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Doctor insights on: Renal Failure In The Elderly

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What usually causes acute kidney failure in the elderly?

What usually causes acute kidney failure in the elderly?

Meds and Dehydration: Acute kidney failure occurs predominantly from newly prescribed medications like a diuretic (hctz (hydrochlorothiazide) or lasix) or from certain anti-hypertensive medications like an ace or arb (enalapril or cozaar). Also akf occurs in the elderly if they do not get enough water intake especially in warm environments when they sweat a lot. ...Read more

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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


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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

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Hi, is the metabolic acidosis in chronic renal failure fatal ?

Hi, is the metabolic acidosis in chronic renal failure fatal ?

Acidosis: The simple answer is yes. However, the amount of acid has to be very high for that to happen. High amounts of acid in the blood interfere with many, if not all, biologic processes in the human body such as the effect of Insulin lowering blood sugar, the normal metabolism of proteins and fats that are essential for life, and even normal heart beat, just to name a few. ...Read more

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How common is renal failure in myeloma patients?

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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What is the life expectancy with a cardiac transplant patient in renal failure?

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

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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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Is the whole kidney affected by chronic kidney failure?

Is the whole kidney affected by chronic kidney failure?

Yes: Chronic kidney disease eventually involves the whole kidney. Disorders may start out in one location, but over time the kidney's adaptive processes lead to damage of all glomeruli and tubules. ...Read more

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What is metabolic acidosis in chronic renal failure from?

What is metabolic acidosis in chronic renal failure from?

Unable to remove: Metabolic acidosis is a constituent of renal failure, arising mainly from the inability of kidney to remove excess acids in blood. ...Read more

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How can the excretion of digoxin work in a patient with kidney failure?

How can the excretion of digoxin work in a patient with kidney failure?

16%: 16 % of digoxin is metabolized by the liver. In complete renal failure, not on dialysis, the dose is given every 3-4 days. Dose is adjusted by measured levels. ...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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Why is the manufacturing of erythropoeitin impaired in a patient with chronic renal disease?

Why is the manufacturing of erythropoeitin impaired in a patient with chronic renal disease?

Eruthropoietin: It is secreted by the kidneys, simply. When kidneys fail, all functions are reduced. Industrial production of erythrop works as good as the natural one. ...Read more

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Why would a patient in renal failure get decreased cardiac output?

Why would a patient in renal failure get decreased cardiac output?

Complex: Even though the mechanisms are complex, one way to understand is that if you lose the ability to filter your blood and eliminate extra fluid from your body (one of the kidney's main functions) your heart will be burdened with pumping a lot more blood than it was intended to do and will therefore fatigue and not pump as well (same as any other muscle would if forced to work "overtime"). ...Read more

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What are the signs of congestive heart failure in adults?

What are the signs of congestive heart failure in adults?

Many symptoms/signs: Shortness of breath at rest or mild exertion which may worsen on lying down, swelling of legs, fatigue, considerable weight gain in a short time. ...Read more

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Does kidney failure in small children mean dialysis?

Does kidney failure in small children mean dialysis?

It depends: Acute, reversible kidney failure in a child does not always result in dialysis. Chronic, non-reversible renal failure will likely result in dialysis. Peritoneal dialysis is preferred for a variety of reasons. Finally, renal transplant asap is the ultimate preferred treatment for children who are on dialysis. Children need to grow and getting a transplant is their best hope to see that happen. ...Read more

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Why?Would someone in renal failure have decreased cardiac output?

Why?Would someone in renal failure have decreased cardiac output?

Many reasons: Decreased cardiac output can contribute to reduced kidney function. Kidney disease is often associated with heart problems that reduce cardiac output. High blood pressure and volume overload with kidney failure can also reduce heart output. It's often difficult to sort out cause and effect in these situations. ...Read more

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What happens in the body with congestive heart failure?

What happens in the body with congestive heart failure?

Fluid buildup: In a healthy patient, the heart and kidneys work together to maintain the appropriate amount of salt and water in the body. In the patient with congestive heart failure, this equilibrium is upset. Salt and water accumulate resulting in shortness of breath, swollen legs, and inability to exercise. This can be the result of problems with the kidney or the heart. ...Read more

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Why would a patient in renal failure get decreased cardiac function?

Why would a patient in renal failure get decreased cardiac function?

Other way around: Usually it is the decreased cardiac function that leads to kidney failure due to lack of blood flow. However, the two illnesses in general share many contributing factors like high blood pressure and diabetes. ...Read more