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Doctor insights on: Why Are Renal Failure Patients Undergoing Dialysis At Risk For Anemia

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Why are patients with chronic kidney disease at higher risk for drug related complications?

Why are patients with chronic kidney disease at higher risk for drug related complications?

Kidneys filter drugs: When Chronic kidney disease is diagnosed kidney function have already dwindled. One of the many functions of kidneys is to filters drugs and their metabolic products into urine and excrete them. When that function is compromised, complications arise frequently. ...Read more

Dr. Quresh Khairullah
518 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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Why are renal failure patients anemic?

Why are renal failure patients anemic?

Reducerythropoietin : In significant chronic renal failure the hormone erythropoietin is produced in lower amounts. If the anemia is severe and there is no other type of anemia (usually less that 11) and if pt is symptomatic this substance can be given in form of injection (procrit (epoetin alfa) and others). ...Read more

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

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

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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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What foods are recommended for patients with kidney failure?

What foods are recommended for patients with kidney failure?

Food n renal failure: What are foods recommended for renal failure. Depends on stage and degrees of impaired function. So ask your own team. In general you want low protein, low sodium, possibly low K content. ...Read more

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Why is the mortality risk so high for icu patients having acute renal failure? If you are already in the hospital, can't you start dialysis quickly?

Why is the mortality risk so high for icu patients having acute renal failure? If you are already in the hospital, can't you start dialysis quickly?

Renal failure death: Patients in the ICU who have a acute kidney failure (akf) have something that caused it, usually hypotension. The are very sick and have multi-systemic problems and may have an overwhelming infection leading to their akf. Although dialysis can replace kidney function lost in akf, it cannot perform any of the functions of other organs in the body. They need more than just kidney function to live. ...Read more

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Why are patients in hemodialysis at risk for hepatitis b infection?

Increased risk: Dialysis patients are at increased risk of contracting hepatitis b due to the fact that the virus can survive on environmental surfaces. Patients with hep b that are dialyzed on the same machine that people without hep b can cause this but this is not commonly done any more because of the increased risk. ...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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What is dialysis, and why are the patients at risk for anemia?

Cleansing of blood: Dialysis is the cleansing of the blood through an artificial membrane. It replaces some of the physiologic functions of a normal kidney but is generally inferior to a functioning kidney. One of the functions of the kidney is to produce a hormone that stimulates blood produciton. When kidney function is impaired, this hormone production is diminished, resulting in anemia. ...Read more

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Why are kidney recipients at a higher risk for diabetes, cancer and bone disease?

Why are kidney recipients at a higher risk for diabetes, cancer and bone disease?

Immunosuppression: I am not a kidney transplant specialist, but i still think i can answer. Patients that receive an organ transplant usually need ongoing immunosuppression to prevent rejection. That can include a variety of drugs including steroids. Diabetes, bone loss - steroid induced cancer - immunosuppression drugs. ...Read more

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Are chronic hypertension patients regularly tested for kidney failure?

Are chronic hypertension patients regularly tested for kidney failure?

Kidney failure: In well controlled hypertension patients we usually watch kidney function at least once a year if not more frequently. If there is evidence of early kidney damage then that frequency might be more often. A blood test or a urine test will give us a good idea how the kidneys are functioning. ...Read more

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What patients are at risk for heart valve disease?

What patients are at risk for heart valve disease?

Depends: Depends on the part of the world. In the US, the most commonly affected valves are the mitral and the aortic valve, with the mitral valve developing leakage (incompetence) and the aortic either leakage or stenosis (tightening) or both. Hypertension, and other risk factors for coronary disease can also affect the aortic valve; mitral valve degeneration however is less well understood. ...Read more

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What are common predisposing factors for renal failure after surgery?

What are common predisposing factors for renal failure after surgery?

Shock or hypovolemia: Did not specify is surgery is emergent, or elective. Motor vehicle wrecks can damage a great deal of muscle which leads to rhabdomyoloysis which leads to acute (reversible) renal failure. Likewise, low blood volume (e.g. Blood loss) or shock (from overwhelming infection, or blood loss or the kidneys getting insufficient blood (e.g. Surgeon clamps renal artery accidentally) may all be involved. ...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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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

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Who is at risk for a kidney failure and transplant?

Who is at risk for a kidney failure and transplant?

History is important: Kidney disease in family or chronic disease like diabetes and hypertension, hypercholesterolemia, and obesity for the person in question are risk factors. Things to do to decrease your risk is to control chronic disease, avoid smoking and avoid obesity. ...Read more

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What are good ways to boost hemoglobin level for patient suffering from end stage renal failure?

What are good ways to boost hemoglobin level for patient suffering from end stage renal failure?

Anemia and ESRD: This patient must be on dialysis. At his dialysis center, he should be receiving Epogen (epoetin alfa) to increase the hb level. There are some people that have a problem with EPO and do not raise their hb level, due to anti-epo antibodies and is rare. Other causes of no increase of hb levels are blood loss from the GI tract, hemolysis and high parathyroid hormone levels. Ask the patient's nephrologist about it. ...Read more

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What people are at risk for systolic heart failure?

What people are at risk for systolic heart failure?

Common risk factors: Many of the risk factors for heart dz is also risk factor for systolic heart failure. Uncontrolled blood pressure , heavy drinkers, family history, previous heart attack. Post partum with history of systolic failure with previous deliveries. Severe valve disease like mitral regurgitation and aortic stenosis.. ...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


Dr. Steven Ginsberg
1,283 doctors shared insights

Anemia (Definition)

Any condition where there is a decrease in the red blood ...Read more