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
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In which situations do you transition an ESKD patient on outpatient peritoneal dialysis to inpatient hemodialysis?
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2 Answers
Mednet MemberInvited Expert
Nephrology · UAB
Answered on
Most peritoneal dialysis patients should be able to continue with PD while in the hospital. For patients with acute volume overload, hypertonic dextrose solutions can be used. However, there may be special circumstances where patients on peritoneal dialysis will need a temporary transition to hemodi...
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Mednet Member
Nephrology · South County Nephrology And Hypertension
Answered on
I typically find that most patients can be managed without interrupting PD. Special circumstances as cited above such as disruption of the PD membrane, severe electrolyte imbalance, surgical trauma causes with severe rhabdomyolysis, and of course PD catheter malfunction are scenaries in which transi...
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