End-Stage Renal Failure on Peritoneal Dialysis

You are asked to assess a 55 year old man with end-stage renal failure who currently uses peritoneal dialysis. You are seeing him in the pre-admission clinic prior to day surgery for dental extractions next week. Medications: Novorapid insulin 6U with breakfast, 8U with dinner Gliclazide modified release 60mg bd Linagliptin 5mg mane Paracetamol 1g qid Darbepoetin 40 mcg fortnightly Frusemide 250mg mane Metoprolol 25mg mane Pravastatin 10mg daily Aspirin 100mg mane Kidney vital vitamin – 1 mane Lanthanum carbonate (phosphate binder) – 1 tds Investigations included: FBC Fe studies Biochemistry ECG Echocardiogram report Cardiac angiogram report Dipyridamole stress echo report