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OT Docs - Question about Sepsis and Dialysis
Posted on 10/25/14 at 1:19 pm
Posted on 10/25/14 at 1:19 pm
What are the recovery rates for a healthy adult that developed acute renal failure from sepsis? The kidneys aren’t completely shut down, but there is damage. The person really didn’t have any other health problems before this and the sepsis was treated successfully. What types of dialysis do they use to treat this type of renal failure?
I understand what caused the sepsis, but I really know nothing about acute renal failure and dialysis. The hospital doctor was vague and said to follow-up with a nephrologist. Does anyone have any nephrologist recommendations in Baton Rouge?
I know I just asked a lot of questions, but any help is appreciated. TIA
ETA: And I probably picked a terrible day and time to ask this question.
I understand what caused the sepsis, but I really know nothing about acute renal failure and dialysis. The hospital doctor was vague and said to follow-up with a nephrologist. Does anyone have any nephrologist recommendations in Baton Rouge?
I know I just asked a lot of questions, but any help is appreciated. TIA
ETA: And I probably picked a terrible day and time to ask this question.
This post was edited on 10/25/14 at 1:29 pm
Posted on 10/25/14 at 3:18 pm to MSCoastTigerGirl
They usually start them on CRRT if thier Bp is too low. Once they are stable enough they'll start conventional dialysis.
I seen someone go into kidney failure, start CRRT, place a perma port for dialysis then thier kidneys bounced back and the port was never used.
Eta: I hate kidneys. Those bitches always seem to be the first to shut down.
I seen someone go into kidney failure, start CRRT, place a perma port for dialysis then thier kidneys bounced back and the port was never used.
Eta: I hate kidneys. Those bitches always seem to be the first to shut down.
This post was edited on 10/25/14 at 3:19 pm
Posted on 10/25/14 at 3:20 pm to rope56
My friend used to have to do dialysis every other day. I always felt bad for him. He had tubes in is torso, then had some implant in his bicep area that they used. Two years ago he got a new Kidney and hasn't had to do dialysis anymore. Renal failure is not a joke.
Posted on 10/25/14 at 3:25 pm to Napoleon
I'm not sure if kidney transplant is an option because the person is O negative, which is pretty rare. I'm hoping the damage isn't severe and the person isn't on dialysis long.
Thanks for the answers.
I'm trying to find info online, but it's confusing.
Thanks for the answers.
I'm trying to find info online, but it's confusing.
Posted on 10/25/14 at 4:22 pm to MSCoastTigerGirl
A lot of times the kidneys bounce back.
Typically Renal failure due to sepsis is due to ATN (basically low BP and your body vasoconstricts/or they start you on vasopressors to adequately perfuse your lungs and heart, and the less vital organs don't get the blood flow they need. Usually worse if the patient was taking and ace inhibitor or ARB.
Is the person still peeing some, or not? BP okay? Not on any nephrotoxic antibiotics?
Typically Renal failure due to sepsis is due to ATN (basically low BP and your body vasoconstricts/or they start you on vasopressors to adequately perfuse your lungs and heart, and the less vital organs don't get the blood flow they need. Usually worse if the patient was taking and ace inhibitor or ARB.
Is the person still peeing some, or not? BP okay? Not on any nephrotoxic antibiotics?
Posted on 10/25/14 at 4:38 pm to Ric Flair
Still peeing and BP is okay. On antibiotics, but I'm not sure which kind.
Posted on 10/25/14 at 4:42 pm to MSCoastTigerGirl
Renal Associates- Dr. Corona or O'Neal. Actually the whole group is fine.
Posted on 10/25/14 at 4:53 pm to MSCoastTigerGirl
Inquire about Dr Ropollo, he's pretty much regarded as the best in south louisiana.
Posted on 10/25/14 at 4:58 pm to MSCoastTigerGirl
quote:
Still peeing and BP is okay. On antibiotics, but I'm not sure which kind.
That's very good to hear. My prayers are with you. I lost my grandmother last week to the same scenario you described. Stay positive!!
Posted on 10/25/14 at 5:27 pm to MSCoastTigerGirl
Sepsis/infection can cause rhabdomyolysis. This means that some muscle fibers were broken down and entered the circulation.
The kidneys cannot effectively filter these byproducts from muscle damage which results in renal failure.
People recover from this. (think of a clogged fuel filter- dialysis bypasses that and removes the problem causing the clog. the kidneys can regain full function once this problem is corrected.)
