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Doctor insights on:
Patient Teaching For Acute Renal Failure
1
How effective is dialysis for treating acute renal failure?
Treating ARF: When used correctly and the underlying reason is also treated correctly, you cannot beat the combination of medical management of ARF along with prudent dialysis. ...Read more
Acute Renal Failure (Definition)
Acute renal failure, also known as acute kidney failure, occurs when your body is unable to clear out the products of metabolism that are normally filtered and excreted by your kidneys. Accute renal failure can be caused by the obstruction of urine flow, infection, severe metabolic ...Read more
2
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
4
Is continuos medication required for congestive heart failure patients?
Depends: Usually, CHF pts will need to be treated daily for life but there are exceptions depending on the cause of the chf, the severity of the symptoms, and whther there were extraneous factors that caused a flare of symptoms. Please note: if this is about you, chewing tobacco is very dangerous in the presence of CHF (can precipitate dangerous arrhythmias). ...Read more
5
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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6
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
7
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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8
What is the life expectancy with a cardiac transplant patient in renal failure?
Cardiac transplant: Transplant survival rates have been improving over the past several years as better options exist in preventing rejection (better than 60% live 10 or more years). Diffuse post-transplant coronary arteriopathy tends to or relate more with late post-transplant events. Coexistant renal failure would also be a negative predictor on survival irrespective of transplant status (mortality 50% at 2 yrs). ...Read more
9
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
10
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
11
How effective is a ureteric stent for treating acute renal failure?
Depends: If the cause of renal failure is due to ureteral obstruction then very effective! The key is to address the obstruction ASAP in order to avoid any permanent damage to the kidneys. Important to monitor for post obstructive diuresis marked excessive urination after relief of obstruction. But, post-obstructive diuresis/natriuresis are good prognostic indicators of renal function recovery. ...Read more
12
What are suggested readings for new patient diagnosed chronic kidney failure?
Good article: Try this article by mayo clinic: http://www.Mayoclinic.Com/health/kidney-failure/ds00682. ...Read more
13
Management of patient with acute coronary syndrome ?
Go to ER: If you suspect acute coronary syndrome in any person, it is important to call 911. 911 during the transport to er will get the patient oxygen and aspirin, sublingual nitro as needed. And er will assess the patient and do appropriate cardiac management. ...Read more
14
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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15
What renal dialysis effect while patients on post obstructive diressis?
P-obstruct. diuresis: In majority, functional recovery in usually seen in the first week to ten days after obstruction is relieved. If severe renal failure is present, dialysis may be indicated, even after complete resolution of the obstruction. Dialysis may be required for a few weeks. In these cases complete functional improvement may not take place. ...Read more
16
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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17
What are the treatment options for a patient who has hyperphosphatemia, hypercalcemia, and chronic renal failure?
Treatment: I am very surprised that your kidney doctor has not described this to you in detail. Either go back for more education or have your PC to refer you to a different specialist who should help you understand what is happening and what will develop. Hopefully for better! ...Read more
18
Diet for patient with chronic kidney disease?
Diet for CKD patient: Try this website for food suggestions for patients with chronic kidney disease: http://www.Webmd.Com/a-to-z-guides/eating-plan-for-chronic-kidney-disease# good luck. ...Read more
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19
Can herbs cure acute renal failure? Is there any treatment for acute renal failure in herbal medicine?
The : The short answer here is no. There are many herbal remedies and treatments which have been shown to cause acute renal failure but none that reverse it. Be sure to distinguish acute (rapid in onset and usually with a known cause and therefore sometimes reversible though may require temporary dialysis) from chronic (kidneys damaged beyond repair leading to permanent dialysis). Acute renal failure has many causes; dehydration, trauma, medications, drugs, toxins, infection, and obstruction are some of the more common. Particularly when renal failure is due to toxins, medications, or dehydration, conservative therapy (time, hydration, avoiding nephrotoxins) is the best treatment. There is no quality data to support any herbal therapies for acute renal failure. There is also poor regulation over ingredients and effects of herbal therapies and many are nephrotoxic. Work closely with your doctor to stay hydrated and modify your diet if you are looking for more natural approaches. ...Read more
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20
Is potassium good for patient who has kidney disease or impaired renal function?
See answer: Patients with impaired renal function have difficulty getting rid of potassium. As kidney function worsens (GFR ...Read more
See 4 more doctor answersKidney Failure (Definition)
A condition in which the kidneys lose the ability to remove ...Read more
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