Guidelines for Kidney Biopsy

1. Patient Evaluation

The decision to perform a kidney biopsy is based on a thorough evaluation of the patient’s:

• Medical history
• Physical examination
• Laboratory tests
• Imaging studies

The biopsy is usually recommended when there is an unexplained decline in kidney function, persistent proteinuria (protein in the urine), hematuria (blood in the urine), or other kidney-related abnormalities.

2. Informed Consent

Before the biopsy, Dr. D. Mukherjee will explain the procedure, potential risks, benefits, and alternatives to the patient. Informed consent must be obtained, and the patient should have an opportunity to ask questions or voice any concerns.

3. Medication Review

The doctor will review the patient’s medications, especially blood thinners and antiplatelet drugs, which may need to be temporarily discontinued or adjusted to minimize bleeding risks during and after the biopsy.

4. Blood Tests

Blood tests, including clotting parameters and kidney function tests, are performed to assess the patient’s ability to clot normally and to ensure the safety of the procedure.

5. Allergies and Pregnancy

The patient will be asked about any allergies, and female patients of childbearing age will be screened for pregnancy before the biopsy.

6. NPO Status

Patients are usually asked not to eat or drink anything for several hours before the biopsy to reduce the risk of aspiration during the procedure.

7. Consent for Sedation

Depending on the hospital policy and patient preference, sedation may be provided during the biopsy to help the patient relax and reduce discomfort.

8. Patient Positioning

The patient will be placed in a suitable position for the biopsy, typically lying on their stomach with a cushion under the abdomen.

9. Monitoring

During the biopsy, the patient’s vital signs, such as blood pressure and heart rate, will be continuously monitored.

10. Aftercare

After the biopsy, patients are typically monitored for a few hours to check for any signs of bleeding or complications. Bed rest and limited physical activity are usually recommended for a short period following the procedure.

11. Post-Biopsy Care

Patients are advised to avoid heavy lifting or strenuous activities for a few days after the biopsy and to follow any specific instructions provided by the kidney specialist in Delhi.