DIALYSIS- INTRODUCTION- PPURPOSE-Nephrotoxins Cystic kidney diseases Diabetics Nephro pathy Hypertension contraindication 1.people with extremely serious diseases, low blood pressure or shock, should avoid it. 2.people got serious blood poisoning should not be take it 3.people who have take operation within 3days should not take it 4.people with severe anemia or bleeding tendency should not 5.People with malignant tumor TYPES OF DIALYSIS   {1} HEMODIALYSIS {2} PERITONEAL DIALYSIS

2. DIALYSIS
PRANATI PATRA

4. S/S

9. PURPOSE
• Nephrotoxins
• Cystic kidney diseases
• Diabetics
• Nephro pathy
• Hypertension

11. contraindication
1.people with extremely serious diseases, low blood pressure or
shock, should avoid it.
2.people got serious blood poisoning should not be take it
3.people who have take operation within 3days should not take it
4.people with severe anemia or bleeding tendency should not
5.People with malignant tumor

12. SCIENTIFIC
PRINCIPLES

14. ULTRAFILTRATION-
• ULTRAFILTRATION-
water removal from
blood due to a
pressure, gradient
across a membrane.

15. TYPES OF DIALYSIS
{1} HEMODIALYSIS
{2} PERITONEAL DIALYSIS

16. {1} HEMODIALYSIS
HD is also called dialysis or renal replacement therapy is a medical procedure
for receiving wastes and excess water from the body.

22. How does the dialyzer clean the blood
Inside the dialyzer or filter there are two sides- one for blood and
other for a fluids called dialysate.
A thin membrane separates these two sides blood cells,protein and
other important things remain in blood because they are too big to
pass through the membrane.smaller waste products,such as urea
and creatinine and extra fluid,more from your blood through the
membrane and are removed the composition of the dialysate or
cleansing fluids.

24. VASCULAR
ASSESS

25. A V FISTULA

30. EQUIPMENTS-

31. 1.Hemodialysis with appropriate dialyzer.

32. FISTULA NEEDLE

33. 3.BLOOD TUBING SET

34. 4.DIALYSATE

35. 5.IV solutions ,administration set, iv pole
6.inj heparin,3ml syringe with needle.

40. COMPLICATION
• Hyperpyrexia
• Dialysis disequilibrium syndrome[ headache, nausea,
restlessness, hypertension,muscle cramps,backache and
seizure.]
• Hypovolemia & hypotension
• Hyperglycemia and hypernatremia
• Cardiac arrhythmia
• Angina
• Hemolysis[chest pain ,dyspnea]

42. CONTINUOUS AMBULATORY PERITONEAL DIALYSIS
[ CAPD]

43. CONTINUOUS AMBULATORY PERITONEAL
DIALYSIS [ CAPD]
• Peritoneal dialysis is a treatment for kidney failure that uses
the lining of abdomen, or belly, to filter blood inside body.
Health care providers call this lining the peritoneum.

46. EQUIPMENTS

47. 1.Prescribed amount of dialysate[2liter bags
2. The 42’’ connective tubing with drain clamps.

50. • COMPLICATION
1.peritonitis
2.septicemia

51. ADVANTAGES
1.Provide more stable fluid & electrolyte level.
2.Helps to resume normal daily activities between
solution changes.
3.Less expensive than haemodialysis.

52. DISADVANTAGES
1.Recent abdominal surgery ,abdominal adhesion
2.Respiratory insufficiencies.

54. SUMMARY

56. BIBILIOGRAPHY
John T. Daugirdas, Peter G. Blake, Todd S. Ing “Handbook of
Dialysis”(2007),4th edition, Wolters Kluwer (India) publication, page
no: 59-88.
• 2. Nicola Thomas “Renal Nursing” (2008), 3rd edition, Elsevier
Publication, page no: 73-78, 181- 232
• 3. Allen R. Nissenson, Richrad N. Fine “Handbook of Dialysis Therapy”
(2009), 4th edition, Elsevier Publications, page no: 703-710, 1221-
1225.
• 4.Lippincott “Manual of Nursing Practice” (2009), 10th edition,
Wolters Kluwer (India) publication, page no: 785-788