Dialysis disequilibrium syndrome: Difference between revisions
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==Workup== | ==Workup== | ||
*Diagnosis of exclusion ( | *Diagnosis of exclusion (rule out SDH, CVA) | ||
==Management== | ==Management== | ||
Revision as of 06:14, 31 July 2016
Background
- Clinical syndrome occurring at end of dialysis
- Occurs most commonly during initial dialysis or during hypercatabolic states
- Large solute clearances -> cerebral edema
Clinical Features
- nausea and vomiting, HTN; can progress to seizure, coma, death
Differential Diagnosis
Dialysis Complications
- Dialysis-associated hypotension
- Dialysis disequilibrium syndrome
- Air embolism
- Missed dialysis (pulmonary edema)
Workup
- Diagnosis of exclusion (rule out SDH, CVA)
Management
- Treat with mannitol