my father critinine 7.5 urea100 hg 9.1 my father also is depressive patient i can not transfer hem to hospital to make dialysis and his condition is become more worse with time now he can not go alone to w.c and his legs muscle almost disappears and he can not sleep without valinil tab and take (methyl dopa 500 tab-diletrol 25 tab)for hypertention and insulin for diabetic and his blood presure around 140/90 and blood suger 120 random i need you advice thanks
Based on the few numbers you've given, his diabetes seems relatively well controlled, but this is hard to say since I only have one random sugar to make that judgement. His blood pressure also is not very bad. However, he clearly has kidney failure and must get dialysis if he is to survive. Peritoneal dialysis may be an option for you. This kind of dialysis can be done at home. First he must have a catheter placed in the abdomen to use for the dialysis. I also assume the Hg 9.1 is his hemoglobin, which is low. This is common with kidney failure. He may benefit from iron supplementation. He should already be seeing a kidney specialist. If not, please have him see one to discuss peritoneal dialysis at home, iron infusion (and ongoing supplements), as well as safe medications that can be used in kidney failure patients to treat depression. Fluoxetine may be a good option for him to help with the mood. However, starting dialysis and eliminating toxins may also help improve the depression.  Good luck.