The Curbsiders Internal Medicine Podcast #192 Dialysis for the Internist with Joel Topf MD
10 snips
Jan 27, 2020 AI Snips
Chapters
Transcript
Episode notes
Tangri Risk Formula Insight
- Use the Tangri renal risk formula to estimate dialysis risk within two years.
- Many patients with GFR near 18 have only about a 37% chance of dialysis soon, providing a longer runway.
Start Dialysis By Symptoms
- Start dialysis based on symptoms like uremia, weight loss, uncontrolled hypertension, or fluid overload.
- Avoid initiating dialysis solely on GFR values without symptoms.
Dialysis Types Simplified
- Explain dialysis types simply: transplant best, then peritoneal dialysis, then hemodialysis.
- Promote patient independence with peritoneal dialysis; it preserves residual kidney function longer than hemodialysis.