Case Presentation: A 35-year-old woman with a history of congenital renal dysplasia complicated by end stage renal disease (ESRD) on hemodialysis, chronic macrocytic anemia, and malnutrition with folate, vitamins B12 and A deficiencies, presented with fatigue, dyspnea, and new rash. One week prior to presentation, the patient started experiencing progressive dyspnea on exertion. At her […]

Background: In 2017, Emory University Hospital Midtown (EUHM) instituted fast track dialysis (FTD) which identified low risk patients in the emergency department (ED) in need of hemodialysis (HD) and provided it efficiently. The FTD development team consisted of hospital medicine, emergency medicine, nephrology, dialysis unit nursing, and ED nursing. This program showed a reduction in […]

Background: Missed doses have been associated with adverse outcomes and directly correlate to time off the floor. Pharmacist-assisted administration has decreased omitted doses. At Eskenazi Health, most patients requiring intermittent hemodialysis move to the dialysis unit for hemodialysis which occurs during standard medication administration times. As it relates to antihypertensives, some patients benefit from holding […]

Case Presentation: A 42-year-old female with a past medical history of end stage renal disease from focal segmental glomerulosclerosis on hemodialysis for the past four years, presented to her cardiologist with worsening dyspnea on exertion and a feeling of “increased fluid in her lungs”. An outpatient transthoracic echocardiogram (TTE) was obtained, which showed a normal […]