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Use of intraoperative hemodialysis for treatment of hyperkalemia in an ESRD patient.

The patient met all four of the expected outcomes using intraoperative hemodialysis with follow-up care in the intensive care unit for further stabilization of his condition. For the nephrology nurse, intraoperative hemodialysis adds a possible new dimension to the health care of an ESRD patient who requires surgery. Medically, it provides an alternative to the more common practice of preoperative and postoperative management. It provides the nephrology nurse with the opportunity to use theoretical knowledge as well as technical skills in a very fast-paced, high technology setting to confront a medical and surgical challenge.