When Kidney Failure Patient Need Dialysis

Dialysis is a common treatment of renal failure and uremia, because it can help patients with excess creatinine, uremic nitrogen and other toxins, to alleviate the complications of patients. But this does not mean that all patients with renal failure should be dialysis, or the sooner the better dialysis. So, when should patients with renal failure dialysis?

In general, serum creatinine 707μmol / L or more, or serum urea nitrogen close to 30mmol / L, or serum potassium> 6.5mmol / L should start dialysis treatment. However, even if the serum creatinine, urea nitrogen or potassium does not reach the above level, if the patient with severe symptoms (nausea, vomiting, edema, etc.), or difficult to correct the metabolic acidosis, hyperparathyroidism, or appear Heart failure and other serious complications, but also as soon as possible dialysis treatment. On the other hand, even if the serum creatinine or urea nitrogen exceeds the above level, if the patient symptoms are not obvious, nor with heart failure, uremic encephalopathy and other serious complications, can also continue to non-dialysis treatment. Blood potassium greater than 6.5mmol / L patients, if the general medical treatment of potassium can be reduced to 5.5mmol / L the following, do not have to start immediately dialysis treatment.

Early start of dialysis treatment, is conducive to the protection of uremic patients outside the kidney organs function, but not conducive to the protection of residual kidney function, but also bring the increase in medical expenses. In general, if the merger of diabetes, high blood pressure or elderly patients, patients with kidney outside the organ dysfunction or the presence of various uremic complications are heavier, you should start dialysis as soon as possible, Without waiting for serum creatinine or urea nitrogen to reach the above criteria and then start dialysis treatment, or affect the patient after dialysis long-term survival. If the patient's renal function is slow, the diet is well controlled, the symptoms of uremia are not obvious, blood pressure control is stable, there is no obvious cardiovascular complications, anemia and hyperparathyroidism can be controlled by drug treatment, you can continue to non-dialysis Treatment, do not have to rush to start dialysis.

Therefore, renal failure patients should start dialysis treatment when there is no absolute standard, the clinician should be based on the patient's individual circumstances to make recommendations, and patients, family members together to decide. If you have any other questions, you can consult our online doctor for free or send an email to kidneyfailurecn@hotmail.com and we will reply to you in time.
More reading:
1. What is the Option Treatment Other Than Dialysis for Kidney Failure Patients
2. How can I Come off Dialysis with Toxins-Removing Treatment


3. Is there Any Therapy for Kidney Recovery after Dialysis