Managing CKD 5 Without Dialysis: A Concept Worth Looking Into

Let’s start with a case study. This elderly male, is hospitalized with fever, cough productive of purulent sputum, pain right lower chest on coughing and deep inspiration. Evaluation suggested right lower lobe consolidation with pleural involvement, possibly a community acquired lobar pneumonia. His hemogram showed a Hb of 10.2, TLC 14,500 with 90% neutrophils, RBS was 260mg/dl, serum creat 6.8 mg%, Na 133 mEq/l, K 5.5 mEq/l, S. Alb 3.8 gm/l. Urinalysis showed 2+ protein and bland sediment. Xray chest PA: Right lower lobe consolidation with obliterated CP angle.