Dialysis ESRD

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Trace DC82-12

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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Smart phrases

EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.

.HD_DAY

ESRD/dialysis ({modality}, {schedule}): access {thrill/bruit/site}, limb protected (no BP/venipuncture), weight {## vs dry-weight target}, volume ({edema/lungs}), symptoms {none}, renal diet/binder {per order}, unit coordinated. Skilled access/volume assessment required daily. Supports Section O; renal goal {###}.

.HD_POST

Post-hemodialysis: tolerated {y}, intradialytic hypotension/cramping {none}, access site {no bleeding}, post weight {target}, BP {stable}, disequilibrium {none}, meds timed per order. Skilled post-dialysis assessment. Supports Section O.

.HD_COMPLICATION

{Overload / access thrombosis / PD peritonitis}: {details}. Dialysis unit + provider notified {urgently}; {access protected/effluent studies/schedule adjust}; monitoring; representative notified. Reassess {when}. Supports Section O.

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