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

This is a great question and there is no easy answer. As always, try and make sure the patient is following fluid restriction in between treatments as having less fluid to remove during a session may reduce cramping. I also try gabapentin 100mg prior to treatment for cramping. If they treat early in...

• tonic water
• watch Mg
• sodium modeling
• slow UF or dry UF