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Doctor insights on: Dialysis Taking Off The Right Amount Of Fluid

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Do i need dialysis if my fluild level been under 1kg?

Do i need dialysis if my fluild level been under 1kg?

Need dialysis: I am not sure what your question is. If you have questions about your needing dialysis, speak to your nephrologist (n) who is in charge of your care. If you are dissatisfied with the answers you get from the n, get a second opinion from another n. Good luck. ...Read more

Dr. Quresh Khairullah
507 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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Would heating up the peritoneal dialysis fluid cause any harm if used for dialysis?

Would heating up the peritoneal dialysis fluid cause any harm if used for dialysis?

Overnight PD is!: When using an overnight automatic cycler for peritoneal dialysis, the fluid is warmed on a warming panel. Of course, this is set to a safe temperature by design. Don't try warming on your own, but ask your nephrologist or the nurses at your dialysis center what they suggest. LGromkoMD ...Read more

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What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

Pain on PD: This question is clearer - turbid fluid indicates infection. Infection will cause these symptoms. Call your doctor and PD nurse. ...Read more

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What is the safest way to replace fluids in a dialysis pt who is having severe diarrhea secondary to opiate withdrawal?

What is the safest way to replace fluids in a dialysis pt who is having severe diarrhea secondary to opiate withdrawal?

Couple of Choices: You could manipulate the dialysate solution and or vary ultrafiltration to normalize the electrolytes and fluid balance or you could try to manage the withdrawal symptoms. This could be tricky in a esrd patient as the most common rx is Clonidine which can abruptly lower bp. I would opt for a gradual tapering off of the opiates or the use of subutex which has a gentler and slower withdrawal. ...Read more

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What can we expect and what is life expectancy of someone on daily dialysis with pneumonia unable to breathe independently. Continual fluid in lungs.

What can we expect and what is life expectancy of someone on daily dialysis with pneumonia unable to breathe independently. Continual fluid in lungs.

Ask doctor...: The info provided is not enough to deduce life expectancy for patients requiring daily dialysis, which suggests the patient has fast fluid accumulation resulting from poor cardiac function on top of end-stage renal failure, together further decrease life expectancy. So, it is very poor - maybe a matter of weeks to 3-6 months unless some miraculous events happen. Best wishes... ...Read more

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I am 31 on peritoneal dialysis am on 30 mg of prednisone but am getting to much fluid retention i shud i taper?

Fluid retention: Discuss this with your physician at the first opportunity. The physician knows all the facts about you and can make a proper decision for you. ...Read more

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Dad is admitted to the medical icu for breathing problem. Lungs detected with fluid he is diabetic..Creatinine is 3.5 and urea 156. Dialysis is req ?

Dad is  admitted to the medical icu for breathing problem. Lungs detected with fluid he is diabetic..Creatinine is 3.5 and urea 156. Dialysis is req ?

A good idea,, : This is probably a good thing for him as he has fluid in his lungs and a high creatinine. This and the known history of diabetes likely means he has renal failure. Fluid in his lungs also indicates congestive heart failure which would need diuretics and so dialysis could help do this as well. Good luck. ...Read more

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My dad is in the ICU for acute pneumonia. Has diabetes and partial kidney failure as well. Will dialysis help in recovery and in reducing lung fluid?

My dad is in the ICU for acute pneumonia. Has diabetes and partial kidney failure as well. Will dialysis help in recovery and in reducing lung fluid?

It depends: Dialysis would be needed for severe renal failure that is causing significant metabolic abnormalities or fluid overload. It may not necessarily help in cases of mild or moderate renal failure and pneumonia. It definitely wouldn't help remove the inflammatory fluid from a pneumonia. I hope this helps and that your father improves. ...Read more

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Serious question. Patient has uti. On fluid restriction due to heart problems. Needs dialysis but can't yet. Today eyes yellow. What can be done?

Serious question. Patient has uti. On fluid restriction due to heart problems. Needs dialysis but can't yet. Today eyes yellow. What can be done?

Check liver: This sounds like a very serious problem. The yellow eyes suggests jaundice and liver dysfunction. In the setting of kidney and heart problems, too, i worry about multiple-system organ failure, a bad problem. All these issues relate. The patient needs volume status addressed, antibiotics and likely evaluation of organ function, quickly and closely. So sorry and good luck. ...Read more

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