Cedric NGNIMPAYE DZOYEM1*, Jonas Merlin TAKEMEGNI WANDJI1 , Edwin SHU NEBA2, Alice MBI ENEKEGBE3
1Institut Universitaire du Golfe de Guinée(IUG),BP :12489 Douala Cameroun; 2Institut Supérieur des Infirmiers et des Techniciens Medico-Sanitaires de Douala , BP 5291 Douala ; 3St Louis university institute of health and biomedical sciences
CaHReF 2018, Yaoundé Congres hall, 08 – 11 January 2019 , 0ERF032
Background: The Homeostatic balance of human body is done by the help of organs. A misfunctioning of any of these organs generates a pathophysiology. A CK failure could be a risk factor for some metabolic disorders, thus the organism needs to follow up dialysis or kidney transplant to maintain the equilibrium.
Objectif: determine the electrolyte profile of patients with chronic kidney disease attending the Yaounde University Teaching Hospital (CHUY).
Methodology: This study was a hospital based cross sectional study carried out at Yaounde University teaching Hospital (C.H.U.Y) which a total of 41 [78.04% (32) males and 21.95% (9) females] cases of CKD patients undergoing Haemodailysis were selected using convenient sampling technique, after which we obtained administrative clearance from authority and patient consent. Blood samples were collected from the venous line infusion port of patients and dispensed into a heparinized tube, the sample was centrifuged to aliquot the plasma and Electrolytes (sodium, potassium, chloride and phosphorus) where analyzed using a spectrophotometer. Data collected was analyzed using the SPSS version 20.0 package.
Results: Plasma phosphorus ionic concentrations of some patient showed an alarming level than the normal level, as for the other ions (CL-, K+ and NA+), there were slight deviation in some participants. In terms of gender more males 25% (8) were dyskalemic, more females 37.3% (3) were dysnatremic, 15.6% (5) males were dyschloremic and more males 50% (16) were dysphosphatemic.
Conclusion/Recommandation: In conclusion haemodialysis at the C.H.U.Y center had a partial balance effect, especially for phosphorus ion as compared to the potassium, sodium and chlorides ions. Also, ionic equilibrium was not gender base, thus we recommend the consideration of Nutritionists in the clinical set up of the hospital, who with their synergy with other health personnel can best manage CKD patients in particular and patients with non-communicable disease
Key Words: Haemodailysis, CKD patients, Homeostasis, electrolytes