Emergency Department Management of Patients With Complications of Dialysis | Points & Pearls
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Emergency Department Management of Patients With Complications of Dialysis

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Hemodialysis Complications

  • Complications of hemodialysis include hypotension (most common), dialysis disequilibrium, air embolism, hemolysis (from chloramine in the water supply of hemodialysis centers), venous needle dislodgement, and allergic reactions to dialysate or medications.
  • Patients with central venous catheters (CVCs) are at highest risk for bacteremia.15-18
  • Central venous stenosis (see Figure 4) may occur in 40%-50% of patients with a CVC, causing arm swelling, pain, varicose vein in the chest and neck, superior vena cava syndrome, and skin breakdown.
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Publication Information
Authors

Hemang Acharya, MD, MPH; Sabrina M. Tennant, MD; Kathleen Yip, MD

Peer Reviewed By

Richard Kwun, MD; (Shawn) Xun Zhong, MD

Publication Date

July 1, 2024

CME Expiration Date

July 1, 2027    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-B Credits.

Pub Med ID: 38904942

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