The Dialysis Disequilibrium Syndrome (DDS) is less frequent today than in the past, but it can still occur in a patient with one or more risk factors.


Risk factors for a dialysis patient having the DSS:

(1) very high serum BUN (> 175 mg/dL)

(2) new patient just starting dialysis

(3) at either extreme for age (pediatric or elderly)

(4) severe metabolic acidosis

(5) pre-existing CNS disease


DSS should be suspected in any patient with neurological, visual or other symptoms during or soon after a dialysis session.


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