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What level of creatinine requires dialysis?

Usually, when the creatinine clearance falls to 10-12 cc/minute, the patient needs dialysis.

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When do patients require dialysis?

Patients usually require dialysis when the waste products in their body become so high that they start to become sick from them. The level of the waste products usually builds up slowly. Doctors measure several blood chemical levels to help decide when dialysis is necessary. The two major blood chemical levels that are measured are the “creatinine level” and the “blood urea nitrogen” (BUN) level. As these two levels rise, they are indicators of the decreasing ability of the kidneys to cleanse the body of waste products. Doctors use a urine test, the “creatinine clearance,” to measure the level of kidney function. The patient saves urine in a special container for one full day. The waste products in the urine and in the blood are estimated by measuring the creatinine. By comparing the blood and urine level of this substance, the doctor has an accurate idea of how well the kidneys are working. This result is called the creatinine clearance. Usually, when the creatinine clearance falls to 10-12 cc/minute, the patient needs dialysis. The doctor also uses other indicators of the patient’s status to decide about the need for dialysis. If the patient is experiencing a major inability to rid the body of excess water, or is complaining of problems with the heart, lungs, or stomach, or difficulties with taste or sensation in their legs, dialysis may be indicated even though the creatinine clearance has not fallen to the 10-12 cc/minute level. Hemodialysis and peritoneal dialysis have been done since the mid 1940’s. Dialysis, as a regular treatment, was begun in 1960 and is now a standard treatment all around the world. CAPD began in 1976. Thousands of patients have been helped by these treatments. Dialysis does some of the work of healthy kidneys, but it does not cure your kidney disease. You will need to have dialysis treatments for your whole life unless you are able to get a kidney transplant.

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The kidneys clean waste and excess water from the blood, produce urine and help control blood pressure by regulating electrolytes. The kidneys also adjust pH, filter proteins and remove toxins that have been packaged for removal by the liver. Another role of the kidneys is to produce a variety of hormones. The two main hormones the kidneys secrete are vitamin D and erythropoietin. Vitamin D is essential for calcium absorption, maintenance of healthy bones, and regulation of the immune system. Erythropoietin activates the production of red blood cells to maintain healthy oxygen levels in the body. Your kidneys are constantly at work. Every day, the kidneys process over two hundred quarts of blood and sift out over two quarts of waste products and water. Healthy kidneys filter through approximately half a cup of blood a minute to remove waste, excess water and produce urine. The urine then flows from your kidneys to your bladder. Your bladder, kidneys, and ureters are all a part of your urinary tract. The waste removal process the kidneys perform is vital, without it there would be a build-up of toxins in the bloodstream and lymph fluid. This could potentially poison the body and lead to tissue damage. The toxins, excess water, uncontrolled pH, blood pressure, and electrolytes can also put enormous strain on the blood vessels and heart.

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