What should the clinical team monitor for a patient with chronic renal failure who missed dialysis?

Monitoring for fluid and electrolyte problems is crucial for a patient with chronic renal failure who has missed dialysis. Dialysis plays a key role in removing excess fluid and waste products from the bloodstream, as the kidneys are unable to perform this function effectively. When a patient misses their scheduled dialysis, they are at significant risk of developing complications such as fluid overload, hyperkalemia (elevated potassium levels), and other electrolyte imbalances. These imbalances can lead to serious and potentially life-threatening conditions, including heart rhythm abnormalities and increased blood pressure.

In the context of renal failure, the body may struggle to regulate fluid status and electrolytes, meaning the clinical team should be vigilant in assessing for any changes that could indicate deterioration. Monitoring these parameters helps inform timely interventions and mitigates risks associated with missing dialysis.