Labs including chemistries, WBC count and coagulation studies.
All of these should be closely monitored.
Frequent vital signs (including temperature) before, during and after procedure
Weight before and after the procedure (same time every day).
All of these are concerns in PD.
Hyperglycemia and increased triglyceride levels.
Protein Losses (may need extra protein)
Peritonitis and catheter infection
Delirium is associated with ESRD in the elderly.
Elderly patients require a MAP of 50-55 to maintain renal perfusion
Delirium is often the presenting sign of UTI in the elderly.
Delirium almost always necessitates that the patient be catheterized to prevent incontinence.
Increased hematocrit and hemoglobin
Decreased hematocrit and hemoglobin Increased calcium
Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Recurrent urinary tract infections including pyelonephritis
Acute renal failure
DM (with uncontrolled glucoses)
Glucose, fluids, magnesium and calcium.
Fluid, sodium, calcium and glucose.
There are no restrictions at this phase of renal disease.
Protein, fluids, K+, Phosphorous.
This is often due to a drop in antidiuretic hormone post transplant
Immunosuppressive medications have a side effect of diures
This may be an early sign of rejection, treat it with concern.
The kidneys have improved clearance of BUN, which acts as an osmotic diuretic.
Correct renal dysfunction.
Remove protein from the blood.
Remove drugs from the blood.
Correct imbalances of fluid, electrolytes and acid-base
The patient with stage 1 renal failure.
The patient with a UTI.
The patient with glomerulonephritis.
The patient who is going to be a transplant donor.