What is your approach to safely performing hemodialysis in a patient with a fistula who is hospitalized for altered mental status and unable to remain still?
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What is your approach for performing hemodialysis on a hospitalized patient with a fistula who has altered mental status and cannot remain still?
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1 Answer
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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on
First, I would try to delay performing dialysis if possible and give the patient a chance to be more alert. Second, if there is a way to perform dialysis safely through meds or very close supervision, then I would try to use the fistula for dialysis. If the above is not possible, then the patient wo...
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