title: Medical management of home hemodialysis patients.
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.
mesh_terms: D000740:Anemia / Q000209:etiology; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D001847:Bone Diseases / Q000209:etiology; D002318:Cardiovascular Diseases / Q000209:etiology; D007172:Erectile Dysfunction / Q000209:etiology; D005193:Family Planning Services; D005260:Female; D006437:Hemodialysis, Home / Q000009:adverse effects; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D001523:Mental Disorders / Q000209:etiology; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D004364:Pharmaceutical Preparations / Q000008:administration & dosage; D011320:Primary Health Care; D013315:Stress, Psychological
chemical_list: D004364:Pharmaceutical Preparations