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Preparing for your appointment
By Mayo Clinic staffMost people are already hospitalized when they develop acute kidney failure. If you or a loved one develops signs and symptoms that worry you, bring up your concerns with the doctor or nurse who is overseeing care.
If you aren't in the hospital, but have signs or symptoms that worry you, make an appointment with your family doctor or a general practitioner. If your doctor suspects you may have kidney problems, you may be referred to a doctor who specializes in kidney disease (nephrologist).
Before your meeting with the doctor, write down any questions. Questions to consider asking may include:
- Are my kidneys working properly?
- Do I have kidney failure?
- What's causing my kidney problems?
- What kinds of tests do I need?
- Will my kidneys recover?
- What are my treatment options?
- What are the potential risks of each treatment option?
- Do I need dialysis?
- Do I need to go to the hospital?
- How long will I need to stay in the hospital?
- I have these other health conditions. How can I best manage them together?
- Are there any restrictions that I need to follow?
- Do I need to eat a special diet?
- Can you refer me to a dietitian to help me plan my diet?
- Should I see a specialist? What will that cost, and will my insurance cover it?
- Is there a generic alternative to the medicine you're prescribing me?
- Are there any brochures or other printed material that I can take with me? What websites do you recommend?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment anytime you don't understand something.
- Molitoris BA. Acute kidney injury. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders; 2007. http://www.mdconsult.com/das/book/body/192064788-4/0/1492/0.html. Accessed March 30, 2010.
- Schroeder K. Acute renal failure. In: Bope ET, et al. Conn's Current Therapy 2010. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-1-4160-6642-2..C2009-0-38983-7--TOP&isbn=978-1-4160-6642-2&uniq=192064788. Accessed March 30, 2010.
- Ferri FF. Renal failure, acute. In: Ferri FF. Ferri's Clinical Advisor 2010. Philadelphia, Pa.: Mosby; 2009. http://www.mdconsult.com/das/book/body/192064788-4/0/2088/0.html. Accessed March 30, 2010.
- Wolfson AB. Renal failure. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby; 2009. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniq=193452254. Accessed March 30, 2010.
- Acute kidney injury nutrition therapy. ADA Nutrition Care Manual. http://nutritioncaremanual.org/vault/editor/Docs/Acute%20Kidney%20Nutrition%20Therapy_FINAL.pdf. Accessed April 8, 2010.
- Reclast (zoledronic acid): Drug Safety Communication – New contraindication and updated warning on kidney impairment. Food and Drug Administration. http://www.fda.gov/Drugs/DrugSafety/ucm270199.htm. Accessed Sept. 1, 2011.
- Reclast (prescribing information). East Hanover, N.J.: Novartis Pharmaceuticals Corp.; 2011. http://www.pharma.us.novartis.com/product/pi/pdf/reclast.pdf. Accessed Sept. 14, 2011.
- Zometa (prescribing information). East Hanover, N.J.: Novartis Pharmaceuticals Corp.; 2011. http://www.pharma.us.novartis.com/product/pi/pdf/Zometa.pdf. Accessed Sept. 22, 2011.
- Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 19, 2011.
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