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Candidiasis Patient Hemodialysis
What's the recommended dosage of dilucan for oral candidiasis in a patient receiving hemodialysis?
What is the recommended dosage of dilucan for oral candidiasis for a patient receiving hemodialysis?
Diflucan (fluconazole)?: 100 mg daily will be adequate. Due to partial renal excretion, which is lacking in dialysis patients, the dose may need to be decreased if used more than 10 days. For instance HIV patients may need long term treatment then interrupted treatment guided by response of candidiasis may be the way to go. ...Read moreSee 1 more doctor answer
Hemodialysis hurting: Once a patient is placed on dialysis, there usually is no pain. Patients may experience some pain when the needles (n) are placed in the vascular access. They may get used to this or have Lidocaine or Ethyl Chloride spray given to numb the n pain. If patients have some cramping, due to too much fluid being taken off, that can be painful. Other than that, patients on dialysis are usually pain free. ...Read more
Dialysis isn't diet: Hemodialysis is to replace the poor function of your kidneys and will remove excess water that your kidneys may not clear and can cause swelling and lung fluid. This can reduce your "water weight" but has nothing to do with fat metabolism. That depends upon your diet and activity level. Anyone eating the wrong foods and/or taking too many calories with low energy expenditure can gain far weight. ...Read more
Food/water control: Besides that, they have to do a strict schedule of dialysis i.e. Go to dialysis unit 3 times a week for hemodialysis and do peritoneal dialysis daily at home if on it. Hemodialysis restricts the travel since patients have to secure a space in a dialysis unit at the town they are going to visit before hand. ...Read moreSee 1 more doctor answer
5 years: It varies based on the patient other medical conditions. But on the average the mortality rate (death rate) is 20% per year. However some patients who are young with fewer other associated medical conditions and who are compliant with their dialysis. Treatment could live over 10 to 20 years on dialysis ...Read moreSee 1 more doctor answer
Depends: Dialysis can change the osmolarity of blood. The osmolarity of the jelly like substance inside the eye and lens can also change. These changes create a flux of fluid out of these tissues. These changes the anatomy of this lens system. So prescription of eye changes. These changes are temporary and not occur each time of dialysis or everyone. ...Read moreSee 1 more doctor answer
Good morning, For patients who had severe allergic reaction to oral fluconazole for treatment of candidiasis, which treatment would you suggest? Thanks
It depends...: Potential options are caspofungin and related drugs, nystatin, and amphoteracin B. But this depends a lot on the particular kind of candidiasis: different for superficial or body orifice infections (vaginal, anal, mouth) than for advanced (e.g. bloodstream) infections. If you mean "systemic candidiasis", that's an urban myth, not a real illness and doesn't need treatment. ...Read moreSee 1 more doctor answer
My father is a hemodialysis patient. He is experiencing shortness of breath. What could be the causes? Should he seek emergency medical treatment?
I am a hemodialysis patient with av fistula and I lift 5-10 pds of weights which my nephro agrees, can I take amino acid and creatinine to gain mass?
Hemodialysis: You sound like you are in excellent shape. I have seen the lab value for creatinine rise a bit in some patients, not on hemodialysis. This does not mean the kidney function was diminished; the body just had a higher creatinine intake. Especially being on hemodialysis, you should be able to take both supplements. Let your nephrologist know, in case any routine labs change over time. ...Read more
Following partial removal of tvt sling, if patient develops invasive recurring candidiasis and bacterial infection around mesh and in bladder, what is the treatment? Must remaining mesh be removed?
Increased risk: Dialysis patients are at increased risk of contracting hepatitis b due to the fact that the virus can survive on environmental surfaces. Patients with hep b that are dialyzed on the same machine that people without hep b can cause this but this is not commonly done any more because of the increased risk. ...Read more
Slow and steady: Disequilibrium syndrome after dialysis is usually due to "too effective" dialysis. To prevent similar reactions in future treatments ask your dialysis doctors to make adjustments such as slow the blood flow rate, decrease the amount of fluid removed and avoid excessive electrolyte correction or changes. Also treat the symptoms you currently have with appropriate medications. ...Read more
My husband is a chronic kidney failiure patient and is doing haemodialysis twice weekly, what will happen if he misses one session?
Get sick: Missing dialysis results in fluid retention manifested by swelling of the body, especially the dependent areas, making the heart work more, risking potential heart failure. Increase in electrolytes, especially potassium, which can be life threatening with cardiac dysrrhythmia. It is best to maintain a strict dialysis schedule, and stick with it. ...Read more
Too high: Symptoms like these are best deterimed by a thorough evaluation by your physician. Based on his/her findings, a treatment plan can be developed to help you. ...Read more
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