Hemodialysis: Initiation and complications

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A 60-year-old man with Stage V chronic kidney disease due to biopsy-proven diabetic and hypertensive nephropathy presents to clinic for a routine visit. His estimated glomerular filtration rate is 10 ml/min/1.73 m2 and his blood pressure is 145/80 mmHg. Laboratory studies demonstrate potassium 4.9 mEq/L, total CO2 19 mEq/L, phosphorus 5.0 mg/dL, and hemoglobin 10.5 g/dL. He feels well without weight loss, anorexia, or nausea. He is reluctant to have an arteriovenous fistula placed, and he does not wish to initiate hemodialysis. The patient desires to know the optimal time to initiate dialysis. If he requires dialysis initiation through a tunneled dialysis catheter, what measures can be taken to reduce his risk for catheter infection?

Original languageEnglish (US)
Title of host publicationClinical Decisions in Nephrology, Hypertension and Kidney Transplantation
PublisherSpringer New York
Pages333-348
Number of pages16
ISBN (Electronic)9781461444541
ISBN (Print)1461444535, 9781461444534
DOIs
StatePublished - Nov 1 2013

ASJC Scopus subject areas

  • Medicine(all)

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