Edit: This is the most likely cause of renal failure given the scenario you described above, though there are others.
The kidneys cannot effectively filter these byproducts from muscle damage which results in renal failure.
People recover from this. (think of a clogged fuel filter- dialysis bypasses that and removes the problem causing the clog. the kidneys can regain full function once this problem is corrected.)
Edit: This is the most likely cause of renal failure given the scenario you described above, though there are others.
This post was edited on 10/25/14 at 5:50 pm
Posted on 10/25/14 at 5:47 pm to VanCleef
Thanks to all of you for your answers.
Posted on 10/25/14 at 6:25 pm to VanCleef
Certainly rhabdo can cause renal failure, but to declare that it's the most likely cause in this case is incorrect, in my opinion (and the literature's opinion).
Posted on 10/25/14 at 6:49 pm to VanCleef
I've read a little, and it looks like there are 2 types of dialysis? I'm confused.
I don't really even know what dialysis is. My degree is in Sports Medicine....I'm used to torn ACLs and athletic injuries.
Can the kidneys start functioning on their own again? Does dialysis help them to function on their own again?
I don't really even know what dialysis is. My degree is in Sports Medicine....I'm used to torn ACLs and athletic injuries.
Can the kidneys start functioning on their own again? Does dialysis help them to function on their own again?
Posted on 10/25/14 at 6:55 pm to MSCoastTigerGirl
I wish I knew more about this. I had nephrotic syndrome from 6 months until I went into remission at 3yrs old. I was on prednisone. One of my earliest memories (2-3) was going septic and laying on the bathroom floor. I couldn't call for my parents, who were downstairs, and when my aunt got in from her job late that night, she found me and I was rushed to Tulane. Then, it just went away. I have scarring on either hipbone from the wastes leaking out of my kidneys and into my system. The human body is crazy. Best of luck to you and yours!
Posted on 10/25/14 at 6:59 pm to liz18lsu
Thanks.
I'm sure that we will know more once we find a nephrologist.
Fumble. Dammit.
I'm sure that we will know more once we find a nephrologist.
Fumble. Dammit.
Posted on 10/25/14 at 7:03 pm to MSCoastTigerGirl
I hate that you said the Dr. was vague. I know they don't want to provide misinformation, but it is so frustrating going off the bits they have given you, and swimming through all of this technical stuff that makes no sense on the internet.
Posted on 10/25/14 at 7:12 pm to liz18lsu
It's very frustrating.
My degree is in a medical field, but this is far out of my realm of knowledge. My expertise in dialysis is that it sucks and you don't ever want to have it.
My degree is in a medical field, but this is far out of my realm of knowledge. My expertise in dialysis is that it sucks and you don't ever want to have it.
Posted on 10/25/14 at 7:33 pm to MSCoastTigerGirl
quote:
it looks like there are 2 types of dialysis? I'm confused.
There are different ways to do it and different things you can do with it. In any instance, think of it as bypassing a broken kidney and using a machine kidney instead.
Whether the kidney comes back is complicated. With the information you've given, it's hard to say which side of the fence this person falls on. Even still, percentages don't exactly apply to individuals on their path to recovery or demise. He is peeing (Point for recovery), otherwise healthy (I'll believe you here), young (point), but the drugs/antibiotics he's currently on, the type of infection he has, and the severity of his disease aren't known to us.
quote:
an the kidneys start functioning on their own again?
They sure can. As said by many others, they also could not.
quote:
Does dialysis help them to function on their own again?
It's hard to explain this without getting technical. If he's getting dialysis, it means he would have a significant risk for dying/severe problems without it. Dialysis is kidney bypass, giving them a break to heal. So, in a sense that you're buying them time so that he doesn't die and they can have a chance to heal without the buildup of the toxic substances that the kidney usually excretes (though most of them even in high volume aren't directly toxic to the kidney), yes. Dialysis helps the kidneys recover. Dialysis itself doesn't do anything directly to the kidney, though.
Posted on 10/25/14 at 8:02 pm to Hopeful Doc
I dont wish dialysis on anyone. I worked in one of those facilities for a while and saw how hard it is on someone, especially those that dont take care of themselves.
Make sure he/she follows their diet and does their treatment regularly.
Make sure he/she follows their diet and does their treatment regularly.
Posted on 10/25/14 at 8:09 pm to Hopeful Doc
I was hoping that you would respond to this thread, tbh.
This sounds very scary.
quote:
So, in a sense that you're buying them time so that he doesn't die
This sounds very scary.
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