Dialysis Emergencies

The same risk factors that drive the development of kidney disease will also increase the prevalence of multimorbidities within the dialysis population - Jonathan Himmelfarb

Dialysis Emergencies

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Dialysis Emergencies

Bleeding is a big concern. If the patient is bleeding from their access, start with direct pressure to the bleeding site, then move on to topical thrombotic agents and if needed throw a figure 8 stitch with a 5-0 proline on a non-cutting needle.

Dialysis patients are susceptible to dialysis disequilibrium syndrome which can present as altered mental status, focal neurological deficits or even frank coma or seizures after dialysis. Make sure to consider a broad differential in these patients and start with a solute load such as an amp or two of D50 while starting your work up.

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Last Updated : Wednesday, August 17, 2022