Doctor insights on:
End Of Life Kidney Failure
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
No: Patients in renal failure who are not on dialysis accumulate renal toxins in their bloodstream. This affects brain function, causing the patient to feel sleepy, be confused, and lose their appetite. If a patient has no remaining renal function when they stop dialysis, they will fall into a uremic coma 7-10 days after stopping dialysis, and die within 14-21 days. This process is painless. ...Read moreSee 1 more doctor answer
Dr. Jason cogdill. Thx for answering the q re: prerenal kidney failure. What timeline do you mean by "short-term" risk is death? Thx.
For your question: The short term referred to 1week. That first week if the kidney had gone down to less then 5% of normal for a prolonged period of time death would have been a real risk. ...Read more
Acute kidney failure caused by meds. Stopped meds and got better. Creatin level falling 1.9-1.7-1.6-1.3 at last test. Is this good?
Yes: It appears your renal function is improving with each subsequent test. Many medications are metabolized through the kidneys and have the potential to cause renal issues. It appears your renal problem was diagnosed and treated appropriately and you are on the road to recovery. Best wishes. ...Read moreSee 1 more doctor answer
51 yo male. Mild chf, ef of 50. Kidney failure caused by meds. Creatinine returned to 1.6 after meds stopped. Are my kidneys severely damaged?
Some damage: Stage 3 of chronic renal failure consists of egfr 45-59 (3a) or 30-44 (3b).Rememember that egfr is an estimate (more info on egfr) and may require a correction for (black) race. Most patients with stage 3ckd are older and only a minority go on to get more serious kidney disease.Increased rate of heart attacks, strokes. Need to be closely followed by physician.Stage4, 5 are more severe renal failure. ...Read moreSee 1 more doctor answer
Respiratory failure: Too much Aspirin interferes with the last part of your aerobic metabolism of energy, cytochrome c. It uncouples this area and one has to resort to anaerobic metabolism. Severe metabolic acidosis will ensue, the respiratory system will try to compensate but will fail and combined acidosis ensues and lack of energy just will not sustain life. ...Read more
Mom's in ICU with diverticulitis perforated colon and septis..kidney failure and not waking up once sedation was stopped..could I loss her?
I am so sorry: I am sorry for your situation. Perforated colon due to diverticulitis causing sepsis and kidney failure is very serious. Has she had surgery? or are they attempting to treat without surgery. As a specialty surgeon who has managed many of these situations I can tell you it is possible to survive this. Please do not hesitate to make sure all of the doctors are communicating with you/your family. ...Read moreSee 1 more doctor answer
My mother has congestive heart failure with kidney failure and fluid build up in her lungs. Been in hospital on & off for 3 months. Death soon?
Depends,: The details that matter include how bad are kidneys eg stage 3, 4, 5? And how bad is heart ejection fraction ef, how low? 30, 20, 10? How responsive is she to water pills? Does she have other illnesses (comorbidities)? She sounds certainly very ill. Ask her doc about more information including above questions and the discussion will flow more naturally to better answer the question of longevity. ...Read moreSee 1 more doctor answer
The kidneys do several tasks. Dialysis is necessary when one or more of the following occur, that can't be remedied or palliated with medications: 1. Insufficient clearance of daily toxins in food and metabolic waste 2. Insufficient clearance of excess water 3. Dangerous electrolyte imbalance, ...Read more
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