Indications Dialysis In The Elderly?
What is the maximum size for patients having dialysis for creatinine
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Dialysis or hemodialysis can be done in 2 conditions of kidney failure, namely acute kidney failure and chronic kidney failure. Indications for hemodialysis in patients with acute kidney failure include:
the presence of excess fluid (overload) that can not be treated with drugs
severe electrolyte disturbances that cannot be treated with medication
signs of severe uremia
severe metabolic acidosis
alcohol intoxication or certain drugs
Indications for hemodialysis in patients with chronic kidney failure include:
signs of severe uremia
patients with eGFR (estimated glomerular filtration rate) less than 15mL / min / 1.73 m2 with symptoms:
decreased nutritional status
signs of excess fluid that are difficult to handle
weak and tired too much
mild cognitive disorders
acidosis or electrolyte disturbances that are difficult to treat with drugs
In older people, one more factor needs to be considered before dialysis. This factor is the life expectancy of the patient. Need to consider well the patient's current condition (whether the patient is still active or already very dependent on others to carry out their daily activities) as well as other illnesses owned by the patient to consider whether doing hemodialysis can benefit the patient or not (can extend life expectancy or can improve the quality of life). For example in patients who are at the age of 80 years are still very active and can take care of themselves well, concomitant diseases are not severe and can be controlled properly, then hemodialysis can be considered to be done because it might increase life expectancy for the next few years. But in patients aged 80 years who can not do anything on their own, the disease is very numerous and uncontrolled, doing hemodialysis may only extend life expectancy for a few months and do not provide significant benefits in improving the quality of life.
It is better if you talk directly with the doctor who treats your mother about the therapy that should be done for your mother (because your doctor knows exactly your mother's current condition). Ask about the possibility of hemodialysis in your mother and its advantages and disadvantages, according to your mother's current clinical condition.
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