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Critical Care Nephrology in Bhubaneswar

Critical Care Nephrology

Critical Care Nephrology in Bhubaneswar

Critical Care Nephrology in Bhubaneswar plays a significant role in the intensive care unit. This specialised field of nephrology helps care for critically ill patients suffering from kidney disease, electrolyte and metabolic imbalances, poisoning, severe sepsis, major organ dysfunction, or other pathological events. The early diagnosis and detection of renal injury is one of the main duties of critical care nephrologists. Assessing a patient's likelihood of developing renal diseases or moving on to Renal Replacement Therapy (RRT) is crucial for optimal patient prognosis. By closely observing the renal function of their patients, medical professionals can spot minor changes that point to kidney damage and take quick action. 

 

FAQ's

Nephrology is the study of kidney illnesses, their diagnosis and treatment, including hypertension and electrolyte imbalances, as well as the care of patients on Dialysis and Renal Transplants who need Renal Replacement Therapy.

Critically ill ICU patients frequently have AKI. AKI in these patients is commonly caused by:

  • Fluid volume deficit

  • Kidney hypoperfusion

  • Shock

  • Inflammatory conditions

  • Nephrotoxic medications. 

Acute renal failure may result in the following complications:   

  • Breathlessness may result from a fluid accumulation in your lungs brought on by acute renal failure.

  • Chest pain may occur if the pericardium, the lining that surrounds your heart, becomes irritated. 

  • Muscle weakness can occur when your body's blood chemistry—that is, its fluids and electrolytes—are out of balance. 

  • End-stage renal disease, or permanent loss of kidney function, can occasionally result after acute kidney failure. To survive, people with end-stage renal illness must get a Kidney Transplant or receive permanent Dialysis, a mechanical filtration procedure that eliminates waste products and toxins from the body.

 

Sepsis is a potentially fatal illness that can occasionally be brought on by a kidney infection. Sepsis is characterised by fever, chills, a fast heartbeat and respiration, a rash, and confusion. If a kidney infection persists for a long time, it might lead to irreversible kidney damage. 

No, if there is damage, the kidneys cannot heal themselves. Nonetheless, depending on the underlying reason, acute renal failure may be curable. This implies that the kidneys may recover their capacity to operate after the underlying reason is addressed. 

For these critically ill individuals, CRRT (Continuous Renal Replacement Therapy) or Dialysis is the recommended option. Without having to worry about waste products and fluid building up from failing kidneys, doctors can give patients the nutrients, hydration, antibiotics, and other drugs they require. 

Foods and drinks high in sodium should be avoided if you have renal disease. You can achieve your blood pressure objectives by taking prescribed medications as directed, eating healthy and low-sodium meals, stopping smoking, exercising, and getting enough sleep.

After the underlying problem has been treated, the kidneys typically begin to function normally again in a matter of weeks or months. Dialysis is required in the interim. The two alternatives for treatment in the event of full kidney failure are a Kidney Transplant or lifelong Dialysis. 

Increases in the amount of urine produced are a crucial sign of kidney health. An increase in urine output following AKI or AKF can indicate that your kidneys are healing. Too little or no urine output is a symptom of kidney disease or damage.

Family members can talk to the medical staff about their worries and inquiries, as well as offer their loved ones emotional support. They can also assist in making sure their loved one takes all prescribed medications as directed by the medical staff and drinks enough water. In the ICU context, it's also critical for carers to speak out for the needs and preferences of their loved ones.

That is dependent upon the kidney disorder severity and underlying cause. With the right care and supportive therapy, many individuals can recover. Some, meanwhile, can have permanent renal damage or need Dialysis long after they leave the intensive care unit.

A healthy lifestyle that includes regular exercise, a balanced diet, staying hydrated, abstaining from smoking and excessive alcohol consumption, and other habits can help support kidney health and lower the risk of developing kidney problems in the future, even though not all kidney problems in the intensive care unit can be avoided. 

A person's kidneys may stop functioning as well as they once did as they get older. This can increase the risk of renal problems in the intensive care unit (ICU) in older people, especially if they have other underlying medical illnesses. 

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