursday to be specific. My past blood test, since I started my treatment, were fairly okay. There are certain blood levels that dialysis patients and doctors use as reference and it’s quite different from the ones normal people use.

Let me state this as an example:

• A normal person’s hemoglobin range: 12 – 14 grams per deciliter (g/dL)
• A dialysis patient’s hemoglobin range: 10 – 12 grams per deciliter (g/dL)

To elaborate this further, I have prepared a list of the common laboratory tests that I take along with their acceptable ranges. The blood levels below are provided for your reference and are to be used as guidelines. Levels may vary upon individual differences or depending on the dialysis unit;s laboratory procedures. It is always advisable to talk to your doctor, nurse, and dietitian about your blood levels.

• Blood Urea Nitrogen (BUN) : 60 – 110 mg/dL
• Creatinine : 8.0 – 20.0 mg/dL
• Potassium (K) : 3.5 – 5.0 mEq/L
• Calcium (Ca) : 8.5 – 10.5 mg/dL
• Blood Sugar (fasting) : 60 – 100 mg/dL
• Blood Sugar : less than 140 mg/dL
• Alkaline Phosphatase : 25 – 100 units/L
• Phosphorus (P) : 2.3 – 4.7 mg/dL
• Sodium (Na) : 135 – 145 mEq/L
• Albumin : 3.8 – 5.5 gm/dL
• Total Protein : 6.0 – 8.0 gm/dL
• Hematocrit (HCT) : 33% – 36%
• Hemoglobin (Hgb) : 10 – 12 gm/dL

Basically, through this monthly lab exams, a dialysis patient, doctor, nurse, and dialysis unit’s medical staff can monitor the patient’s progress while undergoing treatment. For me that has been going through with it for quite a long time now, and for other’s as well, it may sound routinely boring. But I hope this article may serve as reminder on how vital this monthly blood tests are to a dialysis patient.

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3. Hypertension and Kidney Failure

Hypertension or high blood pressure runs in our family. Several of my relatives either died of a heart attack or stroke caused by hypertension that’s been left untreated. I had hypertension as early as my high school days, although I am completely unaware of it. It was just brought up to my attention six years ago, when I was first diagnosed with chronic kidney failure. It was both shocking and unbelievable for me at that time. Being a 26 year-old, it’s quite hard to accept at first that I am already suffering from chronic ailments and would probably face medication and treatment for the rest of my life. But there it was, already out in the open.

The kidneys play a key role in keeping a person’s blood pressure in a healthy range, and blood pressure, in turn, can affect the health of the kidneys. High blood pressure, also called hypertension, can damage the kidneys and lead to chronic kidney disease (CKD).

– Source NIDDK/NKUDIC

This might seem both alarming and outrageous, but it’s true, and it’s a fact. And I just don’t say it from research or reading journals about it, but I’m saying it from experience. Had I known myself to be inflicted with hypertension, I would have done steps to prevent it from helping destroy my kidneys. My doctor said that besides CGN or Chronic Glomerulonephritis, hypertension became one of the contributing factors that lead to kidney failure. But I was young then, and thought myself impervious to such diseases and conditions. Well, I was wrong, and paid dearly for it.

I am still suffering from hypertension up to this day simply because it’s closely associated with kidney failure. Although I am a lot wiser now than before and medications help me maintain my blood pressure at acceptable levels, I still make it a point to implement ways to keep my hypertension at bay.

• I avoid salty and sodium-rich foods as often as I can. Salt makes you more thirsty and if you drink too much water, you might experience fluid overload that will increase your blood pressure.

• I try to stay cool and avoid staying under the sun too much for the same reason that this would make you want to drink more.

• Avoid fatty and deep fried foods, as well as those that are high in cholesterol. Not only will it trigger your blood pressure to rise significantly but will also put you at risk with stroke and heart attack.

• Consult with your doctor on a regular basis and always take your medications for hypertension. Skipping them would desensitize your body to the drug and would cause dangerous spikes in your blood pressure.

It’s hard enough coping with kidney failure and dialysis alone, and even harder to manage different complications that comes along with it. But with sensible management, eager determination, and abundant amount of faith, things could go as normal as it can be for patients like me.

Be wise. Well-informed is well-prepared.

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1. Hypertension – Living with It, Dealing with It
2. Anemia in Kidney Failure and Dialysis Patients
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CKD can go unnoticed because your kidneys have a lot of spare work capacity. Your kidneys may be able to lose more than 75 percent of their ability to function before you realize that anything’s wrong. Consequently, CKD can be quite advanced before it’s discovered. That spells trouble not only for your kidneys but for your cardiovascular system as well. The risk of cardiovascular problems — which mainly include heart attack and stroke — rises dramatically when you have CKD. In fact, cardiovascular problems are the top cause of death in people with CKD.

–Source: PCHRD Library

I went to my dialysis treatment the other day as scheduled. It went okay, generally speaking, though the only setback was that I had to endure the scorching summer heat during the travel from our house to the clinic. Not that I am complaining much but I guess you really can’t blame me for doing so. Anyway, while I was in queue, I can’t help but notice the age diversity of my fellow patients. Many in our clinic are old folks, but the equally disturbing fact that I noticed is that there are also a number of patients who seems to be barely out of adolescence.

Yes, you heard me right. There are young people in our clinic suffering from kidney failure and undergoing dialysis treatment. Isn’t it a sad and depressing fact? Yes, it is, but still a fact nonetheless.

“Anyone can get chronic kidney disease at any age…”

- National Kidney Foundation

In my case, my Kidney Failure was a secondary complication to Chronic Glomerulonephritis, and possibly, a long, undetected, and untreated case of Hypertension. Here are some list to take notice if you’re thinking of getting yourself screened for kidney disease:

You may have an increased risk for kidney disease if you:

• have diabetes
• have high blood pressure
• have a family history of chronic kidney disease
• are older
• belong to a population group that has a high rate of diabetes or high blood pressure, such as African Americans, Hispanic Americans, Asian, Pacific Islanders, and American Indians.

Source: NKF

The saying “An ounce of prevention is worth more than a pound of care” does rings true, for me in any case. If you feel it in you that you need to have your kidneys, or your general health for that matter, checked, go ahead and do it. Although it’s true that it’s hard to detect kidney failure at it’s early stages and exhibits symptoms belatedly, prevention and early detection would still make a difference.

Better safe than sorry…

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2. Hypertension and Kidney Failure
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