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Doctor insights on: Dialysis And Chf Patients

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Dr. Quresh Khairullah
515 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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My creatinine level jumped from 1.05 in march to 1.4/1.5 declining to 3.2 due to AKI/CHF and now at 2.3. Do I need to worry about dialysis now?

My creatinine level jumped from 1.05 in march to 1.4/1.5   declining to 3.2 due to AKI/CHF and now at 2.3.  Do I need to worry about dialysis now?

Yes: Unfortunately your kidney function has declined considerably. Please be seen by a nephrologist. You may be getting too much diuretic treatment. You should be on statin, beta blocker, ACE inhibitor and spirinolactone under medical supervision. Limitation of protein intake to 1gm/kg of body weight, limiting salt to 2 gm per day and fluid to no more than 60 ounces a day will be beneficial. ...Read more

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Will dialysis help someone with end-stage chf?

Will dialysis help someone with end-stage chf?

If with kidney dis: I've seen it relieve symptoms of fluid overload in patients with end stage CHF and kidney disease, but it does not prolong life much and some patients think it reduces the quality of life too much. ...Read more

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How long can one live with out dialysis who is esrd and has CHF at the age of 46?

How long can one live with out dialysis who is esrd and has CHF at the age of 46?

Not long: End stage renal disease indicates the absolute need for dialysis or kidney transplant. So for true esrd without dialysis or transplant death would come very quickly, especially because of associated heart failure, maybe days to weeks. ...Read more

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Male, 75 waiting for stent to begin dialysis -has 20% heart function (chf?) what are odds of CHF improving w/dialysis & intro of heart meds?

Male, 75 waiting for stent to begin dialysis -has 20% heart function (chf?) what are odds of CHF improving w/dialysis & intro of heart meds?

Odds are not good: 75 year olds with severe CHF usually do not do well on in center dialysis as large amounts of fluid removal every dialysis shift is difficult in setting of low BP caused by heart failure. Peritoneal dialysis or home hemodialysis where patients do daily dialysis at home and nocturnal hemodialysis where patients have a prolonged dialysis treatment for 8 hours would be a better option. ...Read more

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When someone has end stage renal failure, how long can they typically be expected to live if they do not get dialysis or transplant? 92 y/o with chf.

When someone has end stage renal failure, how long can they typically be expected to live if they do not get dialysis or transplant? 92 y/o with chf.

Hard to do: CHF and impaired renal function are difficult to deal with, because improving one makes the other worse. It is a fine line between reducing fluid to help the heart failure, but keeping enough to keep the kidney function from getting worse. Dialysis may be the best answer. See his nephrologist for an answer. ...Read more

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Hello professionals! thank you in advance. My father , 75 yearly male with c.O.P, CHF is now having kidnney failure with creatine levels high , potassium ok. What else besides dialysis is rec?

Hello professionals!
thank you in advance. 
My father , 75 yearly male with c.O.P, CHF is now having kidnney failure with creatine levels high , potassium ok. What else besides dialysis is rec?

Follow MD advice: Every case is different, so it would be impossible to say specifically what is best for your dad. However, it is extremely important that he follow the advice given him by his doctor, especially regarding dietary & fluid restrictions, medications prescribed, exercise as tolerated, and smoking cessation if applicable. Many patients are able to avoid dialysis for years by doing this. ...Read more

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How long can stage 4 CHF patients live?

How long can stage 4 CHF patients live?

Hard to say: There really isn't a crystal ball on prognosis of disease but i would recommend that somebody in later stages seek out care and comfort through hospice. Hospice can give more quality to the rest of a patient's life so i would recommend you speak to your physician about this. ...Read more

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How much exercise should CHF patients get?

How much exercise should CHF patients get?

As much as possible: Exercise is particularly beneficial for the heart and for patients with heart failure regular exercise will help to strengthen and improve overall function. Because heart failure can limit exercise tolerance, always consult with your doctor before embarking on an exercise regimen. ...Read more

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Why shouldn't you lay a CHF patient supine?

Why shouldn't you lay a CHF patient supine?

Fluid shifts: When a person lies flat, blood that has pooled in the legs and abdomen (from gravity) returns to the heart. The extra volume typically causes no problems for healthy persons. In pts with heart failure (chf), however, the failing heart cannot pump the extra fluid so the pressures in the chambers increase. Blood backs up into the lungs causing trouble breathing. This is relieved by sitting up. ...Read more

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What would RBC indicate with a patient with chf?

What would RBC indicate with a patient with chf?

Not rbc: We don't use rbc count anymore, we use hemoglobin and hematocrit. They should be normal. If they are low, the prognosis in CHF is adversely affected. ...Read more

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Wanted to know if CHF patients in general receive fluids while in the icu?

Wanted to know if CHF patients in general receive fluids while in the icu?

Yes, but not much: Most CHF patient are treated with diuretics, to remove fluid from circulation. In some instances, depending on the cause of CHF, we might give a modest amount of fluid to keep the heart filled properly so it can pump. ...Read more

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What could you give to a patient with chf?

What could you give to a patient with chf?

Heart Failure: There are 2 types of heart failure. Diastolic and Systolic heart failure. One is failure to contract while other is failure to relax. Equal prognosis What can you do? - Lifestyle Modifications are key - healthy Diet, no smoking, low sodium are very important Medications usually given - Beta Blockers, ACEinhibitor/ARBs, Aldosterone blockers, Nitrates/Hydralazine (better in Black Males) ...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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What is the care of a patient on dobutamine for chf?

What is the care of a patient on dobutamine for chf?

Low salt & fluid: Salt and fluid restriction is the mainstay to help a patient with CHF on Dobutamine drip whether outpatient or inpatient. In the hospitalized patient, close monitoring of blood pressure and rhythm are required. ...Read more

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Does lying prone adversely affect patients with CHF?

Possibly: Patients with CHF are prone to developing fluid overload within the lungs. During times of fluid overload when legs are swollen, lying prone can increase the amount of fluid from the legs to reenter the bloodstream and traveled back towards the heart, with heart failure the heart is not able to handle this increase of fluid return and fluid builds up in the lungs, causing shortness of breath, ...Read more

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How to reduce or eliminate fluid retention for CHF patients?

Restrict salt: Salt intake causes fluid retention. Heart failure patients need to monitor the amount of salt in the foods they consume. The salt intake should be no more than 2-4 grams daily, less if someone has severe failure. Fluid intake also needs to be restricted to 1.5 liters per day or less, depending on the doctor's recommendation. ...Read more

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Why is it more difficult to start an IV on CHF and COPD patient?

Why is it more difficult to start an IV on CHF and COPD patient?

Not necessarily: In any one with poor veins it is difficult to access. People with low BP and collapsed veins, it is even more difficult. ...Read more

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Why would it be difficult to start an IV on a CHF and COPD patient?

Why would it be difficult to start an IV on a CHF and COPD patient?

Not related: Some people have good veins, some have very small and fragile veins, some have used up their veins. There is nothing particular to COPD and CHF to make difficult IV access. ...Read more

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Dr. Joseph Shen
3,307 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


Dr. Bennett Werner
753 doctors shared insights

Congestive Heart Failure (Definition)

Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more