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Doctor insights on: Are Patients With End Stage Renal Disease At Risk For Hyperkalemia

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What would be the life expectancy for younger patients with stage IV renal failure?

What would be the life expectancy for younger patients with stage IV renal failure?

Stage 4 RF: Stage 4 patients have GFR between 15 & 30. I approach this from the standpoint of preserving what kidney function you have, not life expectancy. Ways to do that - watch your diet and avoid foods that have lots of potassium and salt; limit protein intake; watch your weight; take all medicines prescribed; see your doctor regularly. Look here : http://www.Kidneyfailureweb.Com/prognosis/221.Html. ...Read more

Dr. Lynne Weixel
1 doctor shared a insight

Hyperkalemia (Definition)

Hyperkalemia in an elevated potassium level in the blood. It can be mild to severe. The most common causes are kidney disease, Addison's disease, dehydration, and multiple drug therapies. It can occur in crush injuries and rhabdomyolysis (rapid breakdown of muscle) or hemolysis (breakdown of blood cells). Severe hyperkalemia can be fatal and cause the heart to stop beating or become very slow. It is usually treated by resin exchange agents (Kayexalate or others) or dialysis and fluids. Sometimes glucose, Insulin and sodium bicarbonate can be utilized as ...Read more


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Why are patients with chronic kidney disease at higher risk for drug related complications?

Why are patients with chronic kidney disease at higher risk for drug related complications?

Kidneys filter drugs: When Chronic kidney disease is diagnosed kidney function have already dwindled. One of the many functions of kidneys is to filters drugs and their metabolic products into urine and excrete them. When that function is compromised, complications arise frequently. ...Read more

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Advice for patients with end stage liver disease?

Advice for patients with end stage liver disease?

Need a doc: If you have end stage liver disease you need to be under the care of ideally a gastroenterologist with an interest in liver disease. ...Read more

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What is life expectancy for male in early 60s who is afflicted with end stage renal disease, diabetes, and chf?

What is life expectancy for male in early 60s who is afflicted with end stage renal disease, diabetes, and chf?

Life expectancy CHF: Too little information to create a meaningful answer... Depends upon cause and severity of chf, dialysis? Control of diabetes? Peripheral vascular disease? Active smoker? Etc... ...Read more

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What is the current prognosis of african american women with multiple myeloma with renal failure?

What is the current prognosis of african american women with multiple myeloma with renal failure?

Depends: This can best be answered by your treating physician. It often depends on age, other medical disorders, previous treatments, response to velcade (bortezomib). Most patients will have improvement in renal failure if this is the first treatment they receive, and the treatment usually includes velcade (bortezomib). ...Read more

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Why are kidney recipients at a higher risk for diabetes, cancer and bone disease?

Why are kidney recipients at a higher risk for diabetes, cancer and bone disease?

Immunosuppression: I am not a kidney transplant specialist, but i still think i can answer. Patients that receive an organ transplant usually need ongoing immunosuppression to prevent rejection. That can include a variety of drugs including steroids. Diabetes, bone loss - steroid induced cancer - immunosuppression drugs. ...Read more

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Who is at risk for a kidney failure and transplant?

Who is at risk for a kidney failure and transplant?

History is important: Kidney disease in family or chronic disease like diabetes and hypertension, hypercholesterolemia, and obesity for the person in question are risk factors. Things to do to decrease your risk is to control chronic disease, avoid smoking and avoid obesity. ...Read more

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Why is a patient with acute renal failure at a higher risk for infection?

Why is a patient with acute renal failure at a higher risk for infection?

ARF and infection: Acute renal failure (ARF) has a frequently reported mortality in 20-80% of the patients. Infection, as a cause or a complication of the syndrome, is a risk factor which adversely determines its outcome. In a study in 2009, infection occurred in four fifths of critically ill patients with ARF treated with dialysis and was in an unadjusted analysis associated with longer los and higher mortality. ...Read more

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What are the possible negative outcomes for emergency IV fluid treatment for a patient with low blood pressure who also has end stage renal disease?

What are the possible negative outcomes for emergency IV fluid treatment for a patient with low blood pressure who also has end stage renal disease?

Dialysis patient: The fact that needs to be ascertained is what the low BP was caused by. Was the patient bleeding or have a heart attack? When was the patient's last hemodialysis? Iv fluids may be appropriate in the short term and the object of therapy is to find the cause of the low BP and treat it. I assume that the patient is in the hospital and can be dialyzed for fluid removal with pressors to raise it. ...Read more

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What is the life expectancy of an old woman with renal failure, end stage dementia, incontinent?

