I am essay a story where a categorical impression is a 86 year aged lady with congestive heart failure. She has a large heart conflict as well as undergoes heart bypass surgery. She thereafter suffers renal failure. Would renal disaster be something which would occur whilst she is upon a handling list or would it occur afterwards? If it happens afterwards, how prolonged afterwards? Also, how prolonged is a normal volume of time for her to sojourn in ICU?
Yahoo as well as google searches haven’t supposing me with a answers to these specific questions.
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Tags: congestive heart failure, google searches, heart bypass surgery, heart failure, massive heart attack, renal failure
Comments: 2 comments
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HollyHobby
November 16th, 2010 at 5:02 pm
The renal failure might occur within 1-2 days, from the heart attack alone. Often, renal failure is caused by a severe drop in blood pressure: the kidneys don’t get adequate blood flow, so they get "shocky". The heart attack itself could very well cause full-blown renal failure.
It’s somewhat common for kidney function to suffer after bypass surgery, especially in an elderly patient who already had health problems. If the renal failure is caused by the surgery itself (the surgery would be a big shock to an elderly lady’s body, so renal failure is a reasonable complication) then you’d expect the renal failure to become obvious within a day or two of the surgery.
The kidneys in an elderly patient could fail at any time after the surgery too. So you could set this up any way you wish, with the renal failure beginning before, during, or after surgery. In any case, it usually takes at least a few days to a week for the renal failure to become severe enough to require dialysis.
As for ICU stay, this varies widely, completely dependent on the patient’s condition. A young, relatively healthy person might only be in the ICU for a couple of days after bypass. An elderly lady who is recovering from bypass surgery AND with renal failure could stay in the ICU for a long time, even weeks. Even months.
Feel free to write to me if you need any specific questions answered. I’m an ICU nurse.
tim g
November 16th, 2010 at 5:02 pm
http://search.yahoo.com/search?p=renal+failure&fr=ush-ans&ygmasrchbtn=Web+Search
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