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Creatinine is the metabolic product of muscles in the cuerpo.Es a type of small molecular waste can be filtered out of the glomeruli and almost no reabsorption in the tubules renales.Es, almost all creatinine produced each day will be discharged with urination .
Serum creatinine level is commonly used to measure clinical dialysis renales.Generalmente functions will be ordered or suggested by doctors when creatinine is as high as 7 mg / dL.
But this does not apply each patients as serum creatinine level should not be the only indicator to start dialysis and criteria for measuring creatinine and starting dialysis varies from country to country and from hospital and hospital.
Serum creatinine level should not be the only indicator of dialysis is peritoneal dialysis time or hemodiálisis.Hay many factors that should be considered as serious complications such as acidosis, hyperkalemia, edema, anemia, gastrointestinal and neurological symptoms etc.Some Dialysis patients may need to take when creatinine is 5, while others do not even begin dialysis when their creatinine was more than 10.
Creatinine level is only a reference value and complications should be considered when determining when to start dialysis.
If one of the following conditions must be commenced dialysis or at least prepared:
Than 442umol / l creatinine, urea nitrogen than 21.4mmol / l blood creatinine clearance down to 10 ml / min;
Important fluid and sodium retention such as cerebral edema and acute pulmonary edema;
Disorders especially hyperkalemia electrolyte (greater than 6.5 mmol / l serum potassium);
High catabolism (daily increase of urea nitrogen top 14.3 mmol / l, creatinine increase over 177umol / l);
Oliguria or anuria that lasts more than 2 days
Compared to serum creatinine, creatinine clearance and GFR they are more accurate and suitable for measurement of renal functions and start diálisis.Pero is necessary to measure creatinine indicators that can be used to estimate creatinine clearance and GFR.Por therefore necessary to patients ask the doctor for their GFR and creatinine clearance creatinine also in order to have better understanding of their current kidney functions and provide more precise guidance for dialysis and other treatments.
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