Doctor insights on:
Dialysis Why The Fluid Wont Come Out
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
What does it means when the drained fluid of peritoneal dialysis has a reddish/brownish powder at the bottom of the bag?
PD: That is certainly not normal, you need to talk to you Nephrologist and send the fluid for cell count and culture ...Read more
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
What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
Husband has chest catheter for dialysis. said has some green drainage from exit site for a couple weeks. wont go get it looked it. what should he do?
Not normal: Green drainage or push from any drains is concerning and should be evaluated before it becomes a bigger problem. If he was my father or brother, I would help him make an appointment with the doctor that put in the chest catheter to at least get it looked at. Even if he is stubborn, it may be that he is afraid of what the doctor may tell him. Get him to make an appointment or make it for him. ...Read more
Husband has green drainage from exit site from dialysis venous catheter for three weeks and wont go to the dr. does local infection always spread?
My dad blood work indicates he has Gram negative bacteria and is on Dialysis he won't eat chills and slight fever. I can't convince him to go to ER. ?
Here are some...: His willingness to accept dialysis indicates he has a will to live. So, it is reasonable to work with the nephrologist in charge of dialysis, who should be able to convince him for evaluation. To help proceed with How to Handle Sickness and Life reality, go to articles listed in http://formefirst.com/onDealSickness.html and http://formefirst.com/onLifeBasics.html. More? Contact me & I can help. ...Read more
Billy has stage 4 liver disease on dialysis for kidney failure acites so bad hes in bad pain . why wont his doc give him pain pills ?
Pain pills: If the doctor won't give Billy pain pills why aren't liquid meds prescribed? Please don't be shy about asking, and I would appreciate hearing from you about this. ...Read more
It is danger to my son? he come to dialysis only one a week.because he said he feel sick if he do 3 times a week.i am very worried about this.
Maybe: Depending on how much urine he is still able to make...he may get away with it. Or he may become fluid overloaded in his lungs and be unable to breathe. Ultimately, he will decide which makes him feel better (or worse) - dialysis once or 3X a week. While 3X a week is recommended, the way he feels best is what's most important. ...Read more
Kidney failure treat: Kidneys are vital to keep the body in a stable condition, removing waste products, keeping water and electrolytes within very narrow range required for normal function of all the organs. With kidney failure this can be done by dialysis either hemodialysis where blood is filtered through an external machine or using the lining od the abdomen (peritoneal membrane) as a filtering mechanism. ...Read moreSee 2 more doctor answers
Dialysis: Dialysis can be done through the blood (hemodialysis) or through the abdomen (peritoneal dialysis). Hemodialysis involves passing the blood across and filter to purify it / remove toxins and remove water. Peritoneal dialysis takes advantage of the membrane within the abdomen to act as a filter. In either case toxins are removed from the blood stream. ...Read moreSee 1 more doctor answer
Clean blood: Dialysis removes waste products from the blood and extra fluids to replace the function of the kidneys and prolong life. Without it death is usually eminent in a few months more or less. The quality of life on dialysis is less than that with functioning kidneys due to substantial fatigue and other medical problems and medications. ...Read moreSee 2 more doctor answers
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