Breathlessness worsened by haemodialysis

Rizna Abdul Cader, Kanagerajan Thoriappa, Rozita Mohd, Wei Yen Kong, Ruslinda Mustafar, Lydia Kamaruzaman

Research output: Contribution to journalArticle

Abstract

A 54 year old lady with underlying chronic lung disease on long term oxygen therapy and end stage renal disease of unknown aetiology on regular haemodialysis for two years started developing progressive shortness of breath during her routine haemodialysis. She was unable to tolerate her haemodialysis sessions which had to be terminated prematurely in view of her symptoms despite adjustment of her dry weight and treatment of anaemia. She was not in chronic fluid overload and her symptoms always worsened after initiation of haemodialysis and improved after termination of haemodialysis. She was admitted to hospital for further investigations and initially treated for a lung infection but her symptoms did not improve. A computed tomography pulmonary angiography did not reveal any evidence of pulmonary embolism, and was consistent with chronic fibrotic changes. Her hypoxemia was concluded to be due to her underlying chronic lung disease, worsened by alveolar hypoventilation during haemodialysis. Her symptoms improved slightly with supplemental oxygen during her routine haemodialysis but we had to shorten her haemodialysis duration to 3 hours.

Original languageEnglish
Pages (from-to)6-8
Number of pages3
JournalRespiratory Medicine Case Reports
Volume26
DOIs
Publication statusPublished - 1 Jan 2019

Fingerprint

Dyspnea
Renal Dialysis
Lung Diseases
Chronic Disease
Oxygen
Hypoventilation
Lung
Pulmonary Embolism
Chronic Kidney Failure
Anemia
Weights and Measures
Therapeutics
Infection

Keywords

  • Chronic lung disease
  • End stage renal disease
  • Haemodialysis
  • Hypoventilation
  • Hypoxemia

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Breathlessness worsened by haemodialysis. / Abdul Cader, Rizna; Thoriappa, Kanagerajan; Mohd, Rozita; Kong, Wei Yen; Mustafar, Ruslinda; Kamaruzaman, Lydia.

In: Respiratory Medicine Case Reports, Vol. 26, 01.01.2019, p. 6-8.

Research output: Contribution to journalArticle

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