Re: CKD Stage 4
First off, let me tell you that no matter what happens (dialysis first or transplant), nothing is ever as bad as you think it's going to be. Check with the renal dietitian to find out if she needs to limit protein and phosphorus too (you can tell this from the blood work).
While she is not overloaded with fluid and still urinating, it is still good to keep hydrated. If there is a lot of excess fluid on board (swollen ankles, hands, and face) then limiting might be a good idea. Also cutting back on sodium is very important
Has she been seen regularly by a nephrologist? In the meantime, get her on the transplant list. Life expectancy is much greater with this form of treatment and it is much easier to take pills than it is to make time for dialysis. Also it's easier on your system.
I was predialysis for over 20 years, on hemodialysis for 1, and have now had my transplant for more than a decade. Feel free to ask lots of questions.
Dxd T1 1966, 2001 dialysis, 2002 kidney transplant, 2003 insulin pump, 2008 pancreas transplant