How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Y. Your Own Question
Dr. Y.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20388
Experience:  I am fellowship trained specializing in general urology and reconstructive urology.
Type Your Urology Question Here...
Dr. Y. is online now
A new question is answered every 9 seconds

Mother is 71 yrs old, hospital inpt, not diabetic, with

Customer Question

mother is 71 yrs old, hospital inpt, not diabetic, with acute renal failure probably caused by nephrotoxic antibiotics (colistin). BUN was 65 and creatine was 1.1 5 days ago. Past couple days BUN has been 47 or 50 and creatine 2.0... they've switched her
to less demanding antibiotic and are giving fluids. clinically she's better than 5 days ago but still a little weird and mildly altered at times... is this level of uremia causing permanent neural damage possibly? should they be starting dialysis? Nephrogist
states renal function improving slowly but I question of more should be done now.
Submitted: 2 years ago.
Category: Urology
Expert:  Dr. Y. replied 2 years ago.

If her altered mental state is caused by the uremia, this is not permanent. Once the uremia resolves, her mental status should return to normal. This is assuming that her mental status is actually being affected due to the uremia. Based on the information you provided, I do not see any indication for dialysis. but the need for dialysis would have to be determined by a nephrologist . The typical indication would be electrolyte abnormalities that are life-threatening such as high potassium levels. Hope this helps.