Welcome to HealingWell and I am sorry we have to meet like this. Your husband is young and yet he is going through so much. I empathize with you.
I suspect your husband is in chronic renal failure not acute. Acute kidney failure may be reversible if you're otherwise in good health, however, your husband seems to have problems with his cardiovascular, endocrine, and pulmonary system which make him at risk for so many things. I am so sorry.
Chronic kidney failure is a gradual loss of your kidneys' filtering ability, usually due to high blood pressure or diabetes. When kidney function is seriously impaired, dangerous levels of fluid and waste can quickly accumulate in your body.
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
owever, BUN is a marker for other nitrogenous waste. Thus, when renal failure leads to a buildup of urea and other
nitrogenous wastes (uremia
), an individual may suffer neurological disturbances such as altered cognitive function. Normal human adult blood should contain between 7 to 21 mg of urea nitrogen.
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,
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