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Preparing for HD
- Prioritize AV fistula placement for HD patients, consulting a vascular surgeon early.
- Implement arm precautions in the chosen arm to protect future access.
Preparing for PD
- Consult a surgeon early for potential hernia repair before PD catheter insertion.
- PD catheters are ideally placed two weeks before anticipated PD initiation.
Emergent HD Management
- In emergent HD, aim for gentler initial dialysis to avoid disequilibrium syndrome.
- Increase clearance gradually in subsequent sessions for better BUN and potassium control.