CKD stage 5, under dialysis. Espogen 4000 recommended. Advise?
Patient: my father was diagnosed with CKD stage V and  is under dialysis thrice a week  since last 1 month. Doctor recommended Espogen 4000 thrice week. Per dialysis appox 1 ltr water is drained. I have 2 queries in this regard:\1) What it means to drain 1 ltr water, is it good or bad.2) Do we have to give the injection Espogen whole life???? Doctor: HiThanks for the query.1) Patients on dialysis do not pass adequate volume of urine. Therefore the excess fluids are removed or as you call "drained" on dialysis. Thus it is an essential part of dialysis; anywhere from 500ml to 4L of fluid may be removed as per the nephrologists' discretion.2) Espogen is used to increase hemoglobin. Once Hgb is >10gm/dl the dose may be reduced or stopped altogether.Hope this helps.Good luck.