Test Detail
Understanding the Test
Test Measures
Other Tests
Content created by
Written by
Dr. Shreya Gupta
BDS, MDS - Oral and Maxillofacial Pathology
Reviewed by
Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Kidney Dialysis Package

Kidney Dialysis Package Includes 50 testsView All
You need to provide
Blood, Urine
This test is for
Male, Female
Test Preparation
  1. Urine sample must preferably be the midstream urine (part of urine that comes after first and before the last stream). Collect the urine sample in a sealed and sterile container provided by our sample collection professional. Make sure that the container doesn't come in contact with your skin. Please be informed that urine sample is a part of this package, you are required to submit all the samples that are a part of the package during the sample collection itself. Women are advised not to give the sample during the menstrual period unless prescribed.

Understanding Kidney Dialysis Package


What is Kidney Dialysis Package?

The Kidney Dialysis Package is designed to monitor kidney function in people undergoing dialysis. This package determines the effectiveness of dialysis by offering tests such as complete blood count, blood sugar, cholesterol - total, blood urea nitrogen (BUN), creatinine, phosphorus, calcium, serum electrolytes, alkaline phosphatase, uric acid, serum protein total, and urine examination. These tests help analyze the dose and adequacy of dialysis and also help to individualize the frequency of dialysis. Risk factors such as high blood pressure, diabetes and lupus (autoimmune disease) may increase the possibility of developing or worsening of kidney diseases and increase the need for dialysis. Lifestyle modification such as maintaining a healthy weight, eating a well-balanced diet and regular monitoring of blood sugar and blood pressure may help to keep the kidneys healthy.

What does Kidney Dialysis Package measure?

Contains 50 tests
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CBC (Complete Blood Count)

A CBC (Complete Blood Count) test evaluates red blood cells (RBCs), white blood cells (WBCs}, and platelets. Each of these blood cells performs essential functions–RBCs carry oxygen from your lungs to the various body parts, WBCs help fight infections and other diseases, and platelets help your blood to clot–so determining their levels can provide significant health information. A CBC test also determines the hemoglobin level, a protein in RBC that carries oxygen from the lungs to the rest of your body. Evaluating all these components together can provide important information about your overall health.

Know more about CBC (Complete Blood Count)

  • Differential leukocyte Count

  • There are five types of WBCs: neutrophils, lymphocytes, monocytes, eosinophils, and basophils. A Differential leukocyte Count test measures the percentage of each type of WBC in the blood. Leukocytes or WBCs are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.

    This further contains

    • Differential Neutrophil Count
    • Differential Lymphocyte Count
    • Differential Monocyte Count
    • Differential Eosinophil Count
    • Differential Basophil Count
  • RDW CV

  • PDW

  • Mean Platelet Volume

  • An MPV test measures the average size of the platelets in your blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days. 

    Platelets help stop bleeding whenever there is an injury or trauma to a tissue or blood vessel by adhering and accumulating at the injury site, and by releasing chemical compounds that stimulate the gathering of more platelets. After these steps, a loose platelet plug is formed at the site of injury, and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or are not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding. 

  • Mean Corpuscular Hemoglobin Concentration

  • An MCHC test measures the average amount of hemoglobin in a given volume of RBCs. MCHC is calculated by dividing the amount of hemoglobin by hematocrit (volume of blood made up of RBCs) and then multiplying it by 100. 

  • Mean Corpuscular Hemoglobin

  • An MCH test measures the average amount of hemoglobin in a single red blood cell (RBC). Hemoglobin is an iron-containing protein in RBCs, and its major function is to transport oxygen from the lungs to all body parts. This test provides information about how much oxygen is being delivered to the body by a certain number of RBCs.

  • Mean Corpuscular Volume

  • A Mean Corpuscular Volume test measures the average size of your red blood cells, which carry oxygen through your body. This test tells whether your RBCs are uniform or vary significantly in size.

  • Hematocrit

  • A Hematocrit test measures the proportion of red blood cells (RBCs) in your blood as a percentage of the total blood volume. It is a crucial part of a complete blood count (CBC) and helps in assessing your blood health. RBCs are responsible for carrying oxygen from the lungs to different parts of the body. The hematocrit test provides valuable information about your blood's oxygen-carrying capacity.

    Higher-than-normal amounts of RBCs produced by the bone marrow can cause the hematocrit to increase, leading to increased blood density and slow blood flow. On the other hand, lower-than-normal hematocrit can be caused by low production of RBCs, reduced lifespan of RBCs in circulation, or excessive bleeding, leading to a reduced amount of oxygen being transported by RBCs. Monitoring your hematocrit levels is essential for diagnosing and managing various blood-related disorders.

