Medical Management of Home Hemodialysis Patients

  1. Capt LUCIUS F. WRIGHT; and
  2. Lt Col W. DUKE MYERS
  1. MC, USA
  2. MC, USA;
    Fort Sam Houston, Texas

    Abstract

    Increased emphasis on home hemodialysis because of proposed changes in federal funding will result in dispersion of dialysis patients to areas geographically removed from a dialysis unit. Thus primary care of these patients will increasingly become the responsibility of physicians having little previous contact with dialysis. We review the diagnosis and treatment of common problems in the dialysis patient with emphasis on the major problem areas of vascular access and the cardiovascular, hematologic, and osseous complications of renal failure.

    Article and Author Information

    • ▸From the Nephrology Service, Department of Medicine, Brooke Army Medical Center; Fort Sam Houston, Texas.

    • ▸Requests for reprints should be addressed to Lucius F. Wright, M.D.; Nephrology Service, Department of Medicine, Brooke Army Medical Center; Fort Sam Houston, TX 78234.

      • Received May 10, 1978.
      • Accepted May 17, 1978.
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    This Article

    1. Ann Intern Med September 1, 1978 vol. 89 no. 3 367-372
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