92 Renal Failure

A patient has:

• Acute renal failure OR Chronic renal failure (ESRD) AND
• The patient is not undergoing dialysis AND
• Creatinine clearance < 10 cc/min OR Serum creatinine > 8 mg/dl (6 for diabetics)

Supporting documentation:

• Mechanical ventilation
• Malignancy
• Chronic lung disease
• Advanced cardiac disease
• Advanced liver disease
• Sepsis
• Immunosuppression/AIDS
• Albumin < 3.5 gm/dl
• Cachexia
• Platelet count < 25,000
• Disseminated Intravascular Coagulation (DIC)
• Gastrointestinal bleeding
• Uremia Oliguria (<400 cc/day)
• Intractable hyperkalemia (>7.0) not responsive to treatment
• Uremic pericarditis
• Hepatorenal syndrome
• Intractable fluid overload