Hospital Medicine

End stage kidney disease

Questions discussed in this category

Do you routinely continue dual antibiotic coverage or de-escalate to monotherapy based on peritoneal fluid culture sensitivities in patients with relapsing pseudomonas aeruginosa peritoneal dialysis peritonitis after peritoneal catheter removal?

1 Answer available

How do you manage hemodialysis for an ESKD patient presenting with severe hyponatremia and a serum sodium more than 10 mEq/L below the lowest available dialysate sodium concentration?

2 Answers available

Would you consider treating hypercalcemia with CRRT and regional citrate anticoagulation for a dialysis dependent patient who does not respond to bisphosphonate therapy and low calcium dialysate bath?

2 Answers available

Would you recommend desmopressin for a patient with ESKD receiving thrice weekly hemodialysis who is hospitalized for a persistent gastrointestinal bleed not amenable to usual interventional treatment strategies?

1 Answer available

Is there a serum phosphorus level you would consider too low to safely perform hemodialysis?

3 Answers available

Are there instances when you do not recommend tunneled dialysis catheter exchange in patients on hemodialysis who are found to have bacteremia?

4 Answers available

Are there instances where you may transiently transition a perioperative ESKD on PD inpatient from peritoneal dialysis to hemodialysis if they are likely to receive a large volume of fluid?

Invited Professor Series Video: Volume Management and Access Troubleshooting in Peritoneal Dialysis - Claretha Lyas, MD

2 Answers available

Are there any instances when you would not perform 3 consecutive daily dialysis sessions when initiating a patient on hemodialysis?

2 Answers available

How often do you recommend basic metabolic panel checks in a hospitalized ESKD patient on thrice weekly hemodialysis and for whom hyperkalemia is not of major concern?

2 Answers available

How frequently do you recommend flushing a peritoneal dialysis catheter for patients with ESKD who are hospitalized and are not currently undergoing peritoneal dialysis?

6 Answers available

How do you adjust your management strategy to address the unique needs of anuric end-stage kidney disease patients when treating diabetic ketoacidosis?

1 Answer available

What is your preferred fill volume, dialysis solution, and dwell time for patients with suspected peritoneal dialysis associated peritonitis who arrive to the hospital with a dry abdomen?

2 Answers available

Would you consider reducing the dialysate sodium concentration to 135 meq/L as a strategy to decrease interdialytic weight gain in a hypervolemic ESKD patient?

Miskulin, et al., PMID 38349776

1 Answer available

What is your approach to safely performing hemodialysis in a patient with a fistula who is hospitalized for altered mental status and unable to remain still?

1 Answer available

Do you increase the frequency of hemodialysis for patients with calciphylaxis?

3 Answers available

What considerations do you take when managing a patient with end stage kidney disease on peritoneal dialysis who is planning on undergoing PEG tube placement?

1 Answer available

What is your approach to monitoring for recovery in a patient with non-oliguric AKI requiring dialysis?

4 Answers available

Between mean arterial pressure (MAP) and blood pressure (BP), which do you use when prescribing hemodialysis to instruct a hold on additional ultrafiltration should the value become too low?

1 Answer available

Do you intensify the dialysis prescription for patients with end stage kidney disease who develop uremic pericarditis despite regular dialysis sessions?

3 Answers available

How long would you wait for outflow to improve before consulting surgery in a peritoneal dialysis patient with an outflow obstruction who is prescribed laxatives for catheter migration?

Invited Professor Series Video: Volume Management and Access Troubleshooting in Peritoneal Dialysis - Claretha Lyas, MD

1 Answer available

What are some considerations to make when managing a patient on peritoneal dialysis who develops acute pancreatitis?

1 Answer available

Do you use mannitol when initiating patients on intermittent hemodialysis?

1 Answer available

What adjustments do you make to a hemodialysis prescription for a patient with a recent stroke?

3 Answers available

What is your approach to the use of intravenous sodium thiosulfate for the management of calciphylaxis in a patient with end stage kidney disease and on hemodialysis?

1 Answer available

Do you proceed with outpatient hemodialysis for an asymptomatic ESKD patient who has missed the last three hemodialysis sessions?

1 Answer available

Do you prefer that hospitalized peritoneal dialysis patients use their own home dialysis equipment during the admission?

2 Answers available

Papers discussed in this category

Hemodialysis international. International Symposium on Home Hemodialysis, 2013 Oct

Changing the hemodialysis prescription for hemodialysis patients with subdural and intracranial hemorrhage.

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2019 Apr 27

Hypertonic Mannitol for the Prevention of Intradialytic Hypotension: A Randomized Controlled Trial.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2009-07-01

Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2010 May-Jun

Acute pancreatitis in peritoneal dialysis patients: diagnosis in the icodextrin era.

The Journal of surgical research, 2019-12

Safety of Laparoscopic Gastrostomy in Children Receiving Peritoneal Dialysis.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2011 May-Jun

Adult peritoneal dialysis patient with Tenckhoff and percutaneous endoscopic gastrostomy catheters.

The International journal of artificial organs, 2022 Jan 17

Is percutaneous gastrostomy tube insertion contraindicated in adult peritoneal dialysis patients? A single-centre experience of three successful cases: It is time to revisit.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2024 Jan 24

Percutaneous endoscopic gastrostomy in children receiving peritoneal dialysis: A tertiary centre long-term experience and literature review.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2019

Creating and Maintaining Optimal Peritoneal Dialysis Access in the Adult Patient: 2019 Update.

Perit Dial Int, 2022 Mar

ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment.

Blood purification, 2020 Jan 15

Report of Dialysis-Induced Hypophosphatemia Leading to Reversible Encephalopathy Prevented by Adding Phosphorus to the Dialysate.

Hospital Medicine

End stage kidney disease

Questions discussed in this category

Papers discussed in this category

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