open access
Emergency care of the dialysis patients
open access
Abstract
End stage renal disease (ESRD) is one of the major health care burdens worldwide. Emergency staff are well aware of the frequent use of their services by dialysis patients. In this article we discuss the urgent and serious medical problems that bring the dialysis patient to the emergency department (ED), and the special considerations in the management of such patients in the acute care setting. The main medical problems in dialysis patients presenting to the emergency department are as follows: emergent acid-base and electrolyte disorders; fever; cardiovascular emergencies; dyspnea; angina/chest pain; anemia and emergencies related to access. In conclusion, hemodialysis (HD) and peritoneal dialysis (PD) patients frequently utilize ED services because of their proneness to a variety of emergency medical problems.
Abstract
End stage renal disease (ESRD) is one of the major health care burdens worldwide. Emergency staff are well aware of the frequent use of their services by dialysis patients. In this article we discuss the urgent and serious medical problems that bring the dialysis patient to the emergency department (ED), and the special considerations in the management of such patients in the acute care setting. The main medical problems in dialysis patients presenting to the emergency department are as follows: emergent acid-base and electrolyte disorders; fever; cardiovascular emergencies; dyspnea; angina/chest pain; anemia and emergencies related to access. In conclusion, hemodialysis (HD) and peritoneal dialysis (PD) patients frequently utilize ED services because of their proneness to a variety of emergency medical problems.
Keywords
emergency care, treatment, dialysis, cardiography impedance
About this articleTitle
Emergency care of the dialysis patients
Journal
Disaster and Emergency Medicine Journal
Issue
Pages
39-44
Published online
2017-03-31
Page views
1035
Article views/downloads
3825
DOI
Bibliographic record
Disaster Emerg Med J 2017;2(1):39-44.
Keywords
emergency care
treatment
dialysis
cardiography impedance
Authors
Lukasz Czyzewski
Janusz Wyzgal
Emilia Czyzewska
Lukasz Szarpak
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