Question 1

would renal failure result in hypo- or hyperkalemia? why?

Accepted Answer

Depends: Many factors contribute to serum potassium levels including residual kidney function, diuretic use,  potassium intake, GI potassium loss (i.e. diarrhea), and acid/base status.  It is possible to see high or low serum potassium levels in patients with renal failure but hyperkalemia (high potassium) is more commonly observed in patients with advanced renal dysfunction.

Question 2

if someone has renal failure, how can they be treated for hypernatremia?

Accepted Answer

With fluids: Patients that are dehydrated could present with both, the numbers of BUN and creatinine and the sodium level elevated. Drs call any increase in BUN and creatinine as renal failure which could be of recent origen or chronic (more insidious onset).  Some patients have chronic renal insufficiency and suddenly get worst due to dehydration. Treatment is intravenous fluids first.

Question 3

can a person have both hypernatremia and hyperkalemia?

Accepted Answer

Possibly yes: Dehydration is the most common cause for both. Also certain medication may play this role. Your physician would have to look the whole picture on why this person developed both.

Question 4

can hyperkalemia and hypernatremia occur at the same time from iv fluid?

Accepted Answer

Yes and NO: If ivf have Normal Saline and high potassium content, then the answer is yes. But if ivf are half Normal Saline of dextrose in water or other (without potassium) then the answer is no.

Question 5

if a patient has hypernatremia, renal and hepatic dysfunction then is it useful to add potassium chloride to the person's normal saline iv?

Accepted Answer

Maybe.: Tough question in a 91 year old.  There may be a reason for this but I suspect it is more related to the levels of potassium and or the acid base balance or medications or other therapies rather than to the sodium level.

Question 6

help plz! can renal failure be cured entirely?

Accepted Answer

Renal failure treatm: Renal failure is irreversible,can be controlled unlikely to be cured,options would be renal dialysis,in end stage failure transplant,,requiring anti rejection meds,even trap landed kidneys can fail

Question 7

what food can be taken by renal failure patients?

Accepted Answer

Many: These patients can still eat any foods, but they just need to decrease the amount of potassium and phosphorous containing foods.  Just as a diabetic can eat any sweets, they need to limit it.  Renal failure patients need to limit total fluids, potassium and phosphorous.  If on dialysis, protein is usually encouraged, but if pre-dialysis, high protein intake may not be a good idea.

Question 8

what is the life expectancy of a person in renal failure?

Accepted Answer

Weeks: Once kidney function falls below 10% of normal, most patients will develop uremia. This includes progressive weakness and confusion progressing to coma and death, unless some form of kidney replacement therapy is instituted.

Question 9

plz tel why renal failure patients should consume low salts ?

Accepted Answer

The kidneys are sick: When you are young and healthy and the kidneys function normally, they can eliminate salt you take in more efficiently. When the kidneys are sick, they lose the ability to get rid of the extra salt, thus body will accumulate excess salt = bad--cause fluid retention, hypertension, heart failure etc..As a result, many things should be restricted in renal failure patient. Consult doc. Good luck.

Question 10

what is acute renal failure?

Accepted Answer

Many: Acute: severe dehydration, septic shock, heart failure, drug intoxication, severe blood  loss. Chronic failure due to diabetes, hypertension, lupus,  vasciliditues, excessive use of tylenol (acetaminophen).  Just a few. See doctor.

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Doctor answers about:

Renal failure hypernatremia hyperkalemia

A member asked:

Would renal failure result in hypo- or hyperkalemia? why?

A member asked:

If someone has renal failure, how can they be treated for hypernatremia?

A member asked:

Can a person have both hypernatremia and hyperkalemia?

A member asked:

Can hyperkalemia and hypernatremia occur at the same time from iv fluid?

A member asked:

If a patient has hypernatremia, renal and hepatic dysfunction then is it useful to add potassium chloride to the person's normal saline iv?

A member asked:

Help plz! can renal failure be cured entirely?

A member asked:

What food can be taken by renal failure patients?

A member asked:

What is the life expectancy of a person in renal failure?

A member asked:

Plz tel why renal failure patients should consume low salts ?

A member asked:

What is acute renal failure?

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