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Management - later

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If nothing to date has worked it is probably best to discuss the problem with renal doctors.

Further management includes:

  • fluid balance
  • haemodialysis - which removes toxins and replenishes normal electrolyte levels, and can thus be fine tuned
  • haemofiltration - which removes fluid using a high flow membrane. This method can be used to take off lots of fluid off if pumped - using a pump to regulate the rate to about 200ml per minute, plus a clamp on filtrate line to improve backpressure. It is relatively simple to use in comparison to dialysis.

Dialysis is a hypotensive procedure, as is haemofiltration.

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