Conversation: The conversation between human and AI assistant.
[|Human|] hi, my mother-in-law is on dialysis for about one year at the start of dialysis she was in good health but she is getting down and down very low energy level, loss of appetite and extreme weakness that all the time she is on the bed. she has a dialysis twice a week.i am so much worried about her can u please help me out in this regard?
[|AI|]  Hi I have understood your concern probabilities of her problems are1.insufficient dialysis, maybe she needs weekly thrice dialysis2.anemia secondary to chronic kidney disease3.vitamin deficiencies, during dialysis water-soluble vitamins lost.4.electrolyte imbalances like hypophosphatemia, hypo and hyperkalemia.I can suggest you to check1. Serum sodium, potassium,phosphate and calcium2.hemoglobin levelstreatment1.if hemoglobin is less than 8 GMS she needs transfusion.2.supplement her with becosules3.depending upon serum electrolytes she needs correction4.depending upon her volume status , acid levels and creatinine she may need weekly 3 times dialysis.