Doctor insights on:
Aquapheresis For Chf
Depends...: It depends on the severity of the copd. If the patient is on COPD medications and has relatively mild symptoms and/or is well-controlled, then dialysis can be given. It will likely need to be hemodialysis as a pulmonary patient is not likely to tolerate peritoneal dialysis. For an individual case, a kidney specialist will determine if the patient will tolerate dialysis treatment. ...Read more
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more
Depends: Usually, CHF pts will need to be treated daily for life but there are exceptions depending on the cause of the chf, the severity of the symptoms, and whther there were extraneous factors that caused a flare of symptoms. Please note: if this is about you, chewing tobacco is very dangerous in the presence of CHF (can precipitate dangerous arrhythmias). ...Read more
Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?
How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?
Medicine vs. poison: There's a saying in healthcare: "medicines & poisons r the same chemicals given with different intent". If u r volume overloaded in acute renal failure or CHF, then u need volume reduction. The easiest & fastest way is diuretics, which "force" the kidney to get rid of water, tho side effects can occur (so u have to b monitored). If there is no volume overload in renal failure, skip the side effect ...Read more
Probably okay...: Probably ok to use it sporadically except someone with hypersensitivity to it. Since caring neuropathy usually is a long-term and recurrent matter, please consult the pain experts for detailed long planning. Congratulation for your success in renal transplant! to max such medical benefit, practice healthy lifestyle and avoid overindulgence and obsession. Welcome to visit www.Formefirst.Com. ...Read more
ACE or ARB: Any of them would work but ace or arb would also treat the chf and protect the kidneys so they would be a first choice. ( one or the other, not both). Most patients need more than one drug. ...Read more
No perfect answer: Probably best to avoid combination medicines which contain pseudoephedrine, which many do. This speeds up your heart. Diphenhydramine (benedryl) can dry up secretions. However, it is important to understand that the cough may be due to the chf. Also medications commonly used to treat CHF (ace inhibitors - often end with ..Pril) can sometimes cause a chronic dry cough. Talk to your md. ...Read moreSee 1 more doctor answer
No: Only if they have bradycardia arrythmias.Get a more detailed answer ›
Depends: Energy ratio is an imprecise term. Maybe you mean the energy/nitrogen ( or protein) ratio. As an estimate most patients need about 25 kcal/kg body wt /day and about 1-2 grams /kg /protein/ day. These numbers are estimates and vary based on how "stressed" a patient is. For example after surgery some patients need more calories. So the exact ratio varies. CHF affects fluid needs > calorie needs. ...Read moreSee 1 more doctor answer
In peripheral neuropathy with thalidomide, is lenalidomide a good alternative for newly diagnosed multiple myeloma with velcade (bortezomib) dexamethasone?
Tubular acidosis question. Gfr improves consistently with b12 shot and bicarbonates (sodium bicarbonate). Nephrologists refer dialysis but crt 2.6 to 1.5 with bicarb. !?
Here are some...: Glad to see her acidosis has been improved from taking sodium bicarbonate. Known to us, dialysis is designed for fluid overload and/or electrolyte and acid-alkaline imbalance. Do nephrologists recommend dailysis now or refer for pre-dialysis assessment? So, ask her doctors for specifics and relevance for renal tubular acidosis, dialysis, etc. because online 400-letter does not suffice to address.. ...Read more
What is.The.Prognosis for a esrd patient with diabetes, and septic arthritis, pneumonia and went into cardiac arrest?
Difficult to manage: The description given puts this person in a very critical situation. What is described appears to have overwhelming infection that is overwhelming the body's ability to sustain itself. There is hope if the patient did not damage the brain when the heart stopped and the infection can be eradicated. Even if this person should recover, the long term prognosis would be poor for good quality of life. ...Read moreSee 1 more doctor answer
Complicated: Carbapenems combined with fluorinated quinolones would probably be best. Aminoglycosides do not penetrate lung tissue very well, but might be added by inhalation to minimize the degree of tracheobronchial colonization. Best would be to determine the degree of hypersensitivity reaction to pcn and think about desensitization if the strain is multiresistant. ...Read more
84 yrs known case of do HTn ckd has aortic stenosis for heart cathiteraization His last creatinine 2.3 what is the risk for dialysis after prucedure?
Dialysis: It is a form or kidney replacement therapy. It is not a cure. Once a person starts on dialysis, the chances that their kidneys will ever start to work again ar pretty slim (there are some exceptions, however). The added caveat here, is that while dialysis can prolong life, it can never completely replace a good functioning kidney and it is a major life change. ...Read moreSee 1 more doctor answer
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?
My father is diagnosed with idiopathic pulmonary fibrosis, copd, polycythemia and cronic asthmatic bronchitis. Is he a candidate for lung transplant?
Lung transplant: Other factors are considered too, as age, general health, other chronic diseases, the original lung disease and whether it can recur in the transplanted lung, your father needs to be evaluated in a tertiary care hospital, either a university or a teaching hospital, better if they have a transplant program, wish you wellness ...Read more