Doctor insights on:
Dialysis And Chf Patients
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
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
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
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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
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
Maybe: Depends on the level of control the patient's CHF is in. ...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
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
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