Providers and doctors who fail to recognize this are responsible for the high death statistics. A perfect ex. of this was a day I spent in dialysis recently following a holiday.
Most patients overdo the diet and fluid limitations on holidays just as regular people do.
On my shift, virtually every single patient excluding me, came in greatly fluid overloaded and I watched from my chair as they all crashed, one by one. Another patient was screaming bloody murder as he figures that's one way to get off when the cramps get so bad he can't stand it another second. So that was his way of acting out his fluid overload. Can you imagine, he wants off each tx when his body is wracked with pain, and we have to listen to the poorly trained, ignorance gone to seed staff, coax him every time to just stay on longer so he'll at leaste get more off. Another patient never even made it into the tx as she was ordered to go to the emergency with a high fever and didnt know, you dont go to dialysis, you go to the hospital for that.