Top
20
Doctor insights on: Acid Base Imbalance With Renal Failure

Share
Dr. Tarek Naguib
600 doctors shared insights

Kidney Failure (Definition)

A condition in which your kidneys suddenly stop working normally. Since your kidneys remove waste products and help balance water and salt and other minerals (electrolytes) in your blood, when your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems ...Read more


2

2
Can renal failure cause increase in uric acid level?

Can renal failure cause increase in uric acid level?

Yes it can: Yes it can. As the kidney weakens, uric acid levels can increase and lead to gout attacks. ...Read more

3

3
Would renal failure result in hypo- or hyperkalemia? Why?

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

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. ...Read more

4

4
How does hypertension reduces renal excretion of uric acid and leading to secondary gout?

How does hypertension reduces renal excretion of uric acid and leading  to secondary gout?

Uric acid excretion: Hi bp itself does not reduce uric acid excretion, unless kidneys are damaged. Diuretic meds used to treat hibp will elevate uric acid.You should limit meats, poultry, shellfish, and heavy fish to less than 4 oz per day. Get protein from egg whites, soy, tofu, quinoa. Avoid alcohol and vCard high fructose corn syrup containing drinks. ...Read more

See 1 more doctor answer
5

5
Can ascorbic acid develop a kidney failure or kidney stone? Thanks

Can ascorbic acid develop a kidney failure or kidney stone? Thanks

Different effects: Citric acid can prevent the individual crystals of calcium salts from forming stones; however, for individuals with renal insufficiency, large doses of vitamin c are not prudent - see you dac! ...Read more

See 2 more doctor answers
6

6
Does chronic use of diclofenac sodium leads to kidney failure?

Does chronic use of diclofenac sodium leads to kidney failure?

Rarely: Any anti-inflammatory agent can result in kidney failure if not adequately monitored. Renal function (and other laboratory measures) should be evaluated at least every 3 months and dehydration avoided. ...Read more

See 1 more doctor answer
7

7
May kidney failure affect the eyes of a patient with diabetes mellitus 2?!

May kidney failure affect the eyes of a patient with diabetes mellitus 2?!

Not necessarily: Diabetes can certainly affect the eye causing diabetic retinopathy. If someone has renal failure due to diabetes it is very likely they also have retinopathy. Kidney failure may affect blood pressure, which may have an affect on the eyes. It is very important to control blood sugar and blood pressure when diabetic to minimize chance of complications/diabetic retinopathy. ...Read more

See 1 more doctor answer
8

8
What is metabolic acidosis in chronic renal failure from?

What is metabolic acidosis in chronic renal failure from?

Unable to remove: Metabolic acidosis is a constituent of renal failure, arising mainly from the inability of kidney to remove excess acids in blood. ...Read more

See 1 more doctor answer
9

9
In patient with chronic renal faliure, is associated with hypertention or normal BP ?

In patient with chronic renal faliure, is associated with hypertention or normal BP ?

Chronic renal: Longstanding hypertension is only one cause of renal failure. Chronic inflammation, infection, diabetic nephropathy are some other causes. In other words the hypertension causes the chronic renal failure although many kidney diseases can cause hypertension. You may have normal blood pressure in the presence of chronic renal failure however. ...Read more

10

10
Why is kidney failure (which is associated with decreased gfr) associated with an increase in solute excretion per nephron?

Why is kidney failure (which is associated with decreased gfr) associated with an increase in solute excretion per nephron?

Explanation: One of the roles of the kidney is to maintain solute balance and maintain a solute gradient via the counter-current mechanism in the loop of henle. It is the manner in which we reabsorb important substances and excrete waste. When you have kidney damage, the ability to maintain this gradient is upset, and thus solute loss can occur. ...Read more

11

11
Causes of hypokalemia with renal impairment?

Causes of hypokalemia with renal impairment?

Why low K kid dis?: There are many. The most likely are the medicines beings to treat your high blood pressure and excess fluid depending on how bad kidneys damaged. Can lose from vomit, sweat, diarrhea or not eating enough K. Happy to consult as this is all I do. ...Read more

See 2 more doctor answers
12

12
Why are proximal tubular cells not affected in chronic renal failure and thereby not causing glucosuria?

Why are proximal tubular cells not affected in chronic renal failure and thereby not causing glucosuria?

Good question: Chronic renal disease is most often caused by damage to the blood vessels or the glomeruli / filters, leaving the proximal tubular cells able to work on however much filtrate is present. ...Read more

13

13
Can taurine from vitamin water cause renal failure?

Can taurine from vitamin water cause renal failure?

Quite the Opposite: In 2009 there was a conference on taurine. I just read some of the proceedings of that conference along with an extensive review of the renal effects of taurine. Taurine protects the kidney from all kinds of potential insults such as glomerulonephritis, diabetes as well as acute and chronic renal failure. So, taurine has an overall beneficial role to play in the kidney. ...Read more

See 1 more doctor answer
14

14
Hi, is the metabolic acidosis in chronic renal failure fatal ?

Hi, is the metabolic acidosis in chronic renal failure fatal ?

Acidosis: The simple answer is yes. However, the amount of acid has to be very high for that to happen. High amounts of acid in the blood interfere with many, if not all, biologic processes in the human body such as the effect of Insulin lowering blood sugar, the normal metabolism of proteins and fats that are essential for life, and even normal heart beat, just to name a few. ...Read more

15

15
Can "lidocaine" affect the multiple organ failure of a severe dka {100mmol/l} with glasgow score of 4/15?

Can "lidocaine" affect the multiple organ failure of a severe dka {100mmol/l} with glasgow score of 4/15?

Unlikely: Of course it is important to know the dose and the route of the administration, but if you are talking about about severe diabetic ketoacidosis, therapeutic use of Lidocaine should not worsen multiorgan failure, to my opinion. ...Read more

16

16
Can diabetes cause renal failure and what are the symptoms of kidney failure?

Can diabetes cause renal failure and what are the symptoms of kidney failure?

Definitely: Diabetes is the number cause of renal fialure by far. So controlling your diabetes would mean avoiding renal failure. Individuals with chronic renal failure tend to have no generalized symptoms. However as the renal failure progresses, a person can feel sluggish, fatigue, nause, vomiting and lose of appetite. ...Read more

17

17
Treatment of copd with renal insufficienccy?

Treatment of copd with renal insufficienccy?

Nothing specific: There should t be any specific treatment alterations for COPD with renal insufficiency unless you take antibiotics - they may need to be dosed based on your kidney function ...Read more

See 1 more doctor answer
20

20
Can haemodialysis correct metabolic acidosis in renal failure patient?

Can haemodialysis correct metabolic acidosis in renal failure patient?

Renal Replacement Th: Dialysis is one of the treatments for metabolic acidosis. Depending on the cause as well as the other medical problems and type of the acidosis, correcting the inciting problem is the first step dialysis may or may not be needed. ...Read more