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Doctor insights on: Chronic Kidney Failure In The Elderly

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What usually causes acute kidney failure in the elderly?

What usually causes acute kidney failure in the elderly?

Meds and Dehydration: Acute kidney failure occurs predominantly from newly prescribed medications like a diuretic (hctz (hydrochlorothiazide) or lasix) or from certain anti-hypertensive medications like an ace or arb (enalapril or cozaar). Also akf occurs in the elderly if they do not get enough water intake especially in warm environments when they sweat a lot. ...Read more

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Kidney (Definition)

The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more


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Is the whole kidney affected by chronic kidney failure?

Is the whole kidney affected by chronic kidney failure?

Yes: Chronic kidney disease eventually involves the whole kidney. Disorders may start out in one location, but over time the kidney's adaptive processes lead to damage of all glomeruli and tubules. ...Read more

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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

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Is jaundice in renal failure patients and indication of liver failure as well?

Is jaundice in renal failure patients and indication of liver failure as well?

Many causes: Many potential causes of jaundice but not renal failure alone and haudice does not equate to liver failure causes and be meds, viral, infection, gallstones , etc extensive lab and ultrasound or cat scan would be needed to determine cause. ...Read more

Dr. Jay Park Dr. Park
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What is metabolic acidosis in chronic renal failure from?

Dr. Jay Park Dr. Park
2 doctors agreed:
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

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Dr. TRUC DAO Dr. DAO
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Why is the manufacturing of erythropoeitin impaired in a patient with chronic renal disease?

Dr. TRUC DAO Dr. DAO
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Why is the manufacturing of erythropoeitin impaired in a patient with chronic renal disease?

Eruthropoietin: It is secreted by the kidneys, simply. When kidneys fail, all functions are reduced. Industrial production of erythrop works as good as the natural one. ...Read more

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Can morphine in a esld patient cause hepatic coma, renal failure and ultimately death?

No: Hepatic coma is from the buildup of toxins not being processed by the damaged liver...Which can poison the kidneys...And eventually result in death. Morphine or other narcotics may be given to an esld patient to reduce their discomfort as they are passing. ...Read more

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Can acute kidney failure recover even if the the kidney shrunk and has igan?

Can acute kidney failure recover even if the the kidney shrunk and has igan?

Not likely: Once the kidney has become smaller there is scar tissue within that represents irreversible damage, regardless of which disease is involved. If some kidney function returns it is not likely to be normal and careful attention to preservation of the amount that is retained will be extremely important. ...Read more

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How common is renal failure in myeloma patients?

How common is renal failure in myeloma patients?

30% dx; 50% life: Around 30% at diagnosis and about 50% throughout disease course. However, this may be less given newer anti-myeloma agents (?). ...Read more

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What are the acceptable potassium levels in a patient with chronic kidney disea?

What are the acceptable potassium levels in a patient with chronic kidney disea?

3.5 to 5.0-5.5: Generally, the potassium should be kept within normal limits just as for a person without renal disease. Most labs have a normal range of 3.5 on the low end and may be anywhere from 5 to 5.5 on the high end. Potassium is less well eliminated by patients with kidney disease and generally with advanced kidney disease, the potassium intake must be reduced. ...Read more

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How is chronic renal failure managed well in diabetics?

How is chronic renal failure managed well in diabetics?

See below: In any kidney disease it is important to control blood presssure .If uncontrolled it will lead to more rapid loss of function no matter what the underlying cause.Use of certain medications like ace inhibitors are preferentially used, ask your doctor. Blood sugar , cholesterol control and exercise all help. ...Read more

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Can acute kidney failure recover even if the kidney shrunk and has igan?

Depends : If your ultrasound shows shrunken or small kidneys then there could be considerable fibrosis which is not reversible. ...Read more

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What's the safest class of antihypertensive in chronic renal failure?

What's the safest class of antihypertensive in chronic renal failure?

Renal failure: Calcium channel-blockers, beta blockers, and diuretics are used most in renal failure to treat hypertension. In such patients, BP is typically quite volume dependent. ...Read more

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How are acute and chronic kidney failure different?

How are acute and chronic kidney failure different?

Acute: recent: In gral. "acute" means of "recent" origen, and "chronic" means "old" or less recent. Some classifications use 6 months for "subacute". Chronic renal failure is insidious and depends upon the cause and how fast it gets worst. Acute renal failure usually is caused by low fluid volume in the body either dehydration or bleeding or it may be caused by toxins (poison, medications , dye contrast). ...Read more

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What is the critical blood pressure for patients with chronic kidney disease?

What is the critical blood pressure for patients with chronic kidney disease?

Best blood pressure: It depends on what is causing your ckd. Patients without diabetes should have their systolic BP < 140 mm hg. Those with diabetes should try to have a systolic of 130 mm hg. The lower your blood pressure, without symptoms of dizziness or weakness, the fewer complications one can expect to have. Discuss your particular case with your physician or have have him refer you to a nephrologist. ...Read more

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What is the cause of sudden fever intermittent in patient with renal failure?

What is the cause of sudden fever intermittent in patient with renal failure?

Need a lot more info: You've given too little detail, so you'll need to provide us with more. When you say renal failure, do you mean end-stage renal disease, acute renal failure, chronic renal failure, or something else? What other things are happening with the patient besides the occasional fever? What region of the world is the patient in? Any other concomitant illnesses? How high is the fever? ...Read more

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What usually causes acute kidney failure in the elderly?

