Conference paper
TREATMENT OF A PATIENT WITH PSYCHOTIC DISORDER UNDERGOING HAEMODIALYSIS: A CASE REPORT
Arijana Turčin
orcid.org/0000-0003-1481-7284
; Psychiatric Hospital ˝Sveti Ivan˝, Zagreb, Croatia
Abstract
We report a case of a 35-year old male patient that was in treatment for chronic kidney failure for 20 years, with a personal
history of unsuccessful kidney transplantation and undergoing continuous haemodialysis. He had to be treated psychiatrically for the first time because of exacerbation of psychotic symptoms. He was hospitalized twice in succession, because of the severity of the psychotic symptoms that included imperative auditory hallucinations that also led to a serious suicidal attempt. The prescribed psychiatric therapy had to be adjusted in type, dosage and especially the time of administration as his psychiatric status fluctuated every two days in sync with the wash-out of medication due to haemodialysis. The choice of adequate psychotropic medication in a haemodialysed patient is limited and the regime of the drug administration is also very important for the success of treatment and achieving remission.
Keywords
psychotic disorder; chronic kidney failure; haemodialysis; antipsychotics
Hrčak ID:
262888
URI
Publication date:
22.7.2018.
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