Nephrologist (Kidney Specialist) Questions Creatinine

Is high creatinine treated as a medical emergency?

My mother's creatinine level has increased to 6.9 from 5.2 in one month. Should this be considered a medical emergency?

8 Answers

Your mother has a chronic kidney disease but if creatinine high to vitality levels mean her kidney is going to failure in this condition is emergency warning
No but get ready for dialysis if she has symptoms
A creatinine of 6.9 mgrs % is indication for dialysis ASAP, particularly if associated with a Potassium higher of 5.5 mgrs% and or acidosis of 7.2 ph or less, serum Bicarbonate of 16 or less, presence of Heart Failure, confusion, disorientation, nausea, vomiting...There may be a potentially correctable factor that can be determined after the acute process. Most likely this person is suffering from chronic kidney failure and will require chronic dialysis

Jose Lozano, MD

Yes! I hope she sees a kidney doctor. Her other labs such as potassium and bun need to be evaluated too.
Rising creatinine mean further loss of kidney function.there is several other lab test like potassium,bicarbonate,Albumin is important to make decision weather your mom need to initiate dialysis. When creatinine rise to this level patient has several other chemical abnormalities and associated symptoms that majority of patient need to start dialysis orders keep going.certainly people can die with complications of kidney failure. In short it is relative emergency to discuss results and opinion of treating kidney specialist that urgent dialysis is needed or not..
She has CKD stage 5. Has her physician referred her for access placement? It's not just the creatinine, but other markers with it, like fluid overload, high potassium, symptoms like loss of appetite or nausea/vomiting, etc., that make dialysis more urgent.
If you are in Dallas and need to see someone asap, call my office at 2143582300 and I can see her urgently and even assess if she is a transplant candidate.
Yes, as she may need urgent treatment.
Yes. Creatinine is a marker of kidney function. If it is increasing significant she needs to see a nephrologist. Based on her numbers, she must be under one doctor by this time. If not, I am afraid she might need dialysis.