Hemodialysis: Initiation and complications

C. John Sperati

doi:10.1007/978-1-4614-4454-1_31

Hemodialysis: Initiation and complications

C. John Sperati

School of Medicine

Research output: Chapter in Book/Report/Conference proceeding › Chapter

2 Scopus citations

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.

Original language	English (US)
Title of host publication	Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation
Publisher	Springer New York
Pages	333-348
Number of pages	16
ISBN (Electronic)	9781461444541
ISBN (Print)	1461444535, 9781461444534
DOIs	https://doi.org/10.1007/978-1-4614-4454-1_31
State	Published - Nov 1 2013

ASJC Scopus subject areas

General Medicine

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10.1007/978-1-4614-4454-1_31

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AB - 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.

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ER -

Hemodialysis: Initiation and complications

Abstract

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