Assessment and Prevention of Risk For Development of Cardiovascular Diseases in Geriatric Population with Chronic Kidney Disease

Jesni, K Jose (2016) Assessment and Prevention of Risk For Development of Cardiovascular Diseases in Geriatric Population with Chronic Kidney Disease. Masters thesis, College of Pharmacy, Sri Ramakrishna Institute of Paramedical Sciences, Coimbatore.

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Abstract

The Present Study was Chronic kidney disease is a large and growing problem among aging populations. The studies shows that the patients with chronic kidney disease are at increased risk of cardiovascular events even at early stage of kidney disease.Men are at increased risk of getting cardiovascular disease than women. The study was carried out to assess and prevent the cardiovascular risk in geriatric patients with chronic kidney disease getting admitted to the study site. Study populations of 102 geriatric patients were included as per the inclusion criteria and data were collected in a specially designed data entry format. The collected data were screened to identify the cardiovascular risk in geriatric patients by using WHO risk scale, Framingham’s risk calculator and QRISK calculator. From the study it was found that diabetes mellitus and hypertension were the major problems may pose risk for cardiovascular disease in geriatrics. The present study had a various drugs prescribed for the study population including anti-hypertensives, anti-coagulants, anti-diabetics and proton pump inhibitors and diuretics. This study also revealed the importance of prevention of cardiovascular disease. The reasons for admission for the study population was found to be difficulty in breathing, vomiting, decreased urine output, chest pain, etc. Route of administration for drug administered to the study population was analyzed and there was at least one drug administered as an injection to 83.33% patients. Length of stay for the study population in hospital was calculated and found that a minimum of 2 days and maximum of 15 days. Analysis of drug – drug interaction’s prevalence in the study population revealed that 57% of the prescriptions do not have any such interactions. The core analysis of this work is assessment of CV risks in the geriatric study population with chronic kidney disease using three various scale that had revealed that 40% of the study population was in very high risk category and 20 & 32% were in high and moderate risk category respectively. The study population were counseled and intervened appropriately about various risks and its management to prevent themselves from entering into the next higher risk category.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Cardiovascular Diseases ; Geriatric Population ; Chronic Kidney Disease
Subjects: PHARMACY > Pharmacy Practice
Depositing User: Ravindran C
Date Deposited: 18 Dec 2017 07:49
Last Modified: 18 Dec 2017 07:49
URI: http://repository-tnmgrmu.ac.in/id/eprint/4392

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