Special instructions for dialysis patient:

  1. Regular maintenance hemodialysis thrice weekly.

If patient has good urine output, stable renal functions, minimal symptoms, potassium and phosphorus are controlled and inter-dialytic weight gain Is not much than patient can come twice weekly.

  1. Good high protein low potassium diet
  2. Good physical activity.
  3. Regular investigation as per protocol.
  4. Vaccination as per protocol.
  5. Control of inter-dialytic weight gain.
  6. Care of Vascular access
  7. Care of dialysis catheter (avoid water soakage or soiling of catheter dressing).
  8. Fistula (no blood pressure measurements and intravenous pricks on fistula arm)