In the stage of chronic kidney disease, creatinine is more than 707μmoI/L, even uremia. One patient has a creatinine value of more than 1, 000, the doctor said no dialysis, how is this?
Although creatinine level more than 707μmoI/L is considered uremic, the key to dialysis is not simply this value, but the size of the kidney, urine volume and complications, the doctor explained.
When kidney disease actually develops into uremia, the kidney size shrinks dramatically, and 80% of the kidney units atrophy and necrotic. So if you have a normal kidney size, even thousands of creatinine don't need dialysis. Most creatinine levels are caused by other factors, such as high blood pressure, infection, and drug damage.
If the patient wants to determine the size of his kidney, B-ultrasound can be done to observe the changes in renal volume.
If someone has creatinine close to dialysis or is already in uremia, doctors often ask the question: do you have urine?
The normal person's urine quantity should be in 2000 ~ 3000ml, the urine quantity is below 400ml is called "oliguria" 100ml, is called "anuria". The urine quantity is normal. This means that glomerular filtration and tubular reabsorption are not severely impaired. At this point, creatinine is 1000, but the overall renal function is still present, so dialysis is not required.
The main complications of uremia are heart failure, acidosis, hyperkalemia, renal anemia, etc. These complications can be life-threatening at any time. If these serious complications do not occur, then no matter how much creatinine. There is no need for dialysis.
So: when you find yourself rising to a particularly high creatinine level, the first thing to do is not to dialysis, but to find out why, if you have an infection, blood pressure, or excessive exercise. Increased creatinine caused by drug damage and other causes. Fortunately, you're still a long way from dialysis.