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Doctor insights on: Patient Septic Shock Kidney Failure Elderly Dialysis

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If someone has septic shock and then gets kidney failure with dialysis is there any chance they will recover?

If someone has septic shock and then gets  kidney failure with dialysis is there any chance they will recover?

Yes: Acute kidney failure has the potential to improve. Nephrologists watch for this routinely. Recovery is most likely when the other organ systems have improved too. ...Read more

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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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Does dying from septic shock & kidney failure hurt?

Does dying from septic shock & kidney failure hurt?

Who knows?: Clinical experience shows all dying persons will, as expected, struggle to cope with reality, certainty, & uncertainty for survival & continuation at the early stage of dying, gradually become less energy & ability to fight on, then lapse into coma, and finally step into eternity. What is the pace of dying? It heavily depends upon the availability of supportive care & widely vary from days to... ...Read more

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If someone has septic shock and kidney failure what can we do?

If someone has septic shock and kidney failure what can we do?

Pray: Septic shock leading to kidney failure is one of the most devastating medical conditions, and all such patients should be in an intensive care unit. The patient needs to be under the care of a medical team consisting of an intensivist, pulmonary, infectious disease and nephrology doctors. The mortality from this condition is over 80-90% and almost always some form of dialysis is required. ...Read more

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If the patient who is suffering from septic shock gets worse after an attempt of dialysis, what are other options available to be considered?

If the patient who is suffering from  septic shock gets worse after an attempt of dialysis, what are other options available to be considered?

Consult intensivist: This issue is too complicated to be addressed in this forum. You would do well to consult with a specialist in intensive care. ...Read more

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What's an alternative remedy for a patient with kidney failure aside from dialysis and kidney transplant?

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 more

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If someone is not elderly but has kidney failure and doesn't have dialysis how long can they live?

Depends: Now a days traditional hemodialysis or even if the blood pressure is low hemofilteration can take care of the kidney failure in an acute situation, and it will be the other problems which will determine the outcome. In the long term if permanent kidney failure is the outcome the best treatment option is a transplant with dialysis for the interim. ...Read more

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Tell me why patients with kidney failure eat and drink what they like only during the first few hours of dialysis?

Tell me why patients with kidney failure eat and drink what they like only during the first few hours of dialysis?

Nurses being nice: The total fluid removal target is programmed at the beginning of the dialysis run. Fluids consumed on dialysis are added to the total weight target. The removal target is doable from the onset of dialysis. If you drink 32 oz in the last hour, it is difficult to get this (and the preprogrammed amount) all off in the last hour. ...Read more

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Elderly incontinent diabetic paralysed from waist down - no cathethar develops sepsis then septic shock vomitting , cd it hve taken months to progr?

Taken what?: I am assuming you are referring to her sepsis, in which case the answer is no, sepsis doesn't last for months. Chronic urinary tract infections exist but are uncommon unless there is a resistant organism present. ...Read more

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Due to septic shock the patient is not recovering there is high amount os swelling?

Due to septic shock the patient is not recovering there is high amount os swelling?

Hypermetabolic: When patients are septic they develop increased metabolic rates and are unable to produce protein in normal amounts. This leads to swelling. Over time this will resolve. ...Read more

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Can someone explain to me how come patients with septic shock be treated with insulin and corticosteroids?

Can someone explain to me how come patients with septic shock be treated with insulin and corticosteroids?

To improve survival: Steroids may be used in septic shock that persists despite max support. The adrenal may suffer during shock and glucose metabolism is off , necessitating Insulin especially when giving steroids. The steroids are in low to intermediate dose. High dose steroids in septic shock are associated with higer mortality. ...Read more

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Dr. William Walsh
1,178 doctors shared insights

Shock (Definition)

Shock is a condition in which a person cannot circulate enough blood (carrying oxygen & nutrients) to the vital organs in the body. If shock persists, various parts of the body will stop working, and the person will die. Causes of shock include injuries, excessive bleeding, heart failure, infections, chemical imbalances, ...Read more


Kidney (Definition)

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