Rider, I'm so sorry you and your husband are going through all this. I know more about diabetes than the other ailments he has, so I can't answer your specific questions. All I can give you are my thoughts and questions for you and what I would ask the doctors: Does he see different specialists for these conditions? Nephrologist, cardiologist and pulmonologist? If so, do they consult with one another? I know that his blood pressure must be kept normal because of the kidneys and heart condition, but why is it too low? How many doctors are prescribing his medications?? Do these doctors know what other meds he's taking? If he's taking a lot of meds, could some of them be causing the very low blood pressure and/or be working against each other? That question can be answered by the pharmacist certainly. Is his blood sugar controlled? (Who's testing his blood sugar everyday?) Too low blood sugar causes confusion.
I hope someone else can jump in here but since this is only the Diabetes section of HealingWell, I'm not sure if there'll be other responses. You might also post in the Heart & Cardiovascular Forum here to see if anyone there can help. I'm sorry I can't help more.
Chronic kidney failure can affect almost every part of your body. Potential complications may include:
Fluid retention, which could lead to swollen tissues, congestive heart failure or fluid in your lungs (pulmonary edema)
A sudden rise in potassium levels in your blood (hyperkalemia), which could impair your heart's ability to function and may be life-threatening
Anemia, you may want to know what your husbands Hgb is and is he on oxygen for the heartfailure? What are his Oxygen Saturation levels?
Damage to your central nervous system
Decreased immune response, which makes you more vulnerable to infection. You mentioned he may be septic?
Irreversible damage to your kidneys requiring either dialysis or a kidney transplant. I understand with all his system failures he is not a candidate for a transplant.
Confusion is a known symptom of renal failure. Another cause of confusion common in renal failure patients is electrolyte imbalance and/or blood pH changes. As the kidney failure gets worse and the toxins continue to build up in the body, mental confusion can result.
You may want to ask what your husband's Blood Urea Nitrogen (BUN) level results are? Urea itself is not toxic h
Your husband has a very complicated medical case and I can certainly understand why you are confused and feeling like your not getting answers but there are so many factors in his history that can cause problems in his complete system.
When my sister was so very ill, I made a list of questions and everyday would be ready to ask the physicians questions. I also had a tendency to come on a bit assertive but I was advocating for her. Please do remember you have the right to know so you can help your husband make informed consents re his treatment regime.
My heart goes out to you.
Bless you and my prayers are with you,