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A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16205
Experience:  Board Certified NP, MS, RN. 25 years private practice & hospitalist
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kidney failurecreatatine4.

Resolved Question:

kidney failurecreatatine4.6
Submitted: 7 years ago.
Category: Health
Expert:  Dr.S.A.Alam replied 7 years ago.
Hi,

Thank you for your question,

have you done your urine test if yes what was the report ?

have you done ultrasound of your kidneys ?

Since when you have diabetes and blood pressure ?

Expert:  A. Schuyler, NP replied 7 years ago.

Hello,

 

Welcome to Just Answer and thanks for your question. A 78-year-old non-African American male with creatinine of 4.6 would have an estimated glomerular filtration rate of 11.3 ml/min/1.73m² , which is stage 4 kidney failure.

Stage

GFR

 

Treatment

1

90+

Normal GFR.

Observe. Control blood pressure

2

60-89

Mildly reduced kidney function.

Control blood pressure. Monitor kidneys closely.

3

30-59

Moderately reduced function,

Continue above. If not already diagnosed, determine why kidneys are failing.

4

15-19

Severely reduced kidney function.

Plan for end stage kidney disease.

5

Below 15

End stage kidney failure

Dialysis

Customer: replied 7 years ago.
will diet alone postpone dialyes
Expert:  A. Schuyler, NP replied 7 years ago.
I'm sorry, but diet alone will not postpone dialysis. It will help a bit, but kidneys continue to be less and less efficient as time goes on, and they will become unable to perform their functions so that the patient will get disturbing symptoms (anemia, fatigue, electrolyte imbalance, dizziness, perhaps fuzzy thinking from encephalitis, heart rhythm abnormalities, etc.)
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16205
Experience: Board Certified NP, MS, RN. 25 years private practice & hospitalist
A. Schuyler, NP and 4 other Health Specialists are ready to help you