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All Journal Journal Of World Science
Asyiroh, Hubah
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Computer Science & IT Economics, Econometrics & Finance Engineering Health Professions Law, Crime, Criminology & Criminal Justice Social Sciences

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Cardio-Renal-Anemia Syndrome and Acute Type 2 Respiratory Failure Following Hemodialysis: A Case Report on the Challenges of Critical Care Management Jahidi, Savero Mizan; Aflahudin, M. Ahda Naufal; Asyiroh, Hubah; Mohani, Chandra Irwanadi
Journal of World Science Vol. 3 No. 12 (2024): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v3i12.1241

Abstract

Cardiorenal anemia syndrome (CRAS) is a complex condition involving heart failure, chronic kidney disease (CKD), and anemia, often complicated by comorbidities such as diabetes and hypertension. This case study presents a critically ill patient with a history of diabetes and hypertension who developed life-threatening Type 2 respiratory failure due to CRAS following hemodialysis. Upon admission, the patient exhibited severe respiratory distress, low oxygen saturation, bilateral pulmonary edema, and delayed capillary refill time, indicating a dire initial condition. Blood tests confirmed anemia, leukocytosis, and elevated creatinine, while blood gas analysis revealed uncompensated respiratory acidosis. Multidisciplinary management involved oxygen therapy, diuretics, intravenous antibiotics, and mechanical ventilation due to suspected sepsis. This report highlights the complex interplay of CRAS-related complications and underscores the significance of early, integrated treatment strategies to improve patient outcomes.
Co-Authors Aflahudin, M. Ahda Naufal Chandra Irwanadi Mohani, Chandra Irwanadi Jahidi, Savero Mizan