instruction: hello doctor my father 70 years old is just recovering from a septic shock and amputation he has had is leg amputated below the knee he had an infected wound on his foot and fell into a septic shock he has kidney failure and needs dialysis his blood pressure dips too low during dialysis and it had to be aborted is there anything that can be done for him to keep his blood pressure up during dialysis his amputation wound is not healing can anything be done to promote wound healing could another amputation above the knee help the wound to heal
output: hello there are number of ways to try to avoid fall in blood pressure do not take blood pressure medicines prior to dialysis avoid eating during dialysis may be tell doctor to reduce his fluid removal on he reducing the dialysate temperature by 5 celcius or still issue persists can take tablet gutron midodrine 5 my tablet prior to dialysis and dose can be increased to 5 my regarding wound healing elderly take some time for wound to heal we can wait sometime and ensure adequate nutrition normal he and still problem persist can consult surgeon about further plan