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Preguntas acerca de PD? Preguntar!

Pregunta:

Jean Francis
desde Boston pidió a Julio 21, 2010:



When switching a patient from PD to HD, do you have to start very slow treatment to prevent any dialysis disequilibrium or you just can start full HD treatment?. Switch is done for peritonitis not for membrane failure



Respuestas:

L, Dr. from (Hong Kong):
Dysequilibrium syndrome rarely occurs in somebody who is receiving dialysis. But on conversion from PD to HD, many patients are not used to the hemodynamic stress of HD. For those conversion due to peritonitis, the sepsis, poor eating can all lead to hemodynamic instability. I usually start the first HD session shorter, like 2-3 hours, and then gradually increase the duration of treatment each time if they can tolerate.

Renuncia: Las respuestas representan opiniones personales de los expertos. Los lectores deben utilizar su propio criterio en la interpretación y aplicación de las respuestas y la ISPD no tiene responsabilidad por dicho uso.


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I'm a patient on CAPD. I am short wasted and apparently have a small peritoneum as I can only hold 1.5L of fluid. Even with that, my stomach looks distended. It...

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