Renal Disease

A patient has:

• Acute Renal Failure or
• Chronic Renal Failure (ESRD) and
• The patient is not undergoing dialysis and
• Creatinine clearance < 10 cc/min (< 15 cc/min for diabetics) or
• Serum creatinine > 8.0 mg/dl (> 6.0 mg/dl for diabetics)
  Supporting documentation:
• Mechanical ventilation
• Malignancy (other organ system)
• 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
• Gastrointestinal bleeding
• Uremia
• Oligura (<400 cc/day)
• Intractable hyperkalemia (>7.0) not responsive to treatment
• Uremic pericarditis
• Hepatorenal syndrome
• Intractable fluid overload

A physician may determine that a patient has a life expectancy of six months or less even if the above findings are not present. Co-morbidities also support eligibility for hospice care.