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Core IM | Internal Medicine Podcast

#209 Dialysis and Fluid Management: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Medicine, Health & Fitness, Education

4.81.2K Ratings

🗓️ 10 June 2026

⏱️ 34 minutes

🧾️ Download transcript

Summary

Why is fluid management the most important part of dialysis care? This episode explores the fundamentals of hemodialysis, why ESKD patients have unique physiology, and how volume overload, not just hypertension, drives many complications. Learn practical pearls on dry weight, sodium restriction, diuretics, and the strategies that can reduce hospitalizations and improve patient outcomes. 


🔹Sponsor: Oakstone CME

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🔹Transcript and Shownotes:  

02:49 | Pearl 1: Foundations of Dialysis

09:21 | Pearl 2: Distinct Physiology

11:42 | Pearl 3: Why is fluid management so important?

19:43 | Pearl 4: Fluid Management Pro-tips

25:31 | Pearl 5: Diuretics in Patients with Residual Kidney Function


Tags: CoreIM, Internal Medicine, Medical Education, Nephrology, Dialysis, End-stage kidney disease, Hypertension, Kidney Health, Dry Weight, Volume Overload



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Transcript

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0:00.0

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0:21.5

of your day. And here's a clip. If there's no obvious cause for the hematuria, then the patient

0:28.3

should undergo renal function testing, cystoscopy, and imaging, and then nephrologic evaluation,

0:35.5

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...

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