Dialysis

1. CHAKRADHAR HOSPITALS
ICU NURSING

2. DIALYSIS
• Dialysis is the procedure to remove
waste materials and toxic substances
and to restore normal volume and
composition of body fluid in severe
renal failure.
• It is also called hemodialysis.

3. ARTIFICIAL KIDNEY
To treat the patients suffering from:
1. Acute renal failure
Slow Low-efficiency Dialysis (SLED)
2. Chronic or permanent renal failure.
Continuous Renal Replacement Therapies
(CRRTs

4. principle
diffusion of solutes from an area of higher
concentration to the area of lower
concentration, through a semipermeable
membrane

5. Parts of dialysis
• Dialyzer Hemofilter
• Cellophane Membranes
• Dialysate
• Blood Delivery System
• Dialysis Access
• Creation of A V FISTULA

6. FREQUENCY AND DURATION OF
DIALYSIS
• Dialysis is done usually thrice a week in
severe uremia. Each time,
• the artificialkidney is used for about 6 hours.
PERITONEAL DIALYSIS

9. Criteria for initiating patients
• Uremic symptoms,
• Unresponsive hyperkalemia
• Persistent extracellular volume expansion
despite diuretic therapy,
• Acidosis refractory to medical therapy,
• A bleeding diathesis,
• And A creatinine clearance or estimated
glomerular filtration rate

10. ESRD
• Continuous Ambulatory Peritoneal Dialysis
(CAPD)
• Continuous Cyclic Peritoneal Dialysis (CCPD);
• Transplantation

11. COMPLICATIONS OF DIALYSIS
Hypotension
Muscle cramps
Cardiovascular diseases
Sleep disorders
Anxiety
Depression.