Asked • 04/24/19

Uremic encephalopathy, diabetes, and halucinations?

I'm in highschool, interested in patient diagnosis and treatment and that's why I'm asking this question.I've recently heard about a patient with end-stage uremic encephalopathy and diabetes. He has delirium and he stoped dialytic therapy because of his halucinations (he ripped off the medical equipment). He had been going to dialys three times a week for 15 years. He has about 70 years old. He doesn't present any signs of dementia.I assumed halucinations started because of the higher level of urea.Anti-pshichotic didn't worked on him.Without dialys theraphy, he'd probably die in a few days.I'm really interested in this case and curious about the treatment. Isn't something left to do?All the best!

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