Meds and Dehydration: Acute kidney failure occurs predominantly from newly prescribed medications like a diuretic (hctz (hydrochlorothiazide) or lasix) or from certain anti-hypertensive medications like an ace or arb (enalapril or cozaar). Also akf occurs in the elderly if they do not get enough water intake especially in warm environments when they sweat a lot. ...Read more

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How long will an elderly person live with kidney failure?

Hard to say: Based on statistics, sadly, about 25% of patients receiving kidney dialysis die each year. A person with kidney failure not receiving dialysis, likely will not survive longer than a few weeks. You should know that, when one dies from kidney failure, he or she usually experiences very little pain or discomfort. ...Read more

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Is it necessary to be tested for kidney failure if elderly?

No: Unless severe kidney impairment is suspected, testing for kidney failure is not necessary. ...Read more

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What are some of the symptoms of kidney failure in elderly?

Nocturia or none: May not be any. If severe poor appetite, nausea, tiredness, shortness of breath, others. Check with your doctor if in doubt. ...Read more

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How long can an elderly person survive with kidney failure?

How long can an elderly person survive with kidney failure?

Kidney failure: It depends on how severe the kidney failure is. Many elderly people develop mild chronic kidney disease (or failure) and can live normal lives. Acute kidney failure can be more severe, but often is reversible. I have patients in their 90s with severe kidney disease and they are doing well. ...Read more

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How long does it take for an elderly person to die of kidney failure?

Very variable: Untreated acute kidney failure can result in death within a few days. Many people, including elderly, with chronic kidney failure can live for many years. Patient's nephrologist is best person to advise. ...Read more

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How long does it take for an elderly person to die from moderate kidney failure?

How long does it take for an elderly person to die from moderate kidney failure?

See below: People do not die of moderate renal failure we like to determine what stage 1 to 5 your kidneyfunction is at..Important to know what GFR of your kidneys.When this rate is less than 10-15 , [normally90 ] and untreated you develop what is called uremia [accumulation of waste in your blood] or if there are electrolyte abnormalities like high pottassium, this would cause the heart to slow down or stop. ...Read more

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If someone is not elderly but has kidney failure and doesn't have dialysis how long can they live?

If someone is not elderly but has kidney failure and doesn't have dialysis how long can they live?

Depends: Now a days traditional hemodialysis or even if the blood pressure is low hemofilteration can take care of the kidney failure in an acute situation, and it will be the other problems which will determine the outcome. In the long term if permanent kidney failure is the outcome the best treatment option is a transplant with dialysis for the interim. ...Read more

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This is only a general question. If an elderly pt has "kidney failure" & sepsis does the kidney failure generally make much of a difference to survivablity?

Kidney failure: Kidney failure complicates treatment of other serious illnesses. The extra metabolic demands created during serious illness can also make recovery more difficult in the face of organ failure. Experienced physicians should be able to manage this to some degree for the best possible outcome. ...Read more

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How long does an elderly person with kidney disease live?

How long does an elderly person with kidney disease live?

Varies: Often would depend on the stage and interventions. ...Read more

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Need help for my elderly mom about kidney disease. Can dehydration make tests abnormal?

Absolutely: Dehydration is a leading cause of abnormal lab work in an elderly patient. Dehydration can cause an elevation in a person's BUN and creatinine. These two lab values can determine if a person had renal failure. If the cause of the renal failure is truly dehydration, it can be easily corrected with drinking lot of water and re-testing. ...Read more

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Can chronic constipations cause kidney failure ?

Can chronic constipations cause kidney failure ?

Very unlikely: The intestinal tree is not at all close to the urinary system in that it is highly unlikely constipation will lead to damaging of the urinary system. ...Read more

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Can you tell me how nephrosclerosis lead to chronic kidney failure?

Can you tell me how nephrosclerosis lead to chronic kidney failure?

Kidney failure: The term hypertensive nephrosclerosis has traditionally been used to describe a clinical syndrome characterized by long-term essential hypertension, left ventricular hypertrophy, minimal proteinuria, and progressive renal insufficiency. All of these are signs of poorly treated hypertension. If BP is not well controlled, end stage organ damage, heart, kidney and brain damage will occur. ...Read more

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How do I care for a wife with diabetes and chronic kidney failure?

BS, BP,ACEi: Management of chronic diabetic renal disease requires blood sugar control, BP control, preferably with an ace inhibitor or an arb. Usually diuretics will be needed. In addition dialysis education and preparation with an eye towards choosing and preparing for a dialysis modality (hemodialysis, peritoneal dialysis) are important. Consider seeing a nephrologist for more focused advice. ...Read more

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What are suggested readings for new patient diagnosed chronic kidney failure?

Good article: Try this article by mayo clinic: http://www.Mayoclinic.Com/health/kidney-failure/ds00682. ...Read more

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What does chronic kidney failure really mean?

Chronic kidneydiseas: Chronic kidney failure is the loss of functioning kidney tissue due to permanent damage to the tiny subunits called nephrons.We have about a million nephrons per kidney, and as we lose nephrons the ones that are left enlarge and work harder until they reach their limit, at which point the kidney can no longer keep up with the body's needs to excrete toxins, balance fluids and minerals and other fx. ...Read more

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Dr. Tarek Naguib
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