Answer Happy

YOU AND YOUR FRIENDS ARE TRAINING TO RUN THE AUCKLAND MARATHON How might long-distance running increase your risk of fluid and electrolyte imbalances? What interventions do you need to implement to maintain adequate fluid and electrolyte balance during training and on the day?

JAMES IS A 36 YEAR-OLD MAN WITH END STAGE RENAL FAILURE (ESRF) SECONDARY TO POLYCYSTIC KIDNEY DISEASE. HE IS ON HOME HAEMODIALYSIS, AWAITING A KIDNEY TRANSPLANT James is at increased risk of fluid and electrolyte imbalances, what will you assess? What fluid and food restrictions might be recommended for a patient in ESRF, and why?