Orthopedics Questions? Ask an Orthopedist for Answers ASAP
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Most patients with acute kidney injury regain their kidney function after removal of the offending agent. According to one study on long-term follow-up (1-10 years), approximately 12.5% of survivors of acute kidney injury needed dialysis; 19-31% of survivors experienced a partial recovery of kidney function and had chronic kidney disease; and the rest had a complete recovery. So, based on these facts, kidney damage is most likely not going to be permanent; however, there is a low possibility that it may be permanent.
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She has to be on treatment till there is correction of biochemical abnormalities such as electrolyte imbalance. Renal recovery is usually seen within few days (especially if dehydration was the cause of injury), but it can take as long as 2 weeks.
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Patients are on fluids (in case of dehydration) for only a few days, and will recover. However there is a possibility that they may recover in a couple of days, and the other treatments such as medications should be given. So, recovery may take 2 weeks.
Most patients do not go on to develop kidney disease; however there is a possibility that few patients can go on to develop kidney disease. Volume depletion and dehydration (if untreated) will cause kidney injury in everyone. However in most individuals dehydrtion is treated preventing kidney injury.
I cannot tell you about the number of patients, since I have not done any such study. In my experience majority of patients have successfully recovered; however a few unfortunately had permanent damage and therefore suffered from chronic kidney disease requiring dialysis.
Your mom has a good chance of recovery; please continue the treatment and hopefully she will recover in a few more days.
Yes, this is a reversible cause of injury in most patients. However some people develop long term injury due to very severe dehydration and volume depletion that occurred for a long time causing the cells to die.
Yes, this may be considered long. However, recovery can still be possible. Depends on how severe the dehydration was. If it was mild then even with a week of mild dehydration, there is a strong possibility of recovery.
If it was severe and caused permanent injury, then recovery is less likely. However there is no way for you to know whether it was severe or not. Only with treatment which is not responding, we can know that it was a severe injury.
No, I have not had such a patient. Based on experience with similar cases, and theoretical knowledge, I can assure you that recovery is still more likely.
I am saying that I have not had a patient who had suffered from severe dehydration for a week and then came to hospital after a week. Most of the patients came to hospital in a few days, and have made full recovery.
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