Fluid overload between sessions: a weight gain above the interdialytic target with new edema, bibasilar crackles, and mild dyspnea — concerning for volume overload before the next session. The dialysis unit and provider notified, fluid and sodium reviewed, the resident monitored for respiratory and cardiac change, and any schedule adjustment coordinated; the responsible party notified. Will reassess; supports the Section O update. Skilled recognition and management required. (Cardiac overload routes to the Cardiovascular reference and CHF overlay.)
Model abnormal 2
Access complication or PD peritonitis: the AV fistula without a palpable thrill or audible bruit (access thrombosis), or bleeding from the access, or — for peritoneal dialysis — a cloudy effluent with abdominal pain and fever (peritonitis). The dialysis unit and provider notified urgently, the access protected or the PD effluent sent per order, empiric management coordinated per order, and the resident monitored; the responsible party notified. Will reassess; supports the Section O update. Skilled recognition required, as access loss and PD peritonitis are time-critical.
