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PubMed | Rural Health Development Program, Allamaiqbal Memorial Teaching Hospital and The University of Buckingham
Type: Journal Article | Journal: Journal of renal injury prevention | Year: 2014

It was not until mid nineties when UK (RAS) and US (K/DOQI) first launched the nutritional and biochemical standards for haemodialysis in patients with ESRF. The present case is related to a patient whos blood results diverged widely from the nutritional and biochemical standards set by the RAS. And how the multidisciplinary team with this patient aimed to achieve these standards.A 52-year old, staff nurse presented with end stage renal failure due to polycystic kidney disease with bilateral nephropathy, established on haemodialysis unusual inter-dialytic weight gains, often severe intradialytic cramps and hypotension to the point of being unresponsive. The patients high weight gain and high serum potassium and phosphate levels led to the patient being labelled non-compliant. Other contributing factors together with weight gains have to be explored.Renal health care professionals have guidelines which they can work with their patients. Outside target results should be investigated to ensure that patient receives the right treatment. Treatment modality and prescription have to be individualized according to the patients needs. Like this case it is worth considering other factors like events in the patients life cycle, personal, social and economical factors and staffs attitude may contribute to the perceived non-compliance.

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