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Doctor insights on: Aquapheresis For Chf

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Copd + renal failure not a candidate for dialysis?

Copd + renal failure not a candidate for dialysis?

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

Dr. Joseph Shen
3,341 doctors shared insights

Heart Failure (Definition)

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


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Is continuos medication required for congestive heart failure patients?

Is continuos medication required for congestive heart failure patients?

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

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Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?

Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?

Coumadin/dabigatran: Coumadin (warfarin) or dabigatran. You can not be on both because of increased risk of bleeding. With either Coumadin (warfarin) and dabigatran you do not need to be on plavix. ...Read more

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How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?

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

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What should dialysis and heart patients use for cough?

What should dialysis and heart patients use for cough?

Depends : Depends on the cause of cough which would be best evaluated by a physician. For cough suppression, combination of Guaifenesin and dextrometorphan or Codeine may be used. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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Is marcain safe for kidney transplant patients to use for foot neuropathy?

Dr. James Lin Dr. Lin
1 doctor agreed:
Is marcain safe for kidney transplant patients to use for foot neuropathy?

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

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What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

ACE inhibitor: An ACE inhibitor would be anti hypertensive of 1st choice in a pt with said profile bc of its cardio and Reno-protective benefits. If a dry cough, side-effect develops, an angiotensin receptor blocker ought to be tried next. ...Read more

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What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

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

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What cough medicine is best for patients that have CHF congestive heart failure?

What cough medicine is best for patients that have CHF congestive heart failure?

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 more

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What is the TPN energy ratio for CHF patients?

What is the TPN energy ratio for CHF patients?

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 more

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In peripheral neuropathy with thalidomide, is lenalidomide a good alternative for newly diagnosed multiple myeloma with velcade (bortezomib) dexamethasone?

In peripheral neuropathy with thalidomide, is lenalidomide a good alternative for newly diagnosed multiple myeloma with velcade (bortezomib) dexamethasone?

Possibly: Even though Lenalidomide causes less neuropathy it still occurs. Also depends on the disease. Meaning how aggressive does one need to be. Is there kidney dysfunction? Is the patient of transplant age? ...Read more

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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. !?

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

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What is.The.Prognosis for a esrd patient with diabetes, and septic arthritis, pneumonia and went into cardiac arrest?

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 more

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Will dialysis help a patient with end-stage chf?

Will dialysis help a patient with end-stage chf?

Yes if kldney fail: If concomitant kidney failure , then dialysis will get rid of fluid overload symptoms. ...Read more

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Best drug for lung pseudomonas for patient with pensyln, allergy?

Best drug for lung pseudomonas for patient with pensyln, allergy?

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

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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?

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?

Possible: The creatinine that you have mentioned in the age of the individual has the possibility of getting worse after the angiogram however current interventions typically do not allow that to occur sufficiently enough to need dialysis ...Read more

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Is dialysis a cure for kidney failure?

Is dialysis a cure for kidney failure?

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 more

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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

Dr. Al Hegab Dr. Hegab
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My father is diagnosed with idiopathic pulmonary fibrosis, copd, polycythemia and cronic asthmatic bronchitis. Is he a candidate for lung transplant?

Dr. Al Hegab Dr. Hegab
2 doctors agreed:
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

Dr. Bennett Werner
778 doctors shared insights

Congestive Heart Failure (Definition)

A condition in which the heart muscle is weakened and cannot supply the body with ...Read more