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End-Stage Renal Disease

Ankur Shah, MD Reviewed 04/2024
 


BASICS

  • End-stage renal disease (ESRD), the last stage of kidney disease, is defined as kidney disease that has progressed to the requirement of kidney replacement therapy, which can be hemodialysis, p...

DIAGNOSIS

The diagnosis of ESRD is made in the setting of irreversible kidney damage requiring renal replacement therapy. Patients requiring dialysis who are thought to potentially have recovery are t...

TREATMENT

GENERAL MEASURES

  • In hemodialysis, the bloodstream is cannulated, and blood is extracted from the body where it passes through a dialyzer that has a blood compartment, a compartment for a flui...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patients receiving hemodialysis are seen thrice weekly in the dialysis unit by dialysis nurses and typically weekly by a nephrologist. Patients receiving peritone...

REFERENCES

1
Flythe JE, Chang TI, Gallagher MP, et al. Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. K...

SEE ALSO

  • Anuria or oliguria

  • Renal insufficiency

  • Chronic kidney disease

CLINICAL PEARLS

  • Patients with ESRD are a distinct population from those with CKD.

  • ESRD is associated with significant morbidity and mortality.

  • Hemodialysis and peritoneal dialysis are equal therapies fo...

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