What Is The Treatment For Bilateral Renal Parenchymal Disease?

my mom is 56years she is having bilateral renal parenchymal disease she is taking ramistar 5 her k level is 5 is this due to ramistar . her haemoglobin is 6.4 due to fissure and bleeding piles is there any urgent need for transfusion she don t want to have blood transfusion.