Dialysis complications - Revision history

Danbot: Strip excess bold

2026-03-22T09:36:48Z

Strip excess bold

Danbot: Expanded with concise EM-focused content: access complications, missed dialysis emergencies, PD peritonitis, AMS workup

2026-03-21T00:32:22Z

Expanded with concise EM-focused content: access complications, missed dialysis emergencies, PD peritonitis, AMS workup

@@ Line 1: / Line 1: @@
 {{Dialysis complications DDX}}
 {{AV shunt complications DDX}}
-===Peritoneal Dialysis Complications===
+===During/Post-Dialysis===
-*[[Peritoneal dialysis-associated peritonitis]]
+*'''Hypotension''': most common acute complication; give NS bolus (avoid excessive fluid in volume-overloaded patient)
-{{ESRD Associated Skin Conditions}}
+==Peritoneal Dialysis Complications==
-===[[Altered Mental Status]]===
+==Altered Mental Status in Dialysis Patients==
 *[[Hypotension]]
 *[[Hypoglycemia]]
 *[[Hypercalcemia]] / [[Hyperkalemia]] / [[Hyponatremia]]
-*[[Subdural hematoma]]
+*[[Subdural hematoma]] (from anticoagulation during dialysis)
 *[[Dysequilibrium syndrome]] - diagnosis of exclusion made after admission
 ==References==

Rossdonaldson1 at 20:53, 11 February 2020

2020-02-11T20:53:40Z

← Older revision		Revision as of 20:53, 11 February 2020
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	===Peritoneal Dialysis Complications===		===Peritoneal Dialysis Complications===
	*[[Peritoneal dialysis-associated peritonitis]]		*[[Peritoneal dialysis-associated peritonitis]]

	~~===Cardiovascular===~~
	*[[Cardiac tamponade]]
	*[[Pericarditis]]

	{{ESRD Associated Skin Conditions}}		{{ESRD Associated Skin Conditions}}

ClaireLewis at 16:21, 9 October 2019

2019-10-09T16:21:23Z

← Older revision		Revision as of 16:21, 9 October 2019
Line 12:		Line 12:
	{{ESRD Associated Skin Conditions}}		{{ESRD Associated Skin Conditions}}

	===Altered Mental Status===		===[[Altered Mental Status]]===
	*Hypotension		*[[Hypotension]]
	*[[Hypoglycemia]]		*[[Hypoglycemia]]
	*[[Hypercalcemia]] / [[Hyperkalemia]] / [[Hyponatremia]]		*[[Hypercalcemia]] / [[Hyperkalemia]] / [[Hyponatremia]]

Rossdonaldson1: Text replacement - " dx" to " diagnosis"

2016-07-31T04:28:44Z

Text replacement - " dx" to " diagnosis"

← Older revision		Revision as of 04:28, 31 July 2016
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	*[[Hypercalcemia]] / [[Hyperkalemia]] / [[Hyponatremia]]		*[[Hypercalcemia]] / [[Hyperkalemia]] / [[Hyponatremia]]
	*[[Subdural hematoma]]		*[[Subdural hematoma]]
	*[[Dysequilibrium syndrome]] - dx of exclusion made after admission		*[[Dysequilibrium syndrome]] - diagnosis of exclusion made after admission

	==References==		==References==

Ostermayer: Text replacement - "Category:Nephro" to "Category:Renal"

2016-03-22T14:08:31Z

Text replacement - "Category:Nephro" to "Category:Renal"

← Older revision		Revision as of 14:08, 22 March 2016
Line 22:		Line 22:
	<references/>		<references/>

	[[Category:~~Nephro~~]]		[[Category:Renal]]
	[[Category:Vascular]]		[[Category:Vascular]]

Neil.m.young at 18:17, 17 February 2016

2016-02-17T18:17:29Z

← Older revision		Revision as of 18:17, 17 February 2016
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	~~==Differential Diagnosis==~~
	{{Dialysis complications DDX}}		{{Dialysis complications DDX}}

Kxl328 at 05:41, 16 February 2016

2016-02-16T05:41:08Z

← Older revision		Revision as of 05:41, 16 February 2016
Line 18:		Line 18:
	*[[Hypercalcemia]] / [[Hyperkalemia]] / [[Hyponatremia]]		*[[Hypercalcemia]] / [[Hyperkalemia]] / [[Hyponatremia]]
	*[[Subdural hematoma]]		*[[Subdural hematoma]]
	*[[Dysequilibrium syndrome]]		*[[Dysequilibrium syndrome]] - dx of exclusion made after admission

	==References==		==References==

Kxl328 at 05:39, 16 February 2016

2016-02-16T05:39:30Z

← Older revision		Revision as of 05:39, 16 February 2016
Line 12:		Line 12:

