Are there any instances when you would not perform 3 consecutive daily dialysis sessions when initiating a patient on hemodialysis?
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When initiating a patient on hemodialysis, are there any scenarios where you would avoid performing 3 consecutive daily dialysis sessions?
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2 Answers
Mednet MemberInvited Expert
Nephrology · Rush Medical College
Answered on · Updated on
In-patient - Friday, Saturday, and Sunday (we are not fully staffed on Sundays).
Out-patient - I see no reason to do three days in a row.
There is nothing magical about starting dialysis. Patients were surviving without it before you started it, there is no rush.
Updated answer:
YES - I would not perform 3 consecutive daily dialysis sessions for a hospitalized patient if one of the days is a Sunday, due to limited staffing.
YES - I would not perform 3 consecutive daily dialysis sessions for someone starting hemodialysis as an outpatient.
YES - I do not perform 3 consecutive daily hemodialysis sessions unless the patient is significantly volume overloaded or has uremic symptoms.
3 things:
- Most patients starting dialysis have be...
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Mednet Member
Nephrology · Brigham and Women's Hospital/Massachusetts General Hospital
Answered on
Outside of the US, at least in Thailand, the usual practice is not to do 3 days in a roll but to actually do around 2 dialysis sessions in the first week tailoring to what metabolic parameters are needed.
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