Endstage renal failure (ESRF)
Patient (condition)
 
Aliases:
End stage kidney disease (ESKD)
End-stage kidney disease

Topic aliases are alternate phrasings for a particular topic.


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Electrolytes taken immediately post dialysis are unreliable as it will take time for electrolytes to reequilibrate

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Jul 16, 2011
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Myocardial ischaemia might imply that the patient is volume overloaded. Organise urgent haemofiltration to reduce intravascular volume if this is thought to be the case.

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Oct 29, 2011
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Intra-arterial blood pressure monitoring may aid in achieving tight volume control

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Ask the patient what their dry weight is and what their current weight is. A >2kg difference suggests patient may already be at upper limit of intravascular volume. Be cautious with additional volume.

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Nov 01, 2011
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Dialysis patients often tolerate lower blood pressures. Clinical signs of brain and myocardial perfusion may be used to determine adequate mean arterial pressures.

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May 22, 2011
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If excessive non-surgical bleeding encountered and is thought that it may be due to hyperuricaemic platelet dysfunction, consider use of desmopressin to improve platelet aggregation #ref

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Jun 27, 2011
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Avoid NSAIDs if the patient still makes urine or is a renal transplant recipient to avoid further renal damage. Daily urine output increases the patient's daily fluid restriction limit and improves their quality of life.

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Nov 02, 2011
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Expect prolonged action of aminosteroid muscle relaxants (rocuronium, vecuronium) as they are renally excreted. Benzylisoquinoliniums that do not rely on renal excretion such as atracurium may be a better alternative.

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Oct 29, 2011
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Platelet adhesion and aggregation is decreased, probably as a result of inadequate vascular endothelial release of a von Willebrand factor/factor VIII complex. refl.in/85

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Nov 04, 2011
Uremic thrombocytopathy is another possible cause of platelet dysfunction that may respond to dialysis.
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This paper looking at platelet function in patients with familial azotemia suggests urea is not the cause of platelet dysfunction. refl.in/lq
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