#192 Dialysis for the Internist with Joel Topf MD
The Curbsiders Internal Medicine Podcast
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The Importance of Blood Pressure Medications During Dialysis
There's a frightening amount of literature looking at patient outcomes that are on mid-adren, and these patients do horrible. I think patients that are hypotensive that need a drug to support their blood pressure during dialysis are patients whose heart is doing poorly. And so that's definitely a warning sign. That's a sick person, and you don't want to make any mistakes on that patient because they're going to have trouble. Okay. So it sounds like we should really be letting the nephrologists dictate the blood pressure medications during dialysis. Once the patient's on dialysis, definitely collaborate them if we're going to be making a lot of changes.
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