She requires optimisation of all the ckd parameters in the sense like management of anaemia, vit d deficiency, serum iron replacement, calcium, lowering of serum phosphorus, dietary modifications according to Ckd diet like avoiding fruits and fruit juices, coconut water, low protein diet, avoid pain killers, nephrotoxic medications, compliance with water, vaccination for Hepatitis B and last is creation of vascular access after 2 D ECHO.
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Nephrologist/Renal Specialist
With the above shared information, it is wise to prepare for Dialysis (either Hemodialysis via preparation of AV fistula creation or Peritoneal dialysis depending upon her abdomen girth status) anticipating near future need for renal replacement therapy.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Nephrology
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