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ID 34992
file
creator
Nakatani, Hajime
Shoji, Hajime
Shibata, Mari
Yoshida, Mayumi
Tadokoro, Yuka
Ogura, Nozomi
Inoue, Yuichiro
Hanazaki, Kazuhiro
Hamada, Shinichi
Kawamura, Akihiro
subject
Hemodialysis
Dry weight
Tube feeding
Nutrition support team
NDC
Medical sciences
abstract
Patients on long-term hemodialysis are at risk of developing malnutrition,and poor nutrient intake is an important factor in this. In the present case, we encountered a 55-year-old Japanese woman with end-stage renal failure and a past history of schizophrenia. Severe systemic edema was observed. Hemodialysis was started, but after one year she suddenly became unable to consume food orally, despite provision of a dietary plan by the nutrition support team (NST). Tube feeding was eventually implemented. Because the systemic edema did not improve, we decided to remove body fluid by intense hemodialysis. Hypotension was often observed during this hemodialysis, requiring dopamine. Over approximately 2 months, the patient's dry weight fell from 73 kg to 62 kg, the patient's activity improved and she became able to eat orally again, allowing tube feeding to be stopped. Although the reason for the sudden anorexia has not been clarified, tube feeding and dry weight control was successful in the treatment of this malnourished hemodialysis patient.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 60
issue
Issue 2
start page
37
end page
39
date of issued
2011-06
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
rights
(c) Hiroshima University Medical Press.
department
Graduate School of Biomedical Science
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