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Management - later

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

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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