Pruritus Treatment Algorithm for Hemodialysis Patients ...
969
Description

Pruritus Treatment Algorithm for Hemodialysis Patients 



Non-PharmacoIogicaI Measures 

 • Use gentle soap e.g. Dove 

 • Apply soap only to axillae and groin/perineum (except if other areas such as arms or legs are visibly dirty) 

 • Avoid excessive bathing or bathing with hot water - use only lukewarm water 

 • Eliminate wool or irritating clothing 

 • Keep finger nails trimmed 

 • For dry skin, apply moisturizing cream (NOT lotion) BID and after bathing, e.g. glaxal base. Uremoli cream. Nivea' Cream. Creamy Vaseline



Generalized Itchiness 

Oral antihistamine 

 • Hydroxyzine10 mg PO TID PRN; titrate by 10-25 mg weekly to a maximum of 25 mg PO QID as tolerated 

 • Diphenhydramine 25 mg PO BID-TID PRN. titrate by 25 mg weekly to maximum of 25 mg PO QID as tolerated 

Gabapentin 100 mg PO post HD (titrate by 100 mg weekly up to a maximum 300 mg PO HS as tolerated) 



#Pruritus #Treatment #Algorithm #Hemodialysis #Uremic #Uremia #Management #Nephrology #CKD
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
0 Comments

Related content