can a person with acute kidney failure who is in a coma or coma like state come out of it?My grandmother had this and she passed away last week but I have so many unanwserd questions. She was 98 and her heart was very strong. She had a uti infection that my aunt was unaware of and it spread to her kidneys. My aunt said she was sleeping a lot later than usual but she did not want to wake her up. Well when she finally went in the room at 12:30pm my grandma was kinda out of it. ( maybe she passed out?) Well she called the ambulancee they get her to the hospital says she has acute kidney failure and septic shock they said she was dying then they put her on fluids and an antibiodic.She was coherent when she got to the hospital. Well we flew in the next day and she was out of it and every now and then would open her eyes or grimece or throw the covers off and say take me home get me out of her...the third day the doctors came in and said lets take everything off fluid and all because the fluid was not draining and she would go into congestive heart failure if it got in her lungs. So we did well the next day and the next day her swelling in her arm went down she started making urine and we were like wait is she getting better? Before no urine and now there is about 400-600ml the first couple days then it got up to 2000 ml for the day. They had her on fentermean and diladade and something for the secretion so she would not choke. One of the docs come in and we ask about the urine and she says well maybe the kindeys are working again...and thats it..so were like ok what does that mean.We talk to another one of her docs he says they could be working again but even if they were what do you want to do put her on dialysis? kidney transplant? she is not a canidite and it would cause her more pain. So ok at this point she was in ther probabley a week, they told us the first night she was not gonna make it through the night. So we feel like we are starving her she has not had anything to eat no nutrients no water even in the past couple days. The doctor says a lot of familys feel like this but she is not hungry nor can she even eat unless we wanted to put a tube down her throat.By the way she had a nasal canula on this whole time. It was hard because all her vitals were fine blood pressure would bounce from normal to high because of arithmia but the pulse oxygen level temp were all fine. My biggest thing is why wasent she waking up? Were the meds to strong? After the 6th day the a new doc from hospice came in and took the fentermene patch off and said lets see if she comes to with this off. She was still getting the deladed for the pain. well the patch also takes a couple of days to wear off.Also i know im jumping around but for the first four or five days she was in icu they made us move downstairs to a regular room because they could do nothing more for her which meant instaed of getting the fentermene in the iv she was getting the patch and this is when they put her on deloaded also.We requested she be back on a small dose of fluids so they put in 50 cc's? the bag said 0.09% i believe of surcrose and water. Anyways so doc takes off the patch in the morning and the next day I believe my family decided to move her to hospice because the alexandria hospital in va was basically wanting us to leave because they said they could do nothing more for her. Well we also had the hospice doc and the i guess she was a kidney doc in a family meeting the day before and we asked for blood test to be run to see how the kidneys were now functioning and then we would decide to move her to hospice or stay at the hospital and also my aunt wanted a second opinion so she called another kidney doc she knew.
Ok so this is where I think what if we made a mistake..They take the bloodwork..its gonna take a few hours to get the results the new second opinion doc comes in and looks at everything from when she first was admitted and says well yes her kidneys are very small and she has kidney failure (mind you these were tests from a week ago when she was first admitted and not producing urine) then he says but I wouldn't even worry about the kidneys because her heart valves are closing. Hmmm newsflash we never heard anything about her heart before..ok so We admit her to hospice I ride in the ambulance with her. We get to hospice and I begged her before we got in the ambulance to go because I dint want her in hospice to linger on when im not there to make sure they are taking care of her right. She made it there but the paramedics thought she was gonna die on the way because of her vitals.
