### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, my father (58yrs old) has been diagonised with the following diease and is under medical management:CAD - OLD ANTERIOR WALL MISEVERE LV DYSFUNCTIONCKD - ON MEDICAL MEANAGEMENTPP ACUTE LVFCKD WITH ARFWe are regularly visiting nephrologist and diabetologist.Today we had another round of blood test;found creatinine to be 4.2 and potassium levels around 6.2Have called up nephrologist and she advised to give K-BIND powder thrice a day and repeat blood test again tomorrow.Today after dinner, we have given 15mg K-BIND powder.Please advice if this can control his potassium levels or should i admit him immeditely in the hospital.He is not having any symptoms of hyperlekamia

### output:

HIS UNDERSTAND AND APPRECIATE YOUR CONCERNS ABOUT YOUR FATHERS HEALTH.HYPERKALEMIA IS COMMON IN SETTING OF CHRONIC RENAL DISEASE.THE MOST Chat Doctor. I Would LIKE TO TAKE URGENT ECG TO SEE IF THERE ARE ANY EFFECTS OF HIGH POTASSIUM ON HEART. IF PRESENT IN CALCIUM GLUCONATE IV WILL DEFINITELY HELP.AS FAR AS K BIND IS CONCERNED IT ALL LOWER POTASSIUM LEVELS BY DECREASING ABSORPTION FROM INTESTINE .BUT IT MAY TAKE TIME.ALSO AVOID FRUITS AND JUICES LIKE TENDER COCONUT WATER IN DETAILS PLY CHECK IF YOUR FATHER IS ON ANY TABLETS KNOWN TO INCREASE POTASSIUM LEVELS LIKE ENALAPRIL, SPIRONOLACTONE,PAIN KILLERSALSO IT IS LIKELY THAT YOUR FATHER MAY REQUIRE DIALYSIS IN NEAR FUTURE AT PRESENT ECG READING WILL HELP U TO DECIDE ACUTE MANAGEMENTHOPE I TRIED TO ANSWER YOUR PROBLEM.THANKS