  • Absolute Eosinophil Count

  • Absolute Monocyte Count

  • An Absolute Monocyte Count test measures the total number of monocytes in the blood. Monocytes are a type of WBC that originate from bone marrow and travel to different tissues via the blood. Once they are inside the tissue, these cells get converted to macrophages (a type of cell that digest harmful substances). Monocytes are the second line of defense mechanism of the human body after neutrophils. These cells are also responsible for the removal of injured or dead cells, microorganisms, and other insoluble particles from the blood. 

  • Absolute Basophil Count

  • An Absolute Basophil Count test measures the total number of basophils in the blood. Basophils are small, spherically-shaped cells that originate from bone marrow and make up almost 1% of the total white blood cells in the body. They attack a foreign substance and release proteins like histamine and heparin to destroy harmful substances, such as allergens, pathogens, or parasites. Histamine helps widen the blood vessels and make space for more immune cells to come to the site of infection or injury, whereas heparin acts as a blood-thinning agent and helps to avoid blood clotting at that site.

  • Platelet Count

  • Hb (Hemoglobin)

  • A Hb (Hemoglobin) test measures the concentration of hemoglobin protein in your blood. Hemoglobin is made up of iron and globulin proteins. It is an essential part of RBCs and is critical for oxygen transfer from the lungs to all body tissues. Most blood cells, including RBCs, are produced regularly in your bone marrow. The Hb test is a fundamental part of a complete blood count (CBC) and is used to monitor blood health, diagnose various blood disorders, and assess your response to treatments if needed.

  • Red Blood Cell Count

  • Absolute Neutrophil Count

  • Absolute Lymphocyte Count

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Serum Calcium

A Serum Calcium test measures the levels of calcium in the body. Calcium is the most abundant mineral in the body, and the majority of it is present in the bones and teeth, and the remaining portion (around 1%) is found in the blood. It is normally present in two forms in blood in about equal amounts, namely "bound calcium", which is attached to proteins in the blood, and "free calcium or ionized calcium", which is not attached to any protein. 

A Serum Calcium test cannot be used to check for a lack of calcium in your diet or osteoporosis (loss of calcium from bones) as the body can have normal calcium levels even in case of dietary deficiency of calcium. Moreover, the body can normalize mild calcium deficiency by releasing the calcium stored in bones.

Know more about Serum Calcium

Blood Urea Nitrogen (BUN)

Uric Acid

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Alkaline Phosphatase (ALP)

An Alkaline Phosphatase (ALP) test measures the quantity of ALP enzyme present throughout the body. The main sources of this enzyme are the liver and bones. It exists in different forms depending on where it originates, such as liver ALP, bone ALP, and intestinal ALP. In the liver, it is found on the edges of the cells that join together to form bile ducts. 

ALP levels can be increased during pregnancy as it is found in the placenta of pregnant women. It is also higher in children because their bones are in the growth phase. ALP is often high during growth spurts (a short period when an individual experiences quick physical growth in height and body weight).

Know more about Alkaline Phosphatase (ALP)

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Cholesterol - Total

A Cholesterol - Total test measures the total amount of cholesterol (fats) in your blood. Cholesterol is mainly synthesized in the liver and partially in the intestines. It acts as a building block for cell membranes, serves as a precursor to vital hormones, and helps in the production of bile acids that help digest fats. Cholesterol is transported through the blood by two kinds of proteins: low-density lipoprotein (LDL) and high-density lipoprotein (HDL). An optimal amount of these proteins is necessary for proper body functioning.

Know more about Cholesterol - Total

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Protein Total, Serum

A Protein Total, Serum test measures the amount of proteins in the body. Proteins are known as the building blocks of all cells and tissues. They play a crucial role in the growth and development of most of your organs and in making enzymes and hormones. There are two types of proteins found in the body, namely albumin and globulin. About 60% of the total protein is made up of albumin, which is produced by the liver. It helps to carry small molecules such as hormones, minerals, and medicines throughout the body. It also serves as a source of amino acids for tissue metabolism. On the other hand, globulin is a group of proteins that are made by the liver and the immune system. They play an important role in liver functioning, blood clotting, and fighting off infections.

Know more about Protein Total, Serum

  • Serum Albumin

  • A Serum Albumin test measures the level of albumin protein in your blood. Albumin is one of the major proteins found in your body; about 60% of the total protein is made up of albumin, which is produced by the liver. It helps carry small molecules, such as hormones, vitamins, minerals, and medicines, throughout the body. It also serves as a source of amino acids for tissue metabolism. Albumin helps stop the fluid from leaking out of the blood vessels. When the albumin level is insufficient, the fluid can leak out of your blood vessels and build up in your lungs, belly, or other parts of your body.

  • Protein Total

  • Globulin, Serum

  • A Globulin, Serum test measures the levels of globulin protein in the blood. Globulin is one of the major proteins (about 40% of the total protein) found in the body and is produced by the liver and immune cells. It usually exists in different forms: alpha globulins, beta globulins, and gamma globulins. These forms play an important role in liver and kidney functioning, blood clotting, and fighting off infections. 