The ride was enough to knock a person into a coma all of the potholes in Arlington. I had to hold her so her head so it wouldn't get knocked around. We stayed at Hospice about three days then I had to go back home. I was hoping she would pass while I was there I wanted to be there for her. My mom and I spent every night for 10 days in chairs because we did not want to leave her. I don't know if she could hear or not but I played her frank Sinatra and I talked to her. I know she was 98 and she always said she was ready to go whenever god was ready to take her that she lived a good life and she got to see me get married two months prior. She was walking (with her walker) and talking and she repeated sometimes but she still had her mind. It's so hard to think what if..What if the second opinion doctor would have looked at the recent lab work and seen that her kidneys were functioning normally(they were btw I asked that night after the second opinion doc left)
I never even thought until just now did he look at the recent blood work. I know he did not because it was not even ready yet..He said her heart valves were shutting prob due to her age or the septic shock. He said she would go any day within the next day or so she lasted a week or a week and a half longer. Mind you no nutrients but she was on 50 cc's? I believe of water once we got to hospice at out request to keep her comfortable..I read that acute kidney failure sometimes once taken off the fluids and can reverse and repair itself ..Apparently that's what it did so what if we gave her a tube for food would she have came to? came out of it..I know she was ready to leave this earth and be with my grandpa but why make her suffer for two weeks and why could she not go when I was there. Was she scared? she said I wanna go home and get me out of here when we first got there.
After I left Sunday morning she passed Wednesday night at 11:45. If my boss would have just let me stay..i get so angry at her..thats a whole other story but the night she passed my aunt would come and go during the day and leave at 10:30 at night well I spoke with her at 10 and she said oh they doubled up on her meds because it seemed like she was in pain and I knew that would kill her. I told my aunt why so much why not just a regular dose she was scheduled for anyway? It will slow her heart rate down too much....maybe I was being selfish but I was gonna fly back to see her in two days..i just hated leaving her. My aunt yells well she's gonna die anyways and im like there is no talking to her. I noticed everything… I knew what meds she was on when she was supposed to get them if she was in pain if she was coughing I would sit her up I would always go behind the nurses after they moved her and make sure she was in a comfortable position because
they would not elevate her hands like they were supposed to or her feet they would keep her on one side too long and then reposition to the same side....? so I had to say something..even the nice nurse at hospice wrote morphine on her iv when we got there and I said why does that say morphine and he said oh sorry I meant to write deladed...she was allergic to morphine..so that's why I was so torn to leave but my boss was calling me all week telling me she had to go on vacation(which she did not even go anywhere but stay home) and she didn't know if I could take a leave of absence (I later called hr when I got back to work and they were appalled at my boss and said I could have taken one she never called) I could and shoulda left right then but I knew when I returned to work she work make my life hell.
anyways thanks for letting me rant I don't know how to feel im mad at myself for not staying I could have called HR and not waited for my boss to call which she never did
did I hate that I work retail and for Christmas I cant even be with my family when they go to clean out her house. I want a new job because I really hate my boss after this. Oh yeah and when I found out my grandma was first even in the hospital I was on my lunch break and I called her crying and stupidly said I can go back and shut the counter down if she wanted because it was like 30 mins to close and she says could you? because im not at home..bitch bitch bitch......who says that .all I want to do is just stay home and be with my family but unfortunately I can't. Also my name is jenn not tom I have to change that
Posted by Nelson
That would depend on the underlying conditions, meaning how many illnesses did she have. At 98 y/o I assume she had many. What are you trying to gather? She was 98 nothing more could have really been done. If you are looking at this as a lawsuit, you would stand no chance, as she was 98, there are so many things that could have attributed to her death. Did any of this stuff contribute? Maybe, Maybe Not.
I am sorry for your loss..............Jenn
Posted by ADMIRAL
Did any body suggest renal dialysis at any stage! Admiral V K Singh
Posted by Sonj
Your gran was old.
Yes her kidneys were failing, and at 98 her heart would not have been strong. Even if her vitals were ok. It is a fine line when giving the elderly IV fluids for dehydration and to get fluids moving thru their kidneys again because the increase in fluid puts pressure on their heart.
Multiple things were prob happening. The doctors wont neccessarily tell you all the blood results because you wouldnt understand them.
Your gran was old. You loved her. Just remenber the good times, and accept she has gone.
It will happen to us all eventually.
It sounds like the staff did the right thing
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