Promoting Excellence : Symptom Management Allgorythm for Chronic Kidney Disease

Name:
Renal Palliative Care Initiative: Symptom Management Allgorythm for Chronic Kidney Disease

Description:
This is a chart of commonly occurring symptoms experienced by patients of end stage renal disease, and recommended treatments.

Category:
Clinical Care Tools - Symptom Management

Source:
Renal Palliative Care Initiative
Baystate Medical Center
759 Chestnut Street S2669
Springfield, MA 01199

Contact:
Michael Germain, M.D.
Michael.germain@bhs.org

How the grantee used this instrument:
This chart was made available at the clinics and renal unit nursing stations.

Keywords:
esrd, end stage renal disease, dialysis, kidney disease, symptom assessment

To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.

References:

1. Ponticelli, C., Bencini, P.L., "Uremic Pruritis: A Review Nephron" 1992;60:1-5
2. Roca, A.O., et al, "Efficacy of Quinine Versus Vitamin E" American Society for Artificial Internal Organs Journal, 1992; 38: M481-M485
3. Lin, S et al, "Effect of Pramipexole in Treatment of Resistant Restless Legs Syndrome." Mayo Clinic Proc 1998 73:497-500
4. Ponticelli, C., Bencini, P.L., Uremic Pruritis: A Review Nephron 1992;60:1-5
5. Morton, C., Lafferty, M., Hau, C., Henderson, I., Jones, M. & Lowe, J. (1996). "Pruritis and skin hydration during dialysis." Nephrology, Dialysis, Transplantation, 11, 2031 2036.
6. Giovanetti, S., Barsotti, G., Cupisti, A. (1995). "Oral activated charcoal in patients with uremic pruritus." Nephron, 70,193-196
7. Schultz, B. & Roenigk, K. (1980). "Uremic pruritus treated with ultraviolet light." Journal of the American Medical Association
8. Tapia, L, Cheigh, H., David, D. (1977). "Pruritus in dialysis patients treated with parenteral lidocaine." New England Journal of Medicine, 296, 261-262.
9. Francos, G., Kauh, V.,Grittlen, S. (1991). "Elevated plasma histamine in chronic uremia effects of ketotifen on pruritus." International Journal of Dermatology, 30. 884-889.
10. Silva S. et al, "Thalidomide for the Treatment of Uremic Pruritis: A Crossover Randomized Double-Blind Trial," Nephron, 1994:67:270-273
11. Grattan, C.E.H., et al, "Plasmapheresis for Severe, Unremitting, Chronic Uticaria." Lancet, 1992;339:1078-1080
12. Balaskas, E., Bamihas, G., Karamouzis, M., Voyiatzis, G. & Tourkantonis, A. (1998). "Histamine and serotonin in uremic pruritus: effect of ondansetron in CAPD-pruritic patients." Nephron, 78, 395-402
13. Peer, G., Kivity, s., Agami, O., Fireman, E., Silverberg, D., Blum, M. & Ianina, A. (1996). "Randomized crossover trial of naltrexone in uraemic pruritus." Lancet, 348, 1552-1554
14. Grattan, C.E.H., et al, "Plasmapheresis for Severe, Unremitting, Chronic Uticaria." Lancet,1992;339:1078-1080
15. Bonomini, V., Coli, L., Scolari, M.P. "Profiling Dialysis: A New Approach To Dialysis Intolerance " Nephron, 1997;75:1-6
16. Fang, J, Huang, C. "Midodrine in Patients on Hemodialysis with Chronic Hypotension Renal Failure," 1996;18:253-260
17. Dheenan, S. et al, "Effects of Sertraline on Dialysis Hypotension." American Journal of Kidney Disease, 1998;31:624-630
18. Boccanfuso, J.A. et al (2000). "The effects of megestrol acetate on nutritional parameters in a dialysis population." Journal of Renal Nutrition, 10, 36-43.

To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.
PDF 135 KB / 3 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted April 2004

Baystate Medical Center overview page

# BMC17, type:symptom_management

Promoting Excellence in End-of-Life Care is a national program of The Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit PromotingExcellence.org for more resources.