How would you manage hemodialysis for an ESKD patient who presents with a phosphorus of 1.6 mg/dl and potassium of 6.5 mEq/L without ECG changes?
Answer from: at Academic Institution
I dialyze them slowly, low blood flow, smaller dialyzer, shorter time with 1k bath. I will give them high doses of oral phosphorus (neutrophos 2 packets tid) and repeat potassium a few hours (8 hours) after dialysis and if needed for potassium will dialyze them again.
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