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Doctor insights on: Paracentesis And Renal Failure Patients

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Is jaundice in renal failure patients and indication of liver failure as well?

Is jaundice in renal failure patients and indication of liver failure as well?

Many causes: Many potential causes of jaundice but not renal failure alone and haudice does not equate to liver failure causes and be meds, viral, infection, gallstones , etc extensive lab and ultrasound or cat scan would be needed to determine cause. ...Read more

Dr. Sophie Bakri
131 doctors shared insights

Paracentesis (Definition)

Paracentesis is a procedure where accumulated fluid in the abdominal cavity is removed. Most often the fluid is an abnormal build-up of ascites, which can occur in liver, heart and occasionally kidney failure, may be present as part of malignancy or other rarer conditions. It entails identifying a pocket of fluid, sometimes under x-ray guidance, and then having a ...Read more


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Why atracurium is used in both patients with hepatic and renal failure?

Why atracurium is used in both patients with hepatic and renal failure?

Elimination mechani: Atracurium is not dependent on liver or kidneys for elimination, so it wears off normally in these patients. ...Read more

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Can haemodialysis correct metabolic acidosis in renal failure patient?

Can haemodialysis correct metabolic acidosis in renal failure patient?

Renal Replacement Th: Dialysis is one of the treatments for metabolic acidosis. Depending on the cause as well as the other medical problems and type of the acidosis, correcting the inciting problem is the first step dialysis may or may not be needed. ...Read more

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Why atracurium is used in both hepatic and renal failure patients?

Why atracurium is used in both hepatic and renal failure patients?

Atracurium use: The reason atracurium can be used in hepatic and renal failure patients is because the breakdown process is not dependent on kidney are liver function. The drug is broken down through a process called the hoffman eleimination that is independent of organ activity. However, the main metabolite is laudanosine and it can acumulate in elderly renal and liver failure patients. ...Read more

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Can morphine in a esld patient cause hepatic coma, renal failure and ultimately death?

Can morphine in a esld patient cause hepatic coma, renal failure and ultimately death?

No: Hepatic coma is from the buildup of toxins not being processed by the damaged liver...Which can poison the kidneys...And eventually result in death. Morphine or other narcotics may be given to an esld patient to reduce their discomfort as they are passing. ...Read more

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What occurs with renal failure and heart bypass surgery?

What occurs with renal failure and heart bypass surgery?

?worse?: Assuming that you are asking what will happen to chronic kidney disease when having cabg. High risk of worsening, possibly needing dialysis. You need to discuss your risks vs benefits with your doctor. ...Read more

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Why is atracurium used for both hepatic and renal failure patients?

Metabolism: Atracurium is a non-depolarizing neuromuscular blocker. It is metabolized via a process called Hoffmann elimination (ester hydrolysis which is independent of renal, hepatic or enzymatic function). Since you don't need the liver or kidney to metabolize the drug, it is a paralytic often used for patients with renal and/or hepatic failure. ...Read more

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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

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Why is clofibrate contraindicated in patients with renal failure?

Why is clofibrate contraindicated in patients with renal failure?

Clofibrate: Clofibrate is a lipd lowering drug that is metabollized in the liver. Those metabolites are excreted in the kidney. When renal failure/insufficiency happens, the drug itself as well as its metabolites build up in the blood. High concentrations of these metabolites can lead to serious side effects including death. So, don't take Clofibrate if you have renal disease. ...Read more

Emily Lu Dr. Lu
3 doctors agreed:
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How many people with diabetic kidney disease develop total kidney failure?

Emily Lu Dr. Lu
3 doctors agreed:
How many people with diabetic kidney disease develop total kidney failure?

20-40%: About 40% of type 1 diabetes patients with kidney disease will develop kidney failure within 20 years without strict blood pressure and glucose control. About 20% of type 2 diabetes patients with kidney disease will develop kidney failure within 20 years, but blood pressure control has seemed to be less effective in completely stopping progression in these patients. ...Read more

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How to manage pain in patient with renal failure?

Renal failure: Your drug of choice is tylenol (acetaminophen), (acetaminophen) but too much tylenol (acetaminophen) may affect your liver ...Read more

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How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?

How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?

Medicine vs. poison: There's a saying in healthcare: "medicines & poisons r the same chemicals given with different intent". If u r volume overloaded in acute renal failure or CHF, then u need volume reduction. The easiest & fastest way is diuretics, which "force" the kidney to get rid of water, tho side effects can occur (so u have to b monitored). If there is no volume overload in renal failure, skip the side effect ...Read more

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Can renal failure present with polyurea?

Urine Volume: Your question is can someone who is on dialysis have lots of urine still (polyuria). The clearance of toxins and water functions of the kidney are different. One can require dialysis because of the lack of toxin clearance, but still clear water and appear to be voiding normally. Patients on dialysis eventually lose the ability to clear water as well. ...Read more

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In patient with chronic renal faliure, is associated with hypertention or normal BP ?

In patient with chronic renal faliure, is associated with hypertention or normal BP ?

Chronic renal: Longstanding hypertension is only one cause of renal failure. Chronic inflammation, infection, diabetic nephropathy are some other causes. In other words the hypertension causes the chronic renal failure although many kidney diseases can cause hypertension. You may have normal blood pressure in the presence of chronic renal failure however. ...Read more

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How long can you live with liver failure and kidney failure and heart failure?

How long can you live with liver failure and kidney failure and heart failure?

Multiorgan failure: The more organs one has failing the worse condition the body is experiencing. With three major and crucial systems failing one can not expect long survival. ...Read more

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How common is renal failure in myeloma patients?

30% dx; 50% life: Around 30% at diagnosis and about 50% throughout disease course. However, this may be less given newer anti-myeloma agents (?). ...Read more

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Copd + renal failure not a candidate for dialysis?

Copd + renal failure not a candidate for dialysis?

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 more

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What would be the life expectancy for younger patients with stage IV renal failure?

Stage 4 RF: Stage 4 patients have GFR between 15 & 30. I approach this from the standpoint of preserving what kidney function you have, not life expectancy. Ways to do that - watch your diet and avoid foods that have lots of potassium and salt; limit protein intake; watch your weight; take all medicines prescribed; see your doctor regularly. Look here : http://www.Kidneyfailureweb.Com/prognosis/221.Html. ...Read more

Dr. Tarek Naguib
600 doctors shared insights

Kidney Failure (Definition)

A condition in which your kidneys suddenly stop working normally. Since your kidneys remove waste products and help balance water and salt and other minerals (electrolytes) in your blood, when your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems ...Read more