Is Dialysis The Right Treatment For Kidney Failure Caused Due To Hypotension?

Posted on Fri, 17 Oct 2014

Question: my mother is on life support system she had a stroke. My mother is 86she is on sedative. kidneys are not functioning well. heart rate is 105-140. blood pressure is 85-71 oxygen 94. Doctor wants to know if we want to start dialysis. She has an infection but they do not know where. She passed her stools twice soft, yesterday.

Answered by Dr. Benard Shehu (1 hour later)

Brief Answer:
Need to know her kidney function test report first

Detailed Answer:
Hi,

I am sorry for the situation your mom is in.

From what you are describing, your mom has had severe infection which has caused hypotension that has altered her kidney function. In order to determine whether she needs dialysis or not, I need to analyze her kidney function test results (creatinemia, BUN, creatine clearence, etc.).

For the moment, I advise to:
- start therapy with antibiotics
- intravenous fluids and electrolytes replacement
- start therapy with dopamine, dobutamine in order to maintain bp higher than 85, and normal diuresis

Looking forward to have the tests reports in for further evaluation!
Dr.Benard

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj