Doctor insights on:
Nepro For Dialysis
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
Depends...: It depends on the severity of the copd. If the patient is on COPD medications and has relatively mild symptoms and/or is well-controlled, then dialysis can be given. It will likely need to be hemodialysis as a pulmonary patient is not likely to tolerate peritoneal dialysis. For an individual case, a kidney specialist will determine if the patient will tolerate dialysis treatment. ...Read moreSee 1 more doctor answer
Failing kidneys...: Having failing kidneys - most commonly from diabetes and/or high blood pressure - is the admission 'requirement' for most dialysis patients. But remember that dialysis can give you only a fraction of normal kidney function! transplant, especially a living donor transplant from a relative, will likely give you the best chance to return to as normal a life as would be possible. Lindagromkomd.Com. ...Read moreSee 1 more doctor answer
Is viagra (sildenafil) 100mg safe for person having polycystic kidney disease with a normal GFR and having proteinurea in his urine?can he take 3x per week viagra (sildenafil)?
Viagra (sildenafil): In general, yes it is safe. Blood pressure can decline with viagra (sildenafil). So, the combination of viagra (sildenafil) with calcium channel blocker may drop your blood pressure substantially. I recommend trying 25 mg or 50 mg rather than 100 mg. ...Read moreSee 1 more doctor answer
See below: Generally we do not advise dialysis twice a week. It is difficult to achieve clearance of waste from the blood adequately and also in some cases removal of adequate fluid from the body . Three times a week for atleast 4hours each time are being recommended now, other options are night time and home dialysis. ...Read moreSee 1 more doctor answer
Here are some...: On average, some 20-22% of the dialyzed will pass away in every each year so to live longer than 5 yrs is hard. But, young age + hope to get kidney transplant + willing to cope and live a healthy lifestyle + follow available good advice are your best possible hope. Nonetheless, do something within our control now and don't waste time & energy to think & worry about what beyond our control. Best... ...Read more
Chances for a 60 yr m with single diabetic kidney ( albumin creatinine ratio 139) with tight glucose and BP control ending in renal failure?Roughly?
Chances: Your elevated albumin/creatinine ratio indicates that you have proteinuria. You should ask you physician to send you to a nephrologist for a 24 hour urine for creatinine clearance and proteinuria (p). Patients who have higher levels of p, have a higher incidence of renal, cardiac and neurological complications than those with lower p. Drugs that lower BP and p are ace-i's and arb's. Ask your md. ...Read moreSee 1 more doctor answer
61yrs female, taking hydrochloridiazide for hbp what is alternative for diomox for travelling tolhasa tibet. ?
Alternate: Diamox (acetazolamide) is standard for preventing altitude sickness but only needs to be taken for 1 day before travel & a few days after. Talk to your doc but, if your BP is controlled on hct, your simplest option is just to skip it while taking Diamox (acetazolamide) (also a diuretic). Make sure your potassium level is not low from the diuretics, becuse both low potassium & altitude can cause extra heartbeats. ...Read moreSee 1 more doctor answer
Diet with creat, 3.5: You need more information about your renal function and should see a nephrologist (n) to have a 24 hour urine collection for creatinine clearance and protein. Blood work is needed to see if your phosphorous and PTH are elevated and if your hemoglobin is < 10 grs/dl. You have chronic kidney disease and need to find out its cause. After these studies, your n can give more advice about your diet. ...Read more
What's an alternative remedy for a patient with kidney failure aside from dialysis and kidney transplant?
Not remedy - death: Some patients with kidney failure who are not actively depressed, have tried dialysis and are not reasonable transplant candidates choose to withdraw from care and knowingly accept that they will die. This is allowed in the us but certainly not encouraged. A pulitzer prize winning author, james michener, decided after the age of 90 that he had written his last book and did withdraw from dialysis. ...Read moreSee 1 more doctor answer
How much dialysis is needed for a patient that urinates every day, his kidney trnasplant failed after 5 years?
It depends...: Even if there is residual kidney function left after transplant failure, the nephrologist will look at other clinical and lab factors like patient symptoms, blood pressure/volume, phosphate, nutritional status, etc to determine dialysis frequency. Urine output is just one part of this complex decision making process. And finally, the urine's "quality" matters as much as its quantity! ...Read more
Whey Proteins: Most important - look at phosphorous and potassium content and talk to your dietician before you start anything. Products that I have seen suggested are now foods whey protein and body fortress whey protein. But check everything out thoroughly before starting including checking with your doctor. ...Read more
Dialysis: The only way to treat and prevent folks from dying once disease has progressed too far. Done millions of times a day in US. ...Read more
After effecting with lupus in routine urine test results protien:creatin ratio 1.5; protien spot total 63mg/dl,cellcept (mycophenolate mofetil) as rx.is my kidneys effected?
Why would nephrologist recommend catheter dialysis to my 90 yr old grandmother? Demented, barely ambulatory and 16% function.
Catheter dialysis: I assume you are referring to peritoneal dialysis, using a catheter in her abdomen. This decision brings the family to a discussion of life goals. Extending her life with dialysis may not be the consensus decision. Hemodialysis is harsh for everyone, especially so for the frail elderly and was never intended for frail elderly. Peritoneal dialysis is gentle. At 16% function, she does not require D. ...Read moreSee 2 more doctor answers
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