Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

164 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What do these creatinine, sodium and potassium levels in a blood test indicate?

Answered by
Dr. Rakesh Madhyastha


Practicing since :2009

Answered : 4361 Questions

Posted on Tue, 27 Oct 2015 in Kidney Conditions
Question: Hi,
A Patient who was admitted in the hospital with a high Creatinine level of 18 mg/dl, High Potassium of 7 and mildly low Sodium of 124. The patient completed 10 days today in the hospital and 3 days back his Creatinine level was 13 mg/dl and yesterday it was 10 mg/dl. Throughout the admission he has received 3 Hemodialysis Sessions lasting 4 hours approximately each. Yesterday his creatinine level is 10 mg/dl. Patient is with no complaints for the past 5 days and only admitted for the High Creatinine and Hemodialysis session. The patient is diabetic and was in a poor control for the past 1 year but his blood sugars were controlled in this admission.
Does such a patient need to be admitted in the hospital for Hemodialysis or it can be done as an Outpatient? as the patient is with absolutely no complaints at all except the high creatinine
What are the possible management in this patient?
The treating doctor has requested for XXXXXXX and GBM antibodies 3 days back as to know the etiology of the High Creatinine and still the results are pending. What is he looking for? And does the patient still need to be in the hospital till the results are out? Will is change anything in the management?
Answered by Dr. Rakesh Madhyastha 2 hours later
Brief Answer:
Can be done on an outpatient basis

Detailed Answer:

Thanks for the query

It looks like you are dealing with an End stage renal disease patient. Here is how you should go about it:-

1. Establish the diagnosis

Get a urine routine test to look for protein loss, Hemoglobin to see for anemia, check calcium and phosphorus levels.

Fundoscopy most often will reveal retinopathy changes

Check iron profile to see for iron deficiency

2. Get a permanent access done once the ESRD is established in the form of either a permanent catheter or AV fistula

3. Restrict potassium, salt and fluid in this patient

4. I usually advise dialysis to patients 3 times a week in such a situation, each session lasting for 4 hours

Now to answer your questions
1. If the vitals are stable and he is not breathless, then dialysis can be done as an outpatient
2.Management would be renal replacement therapy, correction of anemia with iron supplements and erythropoetin. Correction of calcium, vit d and phosphorus to prevent CKD MBD
3. It is unlikely to be XXXXXXX or anti gmb however there is not harm in checking for it. Once the reports arrives the management will change accordingly
He is looking for acute causes for renal failure
4. Patient need not be in the hospital if he is stable. Management will change accordingly

I hope I was of help, if you have any further queries please get back to me

Above answer was peer-reviewed by : Dr. Sonia Raina

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Procedures
Medical Topics ,  

Recent questions on  Renal disease

doctor1 MD

I had an MRI of my r shoulder. The doctor told me I have a cyst that is rare as it is usually found only in patients with renal disease . I broke my shoulder badly over thirty years ago and now have a tear in my rotator cuff and tear in the labium. Could this be tc?

doctor1 MD

Do you think at ESA therapy is a good option for a 90 yo male with CKD stage 3A? RBC count is 2.91; HGB 9.9; HCT 29.1; platelet count 104; GFR est non-AA 58; Micralb/Crea ratio (ug/mg creat) 59.0; Pt is always cold , extremely fatigued-sleeps 15...

doctor1 MD

last October I had critical high troponin levels .07, tested nothing wrong with heart, but they found 7mm nodule on right lung, 1 to2mm nodules on left lung, calcification on my kidney(prob stone), then this oct, ANA speckled 1:32, lupus , sjor,...

doctor1 MD

I have stage four renal disease and am attempting to control it through diet, but I have a questions about milk or coffee creamer. Recently I gave up all nuts as I don t seem to be able to eat just ONE, but I switched to Almond milk, mostly for my...

doctor1 MD

she was diagnosed w/ group A beta hemolytic streptococcal infection that led to the development of acute glomerulo nephritis How did this progress from throat infection to renaldisease I have an 11 year old girl who is in end-stage renal disease. I am very confused and frightened. My husband asks the staff how this could have happened his little girl. The events leading to this situation began, and desires to learn more about how his daughter has diminished to the point of needing a kidney transplant. We we ask them how this all began, we were informed our daughter had a group A beta hemolytic streptococcal infection that led to the development of acute glomerulo-nephritis. We just would like for someone to explain/describe to us the progression from a simple throat infection to renal disease?

doctor1 MD

I am a 47 year old female weight 68kgs. I have IGA nephropathy confirmed by renal biopsy 6 years ago. I have gross haematuria and protein leakage as well as high urine albumin although serum RFT's are normal. I have very recently been diagnosed with moderate aortic regurgitation along with two mild mirtal valve leaks from an insurance echocardiogram. I have elevated blood pressure and am on Attacand to control this. Normal lipids, lft's and blood sugars. Normal resting and exercise ECG.I am very fit and play numerous sports at masters representative level. My cardiologist has recommended a wait and see process but does believe I will need an aortic vavle replacement in the years ahead.

Given my renal disease and the associated high blood pressure I wondered whether it is better to wait as long as possible to repair the valve or whether we should do this sooner rather than later to protect the kidneys. Naomi

doctor1 MD

Hi, I am 63 years male suffering from Diabetes, my fasting sugar is 154.6 with sugar absent in urine and PP is 244 with sugar prsent in urine (**). I am taking Glimmy1 one tablet before breakfast and Glycomet SR 500 one tablet after dinner. In my last pathlogy reports I have been identified with Bilateral Grade I Renal Disease. Please advise what should I do?