Insuficiencia renal crónica en pacientes con diabetes mellitus tipo ii y sospecha de tromboembolismo pulmonar.

Abstract

Type II Diabetes Mellitus constitutes a health problem; it is one of the chronic diseases with an impact on the quality of life of the population; due to its complications it is included in the group of diseases that cause physical disability, in addition to the increase in mortality and morbidity.1 One of the most frequent complications is chronic renal failure, a particular case is the suspicion of pulmonary thromboembolism (TEP ) in these patients who, given their kidney damage, do not admit certain tests in the diagnosis of PE, which could put their lives at risk. The objective of the present work is to investigate from a qualitative and bibliographic approach the topic of chronic complications of DM2, specifically chronic renal failure with suspected pulmonary thromboembolism. The research is based on a bibliographic-documentary type design, with a qualitative approach and employs the logical deductive method. The results show that there is a relationship between type II DM and chronic kidney disease (CKD), with DM2 being the main cause of CKD in our environment and is an important comorbidity of diabetic and non-diabetic nephropathy. For emergency management of PET in a patient with renal failure (stage 5) with suspected PE has contraindicated any imaging study that requires the administration of IV contrast, as is the CT angiography, all other scans do not require it and therefore would be more than indicated the thoracic echocardiogram, lung scan, electrocardiogram or chest x-ray.