What is the life expectancy of an old woman with renal failure, end stage dementia, incontinent?

Difficult to say: Signs that someone is nearing the end of life include weight loss, decreased speech (fewer than 6 words per day), need for medical interventions like IV fluids, frequent infections, not walking any longer and decreased interactivity with others. ...Read more

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What is the life expectancy for patients with decompensated liver disease?

What is the life expectancy for patients with decompensated liver disease?

Not very good: Without knowing more details it is hard to say but the life expectancy without treatment is likely 6 months to a year. ...Read more

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What is the life expectancy for stage 5 kidney failure with starting dialysis?

What is the life expectancy for stage 5 kidney failure with starting dialysis?

Here are some...: On average, some 20-22% of the dialyzed will pass away in every each year so to live longer than 5 yrs is hard. But, young age + hope to get kidney transplant + willing to cope and live a healthy lifestyle + follow available good advice are your best possible hope. Nonetheless, do something within our control now and don't waste time & energy to think & worry about what beyond our control. Best... ...Read more

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What is the survival rate of renal cell carcinoma patients who have had treatment with nephrectomy?

What is the survival rate of renal cell carcinoma patients who have had treatment with nephrectomy?

Depends on stage: Renal cell carcinoma, like every other cancer, has a staging system. Within any one stage, survival is usually quoted as 5-yr survival, that is, the % of patients one can expect to still be alive in 5 years. So a nephrectomy might be performed on a patient in stage i, and have excellent survival, or in stage IV and have poor survival. ...Read more

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What patients are at risk for heart valve disease?

What patients are at risk for heart valve disease?

Depends: Depends on the part of the world. In the US, the most commonly affected valves are the mitral and the aortic valve, with the mitral valve developing leakage (incompetence) and the aortic either leakage or stenosis (tightening) or both. Hypertension, and other risk factors for coronary disease can also affect the aortic valve; mitral valve degeneration however is less well understood. ...Read more

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What is the average life expectancy for a type 1 diabetic (has had diabetes for 35 + yrs) with end stage renal disease, and is on dialysis?

What is the average life expectancy for a type 1 diabetic (has had diabetes for 35 + yrs) with end stage renal disease, and is on dialysis?

Depends: Any answer that includes a definite number would be questionable from my point of view; as it would probably not consider the subpopulations' future attitude and compliance, not to mention current overall health status/genetic of this "cohort". Meaning, life expectancy at this point may vary wildly for many reasons. It would be more useful to just optimize treatment in a multidisciplinary fashion. ...Read more

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Calciphylaxis with end stage renal disease, what is the mortality rate without my brother getting septic wounds?

Calciphylaxis with end stage renal disease, what is the mortality rate without my brother getting septic wounds?

Variable: Calciphylaxis is due to very high phosphorus in end stage kidney disease patients who are receiving dialysis. Mortality depending on overall health. There are some specific treatments. ...Read more

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Can someone diagnosed with cirrhosis of the liver have a produtive life? ( early stage)

Can someone diagnosed with cirrhosis of the liver have a produtive life? ( early stage)

Cirrhosis: Survival: Yes. It is not all hopeless. The liver is an amazing organ...Even when it is damaged. Stopping the toxic things that led to cirrhosis is paramount. Eating for one with cirrhosis is next...Making sure that one you are eating healthy but also avoiding foods hard on the liver. And, I am sure you now know this, but no more acetaminophen. ...Read more

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What is the life expectancy for a person with stage 4 renal falure and 1 kidney with no dialysis?

What is the life expectancy for a person with stage 4 renal falure and 1 kidney with no dialysis?

Variable: The answer to this question really depends on how well the illness is managed and the rate of decline of the kidney function. Some patients may decline to end stage kidney failure in a year while some may take several years. ...Read more

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Husband was diagnosed with end stage liver disease, congestive heart failure, common variable immunodeficiency, ulcerative colitis. How much longer?

Husband was diagnosed with end stage liver disease, congestive heart failure, common variable immunodeficiency, ulcerative colitis. How much longer?

Impossible: There are many variables that you don't state (and probably don't know). Even if all the lab values were available, an accurate time table is never possible with human beings. I think you know from your question that each day with your husband now is precious. Try to enjoy what time he has left. ...Read more