ADVERTISEMENT

Q. How much BP is good enough to start dialysis?

Answered by
Dr. Abhishek Dixit
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 03, 2018

Hi doctor,

My father is a heart patient with amyloidosis and edema. He is in coma after cardiac arrest for seven days now. He was diagnosed with hypertension 26 years ago. His current medications are Lasix, Midodrine, Amiodarone and Eliquis. Patient also has AFib. Patient has BP readings of 121/71 mmHg. There is an option for dialysis, but could affect the fragile heart. How much does dialysis lower the pressure? Is dialysis being done in the stomach safer? What medication would help the patient before the procedure?

ADVERTISEMENT
#

Hi,

Welcome to icliniq.com.

  • Blood pressure of 120/70 mmHg is good enough for dialysis to start. You can go with SLED (sustained low-efficiency dialysis) in which the chances of blood pressure dropping is very low.
  • Premedications which would help to prevent will be inotropes.
  • If you could help me by telling why dialysis is advised then I can help further. Is it because of fluid overload? Or increasing creatinine and BUN (blood urea and nitrogen)?

Revert back with the answers to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist

Hi doctor,

Yes, it is because of fluid overload. His genitals have also swollen significantly.

#

Hi,

Welcome back to icliniq.com.

  • Stomach dialysis or peritoneal dialysis is generally used in people who wants to take dialysis at home and for long period of time. That is not the case here.
  • There is a general rule in nephrology as heart is the king. So, hemodialysis (HD) can help by taking out fluid which would reduce stress on hearts and lungs.
  • My advice would be go for SLED for a few sessions and see how things are and then decide regarding the further course of action.

For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Can ORS help in CKD patient present with loose motion and vomiting?

Hi doctor, My father is suffering from CKD, and he has a creatinine of 27 mg/dL ... If your father has an age of 65 years with a weight of 60 kilograms, the creatinine clearance will be around 2...   Read full

Slept with my contacts on. Now, there is a white cloud blocking my vision. Help.

.. would have been very helpful for making a diagnosis. It is never advisable to sleep with your contacts. Here is the possibility of your situation: 1. Epithelial edema. In this case, remove and stop wearing your contacts for one month. Start Hyp...   Read full

CKD patient with high phosphorus content. Is dialysis required now?

 Urine output is equal to input ... Fluids matching urine output ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Nephrologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.