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What Are The Main Priorities Of Care For A Patient With Esrd
Improved health: The team that cares for a dialysis patient focuses on decreasing complications and improving health. We address dietary issues, BP control, anemia management, bone health, removal of renal failure toxins, general health care issues, avoiding hospitalization, increasing renal replacement therapy options, and attempting to qualify as many patients as appropriate and willing for kidney transplant. ...Read moreSee 1 more doctor answer
The kidneys do several tasks. Dialysis is necessary when one or more of the following occur, that can't be remedied or palliated with medications: 1. Insufficient clearance of daily toxins in food and metabolic waste 2. Insufficient clearance of excess water 3. Dangerous electrolyte imbalance, ...Read more
How can a patient with esrd be treated for low blood pressure without intravenous therapy in a prehospital setting?
Depends: There are several reasons for low BP in esrd, including dehydration, carnitine deficiency, heart failure (with or without cardiogenic shock), adrenal insufficiency, and autonomic instability. Some of those can be treated with oral therapies such as midodrine, mineralococorticoids, and carnitine for example. ...Read more
See a hepatologist: A primary care doctor, plus a hepatologist (liver specialist) or an infectious disease specialist, provide the care of hepb carriers. Antivirals like interferon, adefovir, entecavir, lamivudine, telbivudine, and tenofovir have been used. The specialists know which combinations of meds work better in which patients. The virus can be resistant to some of the meds. Lab tests are checked regularly. ...Read more
Is constipation usual for frail geriatric esrd patient on thrice weekly hd? She eats well, craves food even with cr 7.2. Passes lot of urine only once
Constipation: Constipation may be related to different factors including inactivity medications used to treat the renal failure, amount of dietary fiber + liquid intake etc. Review medications list with your physician & seek recommendations for constipation management based upon all factors. ...Read moreSee 1 more doctor answer
I just want to ask why esrd patient with cardiomegaly and abnormal 2d echo result must be heparin free every dialysis session?
Heparin and dialysis: 32 M on dialysis asks why must be heparin free every dialysis session. ANS: heparin may prevent ur blood from clotting when needle is withdrawn. But ur dialysis team knows u best & can answer this question in ur specific case. The Caridomegaly indicates ur blood pressure is not controlled. This is almost always related 2 eating 2 much salt between dialysis sessions. Discuss with team. ...Read more
What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP (> 180/100) and dm (fasting blood sugar >350)?
Hi my father is esrd patient 58years old his all fistulas stop working would you suggest superfacial fistula permanent catheter or something else?
Hi my father is esrd patient 58years old his all fistulas stop working what would you suggest superfacial fistula permanent catheter or somthing else?
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