Pulmonary edema in the renal failure patient

Gehm, Lisa; Propp, Douglas A.

doi:10.1016/0735-6757(89)90182-4

Cited by 9 publications

(3 citation statements)

References 18 publications

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“…Managing fluid status in dialysis patients is a challenge due to dialysis patients usually oliguric or anuric [13]. This report suggests that fluid overload between dialysis sessions is really common and causes adverse outcomes of respiratory and heart failure [14].…”

Section: Treatmentmentioning

confidence: 97%

Challenging Diagnosis of Respiratory Effects in a Patient with Chronic Kidney Disease (CKD) Admitted into the Intensive Care Unit

Pervin¹

2020

JAICM

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Respiratory complication in CKD patients is the major cause to increase the frequency of hospitalization and acute respiratory distress in a patient with CKD is the most prevalent cause of emergency calls usually in ICU. Intensive care unit has generally focused on dialysis to maintain the renal function and on their clinical course of respiratory distress, but the most demanding diagnosis of these comorbidities was unrevealed. Diagnosis of respiratory complications in CKD patients is usually incorporated on clinical presentation and chest radiograph, which exhibits similar characteristics in most of the cases like pulmonary edema, pneumonia, and pleural effusion. The objective of this study is to evaluate the clinical parameter of respiratory complications to correlate with patient history and elucidating diagnostic challenges in a patient with CKD. In this case study, we manifested respiratory complications in a chronic dialysis patient who suddenly developed acute respiratory distress. Her clinical features and radiology results were ambiguous to make an absolute diagnosis of respiratory distress. It is demanding to get a clear picture of respiratory complications because once the diagnosis is made then it is satisfactory to establish the standard treatment protocol for this patient.

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Section: Treatmentmentioning

confidence: 97%

Challenging Diagnosis of Respiratory Effects in a Patient with Chronic Kidney Disease (CKD) Admitted into the Intensive Care Unit

Pervin¹

2020

JAICM

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“…With these measures, most patients improve symptomatically and may remain comfortable for several hours until dialysis can be arranged (96). Oral sorbitol can ameliorate pulmonary edema by shifting fluid into the gut (97,98); it is rarely used because of the copious diarrhea produced. Phlebotomy may be beneficial in refractory cases (99), but rotating tourniquets are of questionable effectiveness and should not be used (96,98).…”

Section: Abuelomentioning

confidence: 99%

“…Oral sorbitol can ameliorate pulmonary edema by shifting fluid into the gut (97,98); it is rarely used because of the copious diarrhea produced. Phlebotomy may be beneficial in refractory cases (99), but rotating tourniquets are of questionable effectiveness and should not be used (96,98). Furosemide has been given to anuric patients to increase venous capacitance; due to the briefness of any symptomatic relief, this treatment is usually not helpful.…”

Section: Abuelomentioning

confidence: 99%