Haemodialysis therapy in patients with low serum creatinine concentrations – case series
Journal Title: Postępy Nauk Medycznych - Year 2015, Vol 28, Issue 10
Abstract
According to the KDIGO recommendations published in 2012, the absolute indicationsfor initiation of dialysis therapy in patients with ESRD include at least one of such emergingsymptoms as: serositis, electrolyte or acid-base imbalance, uncontrolled volume status orhypertension, pruritus, progressive cachexia or cognitive impairment. These symptomsusually occur when eGFR reaches values between 6 and 10 ml/min/1.73 m2. The credibilityof GFR estimation with the MDRD formula is limited. The bias may result from patient’srace or ethnic origin different from the population for which the equation was prepared for.Moreover, the serum creatinine level may be inadequate due to extremely low or high musclemass, growth, high-protein diet, administration of creatinine preparations, or muscle atrophy.These factors may significantly influence the efficacy of dialysis sessions, especiallyin the view of chronic dialysis therapy, and may result in inadequate prescription of thedialysis dose. Here we describe five patients, who require intensive chronic haemodialysistreatment despite the relatively high eGFR values.
Authors and Affiliations
Tomasz Żelek, Dorota Daniewska, Ryszard Gellert
Keywords
Related Articles
- EP ID EP77358
- DOI -
- Views 174
- Downloads 0
Past and Future of Minimally Invasive Surgery
The turn of the 20th century signified milestone steps in implementation of videotechnology to the operating rooms. After initial difficulties with recognizing this new method, within few years since its introduction lap...
Hormonal replacement in adrenal insufficiency – how to treat effectively and safely
Treatment of adrenal insufficiency appears to be easy: the aim is to replace hormonaldeficiency, using mainly glucocorticoids, as well as mineralocorticoids and, optionally,adrenal androgens. However, the questions occur...
Changing face of Candida parapsilosis
Candida parapsilosis is a opportunistic fungal pathogen, which causes the nosocomial infections. Now, it is established well that Candida spp. via contaminated vascular catheters, interacts with host defences as well as...
Jednoczesne wystąpienie transformacji przewlekłej białaczki limfocytowej do chłoniaka Hodgkina i raka płuca – opis przypadku i przegląd literatury
Przewlekła białaczka limfatyczna (CLL) przebiega stabilnie przez okres od wielu miesięcy do wielu lat. U niewielkiego odsetka przypadków może jednak przekształcić się do bardziej agresywnych typów chłoniaków. Pojawienie...
The value of ultrasound contrast agents in diagnosis endoleaks in patients after stent-graft implantation
<b>Introduction.</b> To assess efficacy of contrast-enhanced ultrasound in detecting endoleaks to aneurysmal sac after EVAR.<br><b>Material and methods. </b&...