I have a couple of questions about ESRD. I'm in Canada. My mother in law is 80 yrs old and lives with us. She was diagnosed with kidney failure in March when she went into a-fib and had a quick trip to the hospital. They gave her 60mg lasix IV as she was in acute CHF. I know they needed to do something about the CHF but as a result her kidney function went from 37% to below 10%. The question of dialysis has been addressed and yesterday she was asked if she wanted to start dialysis and after much discussion she has decided not to. She has also made herself a DNR.
Her creatinine is 432 umol/L. Norm is 60-110 umol/L. The baseline for dialysis here is about 400 umol/L.
So my question is this: At what point do you usually see the more pronounced S/S of toxicity? She has been told that she has weeks left to live. Her HGB is 84, and she is recieving IV iron and s/c EPO to bring this up. She is sleeping more and is very itchy all over. But when she is awake she is more active than she has been in years.
I guess I'm asking for someone to look into a crystal ball and tell me how long she has and reassurance that it will be a comfortable death. I'm working full-time and so is my husband. My hubby is stressed out to the max, and I am getting there. My M-I-L has had about 5 appt's a week for the past 3 months (now down to a more manageable 1 appt a week), mostly scheduled on my days off. I'm looking at taking time off to help her and to destress a bit but I may wait as she can still cope with her ADL's on her own and she has people coming in for her bath and footcare and weekly blood work is done at home by a lab tech that comes to the house as she is on coumadin.
Any insight would be greatly appreciated.
Jul 10, '07
by Hellllllo Nurse
I'm very surprised to learn your mil lived so long without dialysis.
I'm very glad for all of you that is was peaceful.
Last edit by Hellllllo Nurse on Jul 12, '07