End stage kidney disease&nbsp;&nbsp;&nbsp;

What is the maximum diuretic regimen recommended in patients with end-stage kidney disease who have residual renal function and volume overload?

What is your approach to determining which patients with ESKD and pruritis should be started on difelikefalin?

What are your strategies for safely prescribing peritoneal dialysis for patients who have pets at home?

How do you manage patients with end stage kidney disease and recurrent ascites who do not have any evidence of cardiac or liver disease?

How often do you check carnitine levels in your patients with end stage kidney disease on hemodialysis?

What is your approach to managing osteoporosis in patients with end stage kidney disease?

How do you time 24 hour urine collections when calculating creatinine clearance for patients receiving thrice weekly hemodialysis?

Do you avoid ESAs in patients with end stage kidney disease who also have heart failure due to increased risk of stroke?

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

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?

What are your management strategies for patients with end stage kidney disease on hemodialysis who develop hypercalcemia of immobility?

Do you recommend placement of a backup AV fistula in an advanced CKD patient who is planning to do peritoneal dialysis?

Prior retrospective studies have suggested a lower rate of future catheter use with a backup AVF in place (Haralabopoulos et al., PMID 32852703).

How do you distinguish between primary and tertiary hyperparathyroidism in a patient with ESRD?

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

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?

How do you advise an ESKD patient who wants to drink pickle juice to reduce intradialytic muscle cramps?

What are the important aspects that you mention when consenting patients for hemodialysis?

How do you manage severe intra-dialytic hypertension that is not responsive to dry weight challenge in an asymptomatic patient with ESKD?

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

For which patients with calciphylaxis would you recommend a parathyroidectomy?

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?

What is your approach to establishing a dry weight in a pregnant patient with ESKD on hemodialysis given the expectation of weight increase and pregnancy-related edema?

What is your approach to determining the need for continued isolation in the dialysis unit for an ESKD patient who had a positive hepatitis B surface antigen one year ago but who now has a negative HbsAg in the absence of treatment?

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

Do you stop activated vitamin D (ie paricalcitol) in your dialysis patients who have hyperphosphatemia despite low phosphate diet and phosphorus binder adherence?

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

How soon after an intervention is done for peritoneal catheter inflow or outflow obstruction is it advisable to repeat the Kt/V?

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

How do you determine the fill volume of icodextrin for a volume-overloaded ESKD on PD patient considering that the dwell may last throughout the day?

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

Do you find adding fludrocortisone helpful in treating persistent hypotension in HD patients already on midodrine and without evidence of adrenal insufficiency?

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

What are your top takeaways from ASN 2023?

Do you recommend continuing SGLT2 inhibitors in patients with diabetic kidney disease and congestive heart failure who have been taking the medication for several years and later develop end stage kidney disease?

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

What strategies have you used to help patients with advanced kidney disease who are asymptomatic understand the severity of their condition?

What recommendations do you offer for patients who have a peritoneal dialysis catheter and who wish to swim?

What is your approach to ESA use in patients with ESKD and active malignancy on treatment?

For a patient interested in home dialysis modalities, what are some key points that you discuss with them to help them make a decision on peritoneal dialysis versus home hemodialysis?

Do you use mannitol when initiating patients on intermittent hemodialysis?

Do you take any different approaches for patients with end stage kidney disease who are about to be initiated on intermittent hemodialysis and have residual renal function?

When do you avoid or stop erythropoietin-stimulating agents in patients with anemia and end stage kidney disease?

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

When do you avoid or stop iron agents in patients with anemia and end stage kidney disease?

What is your approach to managing intradialytic cramping that recurs despite multiple dry weight adjustments in a patient with ESKD?

Do you recommend continuing peritoneal dialysis in an ESKD patient on peritoneal dialysis who is diagnosed with encapsulating peritoneal sclerosis since abdominal symptoms may worsen when peritoneal dialysis is stopped?

How do you manage recurrent hemodialysis filter clotting in an in-center ESKD patient with heparin-induced thrombocytopenia?

Do you recommend targeting a higher Kt/V in an ESKD patient on hemodialysis with pruritis and a Kt/V of 1.4?

In what instances might you recommend twice daily 7.5% icodextrin to patients on peritoneal dialysis?

When would you recommend adding peritoneal dialysis to a patient with oxalosis who is already receiving hemodialysis?

Would you recommend transition to hemodialysis for a patient with calciphylaxis, hyperphosphatemia, and ESKD on peritoneal dialysis?

What considerations do you make to the dialysis prescription for a pregnant patient on peritoneal dialysis?

What is your blood pressure goal for a pregnant patient on hemodialysis?

How soon after an end stage kidney disease patient receives a MRI study with gadolinium contrast do you perform their next hemodialysis session?

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?

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

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

Do you give a short-acting antihypertensive before starting outpatient hemodialysis on an asymptomatic ESKD patient with a predialysis blood pressure of more than 200/100?

What is your PTH threshold for referring an ESKD patient with secondary hyperparathyroidism on maximum medical therapy for parathyroidectomy?

Do you treat low 25-OH vitamin D levels in those with end stage kidney disease?

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

What is the preferred timing for removal of a peritoneal dialysis catheter in a patient who has transitioned to hemodialysis?

What is the antifungal prophylaxis regimen that you use in patients on peritoneal dialysis who are receiving antibiotics?