Achieve a target Kt/V level - Optimize Ca-P-PTH levels Control for vitamin deficits - Control for nutritional status
Consider starting dialysis or increase dialysis frequency or duration Achieve a target Kt/V level - Optimize Ca-P-PTH levels
Control for vitamin deficits - Control for nutritional status
Consider starting dialysis or increase dialysis frequency or duration Optimize skin care - use topical agents
Consider psychological support Optimize skin care - use topical agents
Consider psychological support
Reduce polypharmacy Reduce polypharmacy
Hemoperfusion Oral charcoal
Gabapentin Sertraline
Oral antihistamines Hemoperfusion
Oral charcoal Gabapentin
Sertraline
Oral antihistamines
Uremic toxins – Hyperparathyroidism - Skin xerosis – Immune mediated – Opioid imbalance – Peripheral neuropathy - Increased histamine release Uremic toxins – Hyperparathyroidism - Skin xerosis – Immune mediated –
Opioid imbalance – Peripheral neuropathy - Increased histamine release Differential
Diagnosis
Intensive ESRD Treatment
Optimal Care Support Re-consider Medications
Possible Specific Treatments
