A 69-year-old man with ESKD chooses active supportive care rather than dialysis. He has distressing uraemic pruritus, insomnia and restless legs;

Question

A 69-year-old man with ESKD chooses active supportive care rather than dialysis. He has distressing uraemic pruritus, insomnia and restless legs; phosphate is 2.1 mmol/L and calcium is 2.32 mmol/L. Skin is dry without rash and there is no cholestasis. What is the most appropriate management?

Accepted Answer

Optimise emollients, phosphate control and symptom-directed therapy

Answer

End renal clinic follow-up

Answer

Prescribe high-dose NSAID for itch

Answer

Start dialysis without further discussion

Answer

Give empirical chemotherapy

Uraemic pruritus in conservative care — ESENeph MCQ

A 69-year-old man with ESKD chooses active supportive care rather than dialysis. He has distressing uraemic pruritus, insomnia and restless legs; phosphate is 2.1 mmol/L and calcium is 2.32 mmol/L. Skin is dry without rash and there is no cholestasis. What is the most appropriate management?