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Hemodialysis
Cr 8.5. urea 124. Gfr 4. Blood Albumin 3. What is the prognosis of this patient. Figures after 1st dilylasis. Heart patient. Difficulty breathing at night lying straight.
Answers (1)
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First you need to confirm whether it is a chronic kidney disease or acute kidney injury.
This can be differentiated by
1. Doing ultrasound abdomen,
2. Checking his old report.
3. Monitoring his urine output and creatinine for any recovery in kidney function.
If it is a chronic kidney disease then chances are he will require hemodialysis life time 2 or 3 times per week.
Prognosis will depend on how much he is complaint to the treatment and how is his vascular assess functioning.
On average keeping his comorbities in mind his chances of survival is around 70-80% at end of 1 year.
And it will be less than 50% at end of 5 year.
Next Steps
Creating a vascular assess is critical for your patient to do well.
Health Tips
peritoneal dialysis is a great option for your patient keeping his cardiac status in mind.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.