文章基本信息

标题：Covid-19 and management of patients in hemodialysis therapy at the IESS Ambato Hospital
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作者：Diana Sofía Iglesias Espín ; Monserath Bravo Hurtado ; Christian Enrique Iglesias Espín 等
期刊名称：Universidad y Sociedad
电子版ISSN：2218-3620
出版年度：2021
卷号：13
页码：330-337
语种：English
出版社：Universidad de Cienfuegos
摘要：The recent SARS-CoV-2 pandemic has significantly impacted the general population. In COVID-19 infection, a high mortality rate has been observed in patients with comorbid disease, especially in chronic kidney injury. This is a pathology of rapid and progressive evolution since it is accompanied by metabolic acidosis, requiring immediate hemodialysis therapy. This procedure removes toxic waste due to a lack of kidney function. The objective of this work is to determine the impact of COVID-19 on the management of patients on hemodialysis therapy at the IESS Ambato Hospital. It was identified that the most frequent manifestations of this pathology are proteinuria and the nephrotic range. In addition, it presents comorbidities such as arterial hypertension, anemia, and diabetes mellitus, which are risk factors, along with advanced age and immunosuppression. The most frequent symptoms identified were: diarrhea and abdominal pain, caused by hypotension. For the hemodialysis procedure, the supine position is essential as it decreases the ultrafiltration rate. Patients who receive this maintenance therapy are more susceptible since their immune system is compromised by complications secondary to the infection or the procedure.