	{{ESRD Associated Skin Conditions}}		{{ESRD Associated Skin Conditions}}

			===Altered Mental Status===
			*Hypotension
			*[[Hypoglycemia]]
			*[[Hypercalcemia]] / [[Hyperkalemia]] / [[Hyponatremia]]
			*[[Subdural hematoma]]
			*[[Dysequilibrium syndrome]]

	==References==		==References==

Kxl328 at 05:12, 16 February 2016

2016-02-16T05:12:06Z

← Older revision		Revision as of 05:12, 16 February 2016
Line 6:		Line 6:
	===Peritoneal Dialysis Complications===		===Peritoneal Dialysis Complications===
	*[[Peritoneal dialysis-associated peritonitis]]		*[[Peritoneal dialysis-associated peritonitis]]

			===Cardiovascular===
			*[[Cardiac tamponade]]
			*[[Pericarditis]]

	{{ESRD Associated Skin Conditions}}		{{ESRD Associated Skin Conditions}}

← Older revision		Revision as of 09:36, 22 March 2026
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	===Access Complications===		===Access Complications===
	{{AV shunt complications DDX}}		{{AV shunt complications DDX}}
	*~~'''~~Thrombosed fistula/graft~~'''~~: absent thrill/bruit → vascular surgery referral within 24-48h		*Thrombosed fistula/graft: absent thrill/bruit → vascular surgery referral within 24-48h
	*~~'''~~Hemorrhage from access site~~'''~~: direct pressure x 10-15 min; avoid tourniquet proximal to access		*Hemorrhage from access site: direct pressure x 10-15 min; avoid tourniquet proximal to access
	*~~'''~~Infection~~'''~~: erythema, warmth, purulent drainage → blood cultures + empiric [[vancomycin]]; avoid using infected access		*Infection: erythema, warmth, purulent drainage → blood cultures + empiric [[vancomycin]]; avoid using infected access
	*~~'''~~Steal syndrome~~'''~~: hand ischemia distal to fistula (pain, pallor, cool fingers) → vascular surgery		*Steal syndrome: hand ischemia distal to fistula (pain, pallor, cool fingers) → vascular surgery

	===During/Post-Dialysis===		===During/Post-Dialysis===
	*~~'''~~Hypotension~~'''~~: most common acute complication; give NS bolus (avoid excessive fluid in volume-overloaded patient)		*Hypotension: most common acute complication; give NS bolus (avoid excessive fluid in volume-overloaded patient)
	*~~'''~~[[Dysequilibrium syndrome]]~~'''~~: headache, N/V, AMS, seizures during/after dialysis (especially first sessions) — diagnosis of exclusion after ruling out other AMS causes		*[[Dysequilibrium syndrome]]: headache, N/V, AMS, seizures during/after dialysis (especially first sessions) — diagnosis of exclusion after ruling out other AMS causes
	*~~'''~~Air embolism~~'''~~: rare but catastrophic; place in left lateral decubitus/Trendelenburg		*Air embolism: rare but catastrophic; place in left lateral decubitus/Trendelenburg
	*~~'''~~Muscle cramps~~'''~~: NS bolus, reduce ultrafiltration rate		*Muscle cramps: NS bolus, reduce ultrafiltration rate

	===Missed Dialysis===		===Missed Dialysis===
	*'''[[Hyperkalemia]]''': most immediately life-threatening — ECG, calcium, insulin/glucose, kayexalate, emergent dialysis		*'''[[Hyperkalemia]]''': most immediately life-threatening — ECG, calcium, insulin/glucose, kayexalate, emergent dialysis
	*~~'''~~Volume overload / [[pulmonary edema]]~~'''~~: BiPAP, [[nitroglycerin]], [[furosemide]] (limited efficacy in anuric patients), emergent dialysis		*Volume overload / [[pulmonary edema]]: BiPAP, [[nitroglycerin]], [[furosemide]] (limited efficacy in anuric patients), emergent dialysis
	*~~'''~~[[Uremic pericarditis]]~~'''~~: friction rub, emergent dialysis; avoid anticoagulation (hemorrhagic risk)		*[[Uremic pericarditis]]: friction rub, emergent dialysis; avoid anticoagulation (hemorrhagic risk)
	*Metabolic acidosis		*Metabolic acidosis

	==Peritoneal Dialysis Complications==		==Peritoneal Dialysis Complications==
	*~~'''~~[[Peritoneal dialysis-associated peritonitis]]~~'''~~: cloudy effluent, abdominal pain, fever		*[[Peritoneal dialysis-associated peritonitis]]: cloudy effluent, abdominal pain, fever
	**Send peritoneal fluid for cell count, Gram stain, culture		**Send peritoneal fluid for cell count, Gram stain, culture
	**Empiric intraperitoneal antibiotics (vancomycin + ceftazidime or gentamicin)		**Empiric intraperitoneal antibiotics (vancomycin + ceftazidime or gentamicin)