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Rachael21
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Location: New Zealand
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Topic: Acute renal failure Posted: 09 March 2008 at 10:12am |
My MILs partner has just been admitted to hospital with this apparantly he has 15% kidney function. She is a nurse and always thinks the worst (I guess cos shes seen so many worst cases) Anyway does anyone have any experience with this and what the long term is for him? I googled it but didn't really understand and MIL is talking like he doesn't have much time left. We just want to have some sort of idea whats going on.
TIA
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Kels
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Posted: 09 March 2008 at 10:59am |
Pm Redbedrock(clare) aka kidney specialist lol... that is her area of expertise and she will be a wealth of info for you. She has been working as a dialysis nurse for awhile and will be able to answer all the questions you have..
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Redbedrock
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Posted: 09 March 2008 at 1:12pm |
hi Rachel
first of if it is acute then he may well recover, once what has caused it has been shaken, a true acute onset will cure up quickly. Tha other option is he may regain some kidney function (you can live quite happily on the function of half one healthy kidney)
So at this point it kind of depends on what has caused this and whether it is reversable. He may need some form of renal replacement therapy, usually in the form of dialysis, which is a way of cleaning and filtering the blood using an artificial kidney machine until his kidneys recover. this is what I do, but my main job is training people to do this at home independently
I can answer any questions if you want me to. there are so many variables that it would be difficult to answer without knowing what was going on, ie is it sudden in happening or is it something that he has known about it for a while?
Ask away if you need to
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Rachael21
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Posted: 09 March 2008 at 3:50pm |
Thanks Clare thats a relief to know. I'm not sure what exaclty caused it, MIL said he wasn't feeling well a few weeks ago but they didn't know what it was but I'm not sure if that was this or not. She text me Friday saying they were going to the dr and then the dr sent them straight to the hospital so I guess it happened pretty fast. She said he was going to have dialysis through his neck or something. Do you know how long he will be in hospital for?
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Redbedrock
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Posted: 09 March 2008 at 5:38pm |
Ok so he has a neckline in which is a tube with 2 tubes in, like two straws wrapped together, whcih are sitting in the main vein in his neck (probably the jubular), one tube is used for the blood to come out, then it goes through the artificial kidney (dialyser) and is returned through the other tube, he will probabkly have this for about 2-3 hours, and then again for slightly longer in a day or so. Everyday he will have bloods taken and his levels of two toxins- urea and creatinine- will be monitiored, to give an idea of any function in his kidney, as these levels reduce they will reduce the amount of dialysis he has, and that will give an idea of if he will need dialysis longterm.
as to when he comes home it will depend how sick he is now, if they can stabilise him and do investigations pretty quickly, probably ultra sound of kidneys and some flow xrays to check which side is or isn't working, he may be sent home pretty quickly and go in for blood tests and dialysis as an out patient. But it really is a wait and see situation, as I say if this a "true" acute state he could get full recovery and never need dialysis again (I had acute renal failure when I was travelling years ago from anti malarial tablets, I stopped taking them and have never had any other problems), but there may be some other damage caused, so the illness he had a few weeks ago may be due to renal failure, the toxins building up to make him feel ill.
As I say ask away
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Rachael21
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Posted: 09 March 2008 at 9:21pm |
Thank you so much I never knew that was what dialysis was  I was just talking to MIL and he has been sent home but has to go back for dialysis tomorrow and Weds and then they will asses how things are. So fingers crossed hes fine after this. Thanks again Clare you have been so much help.
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Maya
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Posted: 09 March 2008 at 9:32pm |
My FIL was on dialysis, he had kidney failure as a result of type 2 diabetes, I don't know much about it but it's interesting to read Claire's explanation. All I knew was that FIl was on the kind of dialysis he could have at home, he had boxes and boxes of this stuff from Baxter healthcare and he had to do it 2-3 times a day. He was on it for years.
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Redbedrock
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Posted: 10 March 2008 at 10:34am |
yep that's the other type of dialysis CAPD where there is a tube in the abdomen and the bags of solutions (up to 2.5litres) are drained into the abdomen and left for 4ish hours then drained and replaced by fresh solution. This is a nice simple type of treatment that most people can manage at home, with minimal changes to their life, they can go on holiday and probably have less changes to diet, etc. I do the other sort which involves a machine and lots of training, and I love teaching it, my lady today put her needles in for the first time and it's still really rewarding that she overcame her fears and did it.
Rachel hope things are going well, sounds like it if he has been discharged, hopefully this episode will resolve very soon
Claire
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