oA, & SRI NARAYAN HOSPITAL & RESEARCH CENTRE rifesinmsd Spann, Vere 33 Fax: 0416 - 2270099 Contact: 0416 - 2206300,2206302,2206309 ane: Mr VENKATESAN MR Ne: SNoDe50 gwen 72 YIM Tigiembe Des! 72-6212 08:0 Ader NOZTSRAMARKOVILSTDEVICHETTI _epataent NEPHROLOGY KUPPAM Finalized Date: 16-07-2021/11:34:00 AM Doctor: Dr EZHILNILAVANS MD, DM, DNB, DEPARTMENT OF NEPHROLOGY VISIT SUMMARY CONSULTANTS Dr. S. EZHILNILAVAN., M.D (G.M)., D.M.(Nephro)., D.N.B.(Nephro) Dr. K.VENKATARAMANAN,, M.D (G.M)., D.M.(Nephro) Dr. R. RAJESH., MD.(G.M) DIAGNOSIS CHRONIC KIDNEY DISEASE since Dec'l8 ‘ON MAINTENANCE HEMODIALYSIS since Dec'18 VASCULAR ACCESS : Left radio-cephalic arterio-venous fistula BASIC DISEASE : Diabetic kidney disease ANEMIA OF CHRONIC DISEASE MINERAL BONE DISEASE - Secondary hyperparathyroidism CORONARY ARTERY DISEASE - MILD LEFT VENTRICULAR DYSFUNCTION (EF - 49 %) Si HEPATITIS B INFECTION since 2018 HEPATITIS C INFECTION since 2020 TYPE 2 DIABETES MELLITUS since 2015 HYPERTENSION since 2009 H/O left lower limb cellulitis in 2018 2020 COURSE IN THE HOSPITAL AND DISCUSSION Mr. VENKATESAN (MR No: SN00469190) presented to dialysis unit for MHD therapy. MEDICINES DOSAGE ROUTE FREQUENCY DURATION Inj. Epocept 4000 units Subcutaneous once per week ‘Target Hb 10 gm/dl T.Entecavir 05mg ——_—Peroral once per week 0-0-1 To continue T. Zytanix 25mg Peroral Jam-0-3pm-0 To continue T. Torget 100mg Per oral Sam-0-4pm-0 To continue T.NicardiaXL 30mg Per oral 1-0-0 To continue T.Angispan TR 25mg Per oral Sam-0-4pm-0 To continue T. Ecosprin AV 75+20mg_ Per oral 0-0-1 To continue T. Sheteal 500mg Per oral 2 hours after food 1-0-1 To continue T.Pan 40mg Per oral 30 minutes before food 0-0-1 To continue T. Fe plus Per oral 2 hours after food 1-0-1 To continue . Ubicar Per oral 1-0-1 To continueei SRI NARAYANI HOSPITAL & RESEARCH CENTRE ‘Thirumalaikodi, Sripuram, Vellore - 55, Fax 0416 227009 Contac 0816 - 2206500 2206302.2206309 T. Dolo 650mg Per oral iFneeded To continue Syp.Lactihep 30 ml Per oral HS- ifneeded To continue int. Signoflam for external application ifneeded To continue SPECIAL INSTRUCTIONS To continue MHD twice per week as advised Report to ER if any acute emergencies arises Avoid Nephrotoxie drugs To check CBC, RFT, Serum electrolytes, Serum calcium and Phosphorus monthly once To check Parathyroid hormone and Vitamin - D once in three months So ects. (ephr, CONSULTANT NEPHROLOGIST & TRANSPLANT PHYSICIAN {lava wo, om erro) (TPMER), Dr. Echt Reg. NO: 73584 sin onsen - Nephoalogst & eral ‘ri Narayan Hospital & Reseerch Cente, Sriguram, Vellore - 632 068.