30 yo M pmh ESRD 2/2 to lupus nephritis on HD p/w sob, tachypnea, and hypertensive not responding to Nitro gtt, lasix, or bipap.
what emergent procedure will most likely help this patient?
A:
Dialysis
what are the indications for Emergent Dialysis
Mneumonic for indications of Dialysis: AEIOU
1. Acidosis
2. Electrolyte abnormalities-hyperkalemia
3. Ingestion of substances like barbiturates, salicylates, lithium, methanlo, etc
4. Overload fluid (unresponsive to diuretics)
5. Uremia symptoms (pericarditis, encephalopathy)
The renal fellow comes down and states they can’t start HD for another five hours.
What else could you do?
Consider peritoneal dialysis.
References
http://navyemergencymedicine.com/wp-content/uploads/2010/05/Field-Peritoneal-Dialysis1.pdf
thanks Dr. Richardson, Dr. Pour
