The renal system maintains internal homeostasis, which is necessary for metabolism:
- maintain fluid balance
- excrete waste products
- conserve nutrients
- ensure acid-base balance
- help regulate glucose levels
- play a role in hormone secretion which is key to blood pressure regulation.
Criteria indicating terminal prognosis for patients with end-stage renal disease can be as follows:
Patient meets criteria for dialysis and/or renal transplant and refuses. Patient with renal failure on dialysis who chooses to discontinue dialysis. and Lab criteria:
- Creatinine clearance <10 mL/min (<15mL/min with diabetes)
- Serum creatinine > 8.0 mg/dl (>6.0 mg/dl with diabetes)