  • Albumin/Globulin Ratio, Serum

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Urine R/M (Urine Routine & Microscopy)

A Urine R/M (Urine Routine & Microscopy) test involves gross, chemical, and microscopic evaluation of the urine sample.

  1. Gross examination: It involves the visual examination of the urine sample for color and appearance. Normally, the urine color ranges from colorless or pale yellow to deep amber, depending on the urine’s concentration. Things such as medications, supplements, and some foods such as beetroot can affect the color of your urine. However, unusual urine color can also be a sign of disease.

    In appearance, the urine sample may be clear or cloudy. A clear appearance is indicative of healthy urine. However, the presence of red blood cells, white blood cells, bacteria, etc. may result in cloudy urine, indicating conditions such as dehydration, UTIs, kidney stones, etc. Some other factors such as sperm and skin cells may also result in a cloudy appearance but are harmless.

  2. Chemical examination: It examines the chemical nature of the urine sample using special test strips called dipsticks. These test strips are dipped into the urine sample and they change color when they come in contact with specific substances. The degree of color change gives an estimate of the amount of the substance present. Some of the common things detected include protein, urine pH, ketones, glucose, specific gravity, blood, nitrites, and urobilinogen among others.

  3. Microscopic examination: It involves the examination of the urine sample under the microscope for casts, crystals, cells, bacteria, and yeast. 

Know more about Urine R/M (Urine Routine & Microscopy)

  • Urobilinogen

  • Ketone

  • Nitrite

  • Colour

  • Appearance

  • Specific Gravity

  • Pus Cell

  • Epithelial Cell

  • Casts

  • Crystals

  • Protein Urine

  • Ph for Urine

  • Urine Glucose

  • Yeast

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Serum Electrolytes

A Serum Electrolytes test measures 3 important electrolytes in the body, namely sodium, potassium, and chloride. Electrolytes are electrically-charged minerals that move fluid in and out of the cells. They transport the nutrients into the cells and flush out the waste products. They also help maintain water balance and pH level by keeping the acids and bases in your blood balanced. Hence, the body needs to maintain an optimal balance of fluids and electrolytes for proper functioning. 

Know more about Serum Electrolytes

  • Potassium

  • A Potassium test measures the levels of potassium in your body. Potassium is one of the key electrolytes that helps in the functioning of the kidneys, heart, nerves, and muscles. It also balances the effect of sodium and helps keep your blood pressure normal. The body absorbs the required amount of potassium from the dietary sources and eliminates the remaining quantity through urine. Potassium level is normally maintained by the hormone aldosterone. Aldosterone acts on the nephrons present in the kidneys and activates the sodium-potassium pump that helps the body reabsorb sodium and excrete potassium. This aids in maintaining a normal and steady potassium level in the blood. 

  • Sodium

  • A Sodium test is used to measure the amount of sodium in your body. Sodium is present in all body fluids and is found in the highest concentration in the extracellular fluid. The body absorbs the required amount of sodium through dietary salts and the remaining is eliminated through the kidneys. The body keeps your blood sodium within a normal and steady range by following three mechanisms:

    • By producing hormones that control the elimination of sodium through urine, such as natriuretic peptides and aldosterone.

    • By producing hormones that prevent water loss, such as antidiuretic hormone (ADH) or vasopressin.

    • By controlling thirst (an increase in blood sodium level can make you thirsty and cause you to drink water, returning your sodium to normal).

    These mechanisms regulate the amount of water and sodium in the body and control blood pressure by keeping the amount of water in check. When the level of sodium in the blood changes, the water content in your body changes. These changes can be associated with dehydration, edema, and change in blood pressure.

  • Chloride

  • A Chloride test measures the amount of chloride in your body. Chloride is present in all body fluids and is found in the highest concentration in the blood and extracellular fluid (fluid present outside the cells). The body gets most of the chloride through dietary salt (sodium chloride or NaCl) and a small amount through other food items. The required amount of chloride is absorbed in the body and the excess amount is excreted by the kidneys through urine. When the chloride is combined with sodium it is mostly found in nature as salt. Chloride generally increases or decreases in direct relationship to sodium but may also change without any changes in sodium levels when there are problems with the body's pH. Usually, the normal blood chloride level remains steady with a slight fall after meals (because the stomach produces hydrochloric acid using chloride from the blood after we eat food).

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RBS (Random Blood Sugar)

An RBS (Random Blood Sugar) test is done to measure the levels of glucose at any time of the day. This test provides a speedy diagnosis of diabetes. It is also helpful in identifying diabetic patients who require a supplementary dose of insulin in case of an emergency. 

Know more about RBS (Random Blood Sugar)

Phosphorus, Serum

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