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Doctor insights on: What Are The Main Priorities Of Care For A Patient With Esrd

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What are the main priorities of care for a patient with esrd?

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 more

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Dr. Tarek Naguib
587 doctors shared insights

Kidney Failure (Definition)

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


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How can a patient with esrd be treated for low blood pressure without intravenous therapy in a prehospital setting?

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

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Do patients with esrd need Foley catheters?

Do patients with esrd need Foley catheters?

Not usually: Esrd patients usually have no urine output but some patients do still produce some urine...It depends on the patient. ...Read more

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How to decrease the hepa b level of a esrd patient?

How to decrease the hepa b level of a esrd patient?

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

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What are some strategies to improve the nutrition of esrd patients?

What are some strategies to improve the nutrition of esrd patients?

High protein intake: Strictly follow salt restriction to avoid extreme thirst which will make you drink more and eat less and be short of breath and makes the body out of balance. No dairy products is important to cut down phosphorus and no cola. ...Read more

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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 more

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I just want to ask why esrd patient with cardiomegaly and abnormal 2d echo result must be heparin free every dialysis session?

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

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What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP (> 180/100) and dm (fasting blood sugar >350)?

What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP  (> 180/100) and dm (fasting blood sugar >350)?

Prognosis: You probably don't need a doctor to tell you these parameters are not suggestive of a favorable prognosis ... Dialysis patients are very challenging and a team effort needs to be made to change coarse good luck. ...Read more

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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 would you suggest superfacial fistula permanent catheter or something else?

Native vein fistula!: It is best but some persons have very weak veins to get it done then a graft ( plastic vein) is connected instead. The surgeon will do angiogram to see how veins are. If not possible, a line cath is last resort. ...Read more

Dr. Fred McCurdy
350 doctors shared insights

Esrd (Definition)

End stage renal disease (ESRD, or sometimes called chronic kidney disease), describes any condition where there is a progressive ...Read more