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[Daily problems involving contact with terminally ill patients with renal failure].
- Source :
-
Der Internist [Internist (Berl)] 2007 Aug; Vol. 48 (8), pp. 795-803. - Publication Year :
- 2007
-
Abstract
- Practitioners and physicians working in emergency rooms are often confronted with dialysis patients or patients who have received a kidney transplant. For dialysis patients, the mode of dialysis treatment needs to be assessed and dialysis access should be secured. Furthermore, the indications for the next dialysis treatment need to be determined. Dialysis patients often present themselves because of fluid overload, hypo- or hypertensive episodes, electrolyte disturbances, fever or cardiovascular events. Patients undergoing continuous peritoneal dialysis are at an increased risk of infection of the catheter or of peritonitis. Patients with a renal transplant require continuation of their immunosuppression and the function of the transplant should be monitored. These patients often present with infections in which case the degree of immunosuppression may need to be reduced. Vaccinations as well as an increased risk for malignancies require special attention in these patients.
- Subjects :
- Arteriovenous Shunt, Surgical methods
Catheters, Indwelling
Graft Occlusion, Vascular diagnosis
Graft Occlusion, Vascular etiology
Graft Occlusion, Vascular therapy
Heart Diseases diagnosis
Heart Diseases etiology
Heart Diseases therapy
Humans
Kidney Failure, Chronic diagnosis
Kidney Failure, Chronic etiology
Kidney Transplantation
Opportunistic Infections diagnosis
Opportunistic Infections etiology
Opportunistic Infections therapy
Peritoneal Dialysis methods
Postoperative Complications diagnosis
Postoperative Complications etiology
Postoperative Complications therapy
Prognosis
Renal Dialysis methods
Risk Factors
Emergencies
Kidney Failure, Chronic therapy
Subjects
Details
- Language :
- German
- ISSN :
- 0020-9554
- Volume :
- 48
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Der Internist
- Publication Type :
- Academic Journal
- Accession number :
- 17572869
- Full Text :
- https://doi.org/10.1007/s00108-007-1888-8