Question

An elderly patient with multiple medical problems has been admitted to your care in the intensive-care unit. The patient is in a persistent vegetative state sccondary to anoxic encephalopathy and has now devcloped sepsis, hypotension, gastrointestinal bleeding, and respiratory failure requiring intubation. There is no improvement expected in the underlying severe brain damage. Renal failure develops to the point of needing dialysis but you feel the dialysis would be completely futile. Which of the following is the most appropriate step in management? a. Hemodialysis b. Peritoneal dialysis c. Renal transplantation d. Give albumin e. Recommend that dialysis not be performed

   An elderly patient with multiple medical problems has been admitted to your care in the intensive-care unit. The patient is in a persistent vegetative state sccondary to anoxic encephalopathy and has now devcloped sepsis, hypotension, gastrointestinal bleeding, and respiratory failure requiring intubation. There is no improvement expected in the underlying severe brain damage. Renal failure develops to the point of needing dialysis but you feel the dialysis would be completely futile.
Which of the following is the most appropriate step in management?
a. Hemodialysis
b. Peritoneal dialysis
c. Renal transplantation
d. Give albumin
e. Recommend that dialysis not be performed

Medical Ethics for the Boards

Conrad Fischer 3rd Edition

Chapter 1, Problem 86

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Step 1: Assess the patient's current medical condition, which includes being in a persistent vegetative state due to anoxic encephalopathy, and the presence of sepsis, hypotension, gastrointestinal bleeding, respiratory failure requiring intubation, and now renal Show more…

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An elderly patient with multiple medical problems has been admitted to your care in the intensive-care unit. The patient is in a persistent vegetative state sccondary to anoxic encephalopathy and has now devcloped sepsis, hypotension, gastrointestinal bleeding, and respiratory failure requiring intubation. There is no improvement expected in the underlying severe brain damage. Renal failure develops to the point of needing dialysis but you feel the dialysis would be completely futile. Which of the following is the most appropriate step in management? a. Hemodialysis b. Peritoneal dialysis c. Renal transplantation d. Give albumin e. Recommend that dialysis not be performed

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