18 Use Of Peritoneal Dialysis For The Treatment Of Acute Renal Failure
•Download as PPT, PDF•
7 likes•1,667 views
1) Acute peritoneal dialysis (PD) is an option for treating selected acute renal failure patients, especially those who are hemodynamically unstable or have coagulation abnormalities. 2) A study compared PD to hemofiltration for acute renal failure patients with malaria or sepsis in Vietnam and found that hemofiltration corrected metabolic abnormalities faster and had lower mortality. 3) The poorer outcomes with PD may have been due to its less optimal technique in this setting, with slower solute removal compared to hemofiltration.
Report
Share
Report
Share
![Commonly Used Definitions of ARF ,[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recommended
PD prescription
This document discusses prescribing acute and chronic peritoneal dialysis. For acute PD, it recommends using a Tenckhoff catheter and automated cyclers. Exchanges should be hourly with 2L volumes. Clearance is monitored using BUN levels and D:P ratios. Complications include abdominal distention and peritonitis. For chronic PD, clearance targets are a Kt/V of 1.7 per week. Prescriptions are based on residual renal function, transporter status, and body size. CAPD and APD are both options depending on lifestyle. Clearance can be increased by optimizing exchange volumes, frequency, and solution tonicity.
Acute peritoneal dialysis prescription
This document discusses acute peritoneal dialysis. It notes that acute peritoneal dialysis provides a non-vascular alternative for dialysis that can be used in intensive care settings and is less expensive than other options. The advantages are that it is simpler than other dialysis methods and does not require specialized equipment or anticoagulation. However, it is less efficient than hemodialysis for acute issues and can cause substantial protein losses. Prescribing considerations include session length, exchange volume and time, dialysis solution dextrose concentration and additives, and monitoring fluid balance and clearance. Complications can include abdominal distention, peritonitis, hypotension, hyperglycemia, and hypoalbuminemia.
11 Peritoneal Dialysis
This document provides an overview of peritoneal dialysis, including:
1. The principles of peritoneal dialysis, which uses the peritoneum as a semipermeable membrane for diffusion and convection of fluids and solutes.
2. The types of peritoneal dialysis solutions and catheters used, as well as factors that influence ultrafiltration.
3. Methods for assessing peritoneal function and dialysis adequacy, along with the complications that can arise with long-term peritoneal dialysis.
Peritoneal dialysis by Dr. Basil Tumaini
Peritoneal dialysis by Dr. Basil Tumaini, prepared for nephrology lecture during the residency in Internal medicine at Muhimbili University of Health and Allied Sciences
Perspectives in Peritoneal Dialysis
Updated Nephrology Trainee Seminar Presentation on the Qualitative Aspects of Peritoneal Dialysis - September 2014
Patient selection and training for peritoneal dialysis
This document discusses key considerations in assessing patients for peritoneal dialysis and initiating the therapy. It addresses issues like timing of catheter placement, adequacy of training, and management of early complications. Selection of appropriate patients and initiation of peritoneal dialysis is positioned as a multidisciplinary task requiring close monitoring by the renal team. Placement of the catheter 4-5 weeks before starting therapy and adherence to protocols for catheter care and training are emphasized.
Renal replacement in children
This document discusses various modalities of renal replacement therapy in children including peritoneal dialysis, hemodialysis, and continuous renal replacement therapy. It provides details on the principles, procedures, indications, and complications of each modality. The key points are:
- Renal replacement therapy helps clear accumulated solutes, water, or toxins from the blood via diffusion or convection across a semipermeable membrane.
- Peritoneal dialysis can be performed manually or with a machine and involves exchanging dialysate fluid into the peritoneal cavity. Hemodialysis uses an artificial kidney to filter blood outside the body. Continuous renal replacement therapy provides prolonged dialysis without interruption that is better tolerated in critically ill
Pd intervention-1
This document provides information about peritoneal dialysis (PD), including:
- An overview of PD, how it works, and the components of PD fluid.
- Details on different PD modalities, principles of exchanges, and factors in patient selection.
- Complications of PD like peritonitis and their treatment, as well as non-infectious complications.
- The PD program at Mansoura International Hospital, including patient education, catheter insertion, and home visits.
Recommended
PD prescription
This document discusses prescribing acute and chronic peritoneal dialysis. For acute PD, it recommends using a Tenckhoff catheter and automated cyclers. Exchanges should be hourly with 2L volumes. Clearance is monitored using BUN levels and D:P ratios. Complications include abdominal distention and peritonitis. For chronic PD, clearance targets are a Kt/V of 1.7 per week. Prescriptions are based on residual renal function, transporter status, and body size. CAPD and APD are both options depending on lifestyle. Clearance can be increased by optimizing exchange volumes, frequency, and solution tonicity.
Acute peritoneal dialysis prescription
This document discusses acute peritoneal dialysis. It notes that acute peritoneal dialysis provides a non-vascular alternative for dialysis that can be used in intensive care settings and is less expensive than other options. The advantages are that it is simpler than other dialysis methods and does not require specialized equipment or anticoagulation. However, it is less efficient than hemodialysis for acute issues and can cause substantial protein losses. Prescribing considerations include session length, exchange volume and time, dialysis solution dextrose concentration and additives, and monitoring fluid balance and clearance. Complications can include abdominal distention, peritonitis, hypotension, hyperglycemia, and hypoalbuminemia.
11 Peritoneal Dialysis
This document provides an overview of peritoneal dialysis, including:
1. The principles of peritoneal dialysis, which uses the peritoneum as a semipermeable membrane for diffusion and convection of fluids and solutes.
2. The types of peritoneal dialysis solutions and catheters used, as well as factors that influence ultrafiltration.
3. Methods for assessing peritoneal function and dialysis adequacy, along with the complications that can arise with long-term peritoneal dialysis.
Peritoneal dialysis by Dr. Basil Tumaini
Peritoneal dialysis by Dr. Basil Tumaini, prepared for nephrology lecture during the residency in Internal medicine at Muhimbili University of Health and Allied Sciences
Perspectives in Peritoneal Dialysis
Updated Nephrology Trainee Seminar Presentation on the Qualitative Aspects of Peritoneal Dialysis - September 2014
Patient selection and training for peritoneal dialysis
This document discusses key considerations in assessing patients for peritoneal dialysis and initiating the therapy. It addresses issues like timing of catheter placement, adequacy of training, and management of early complications. Selection of appropriate patients and initiation of peritoneal dialysis is positioned as a multidisciplinary task requiring close monitoring by the renal team. Placement of the catheter 4-5 weeks before starting therapy and adherence to protocols for catheter care and training are emphasized.
Renal replacement in children
This document discusses various modalities of renal replacement therapy in children including peritoneal dialysis, hemodialysis, and continuous renal replacement therapy. It provides details on the principles, procedures, indications, and complications of each modality. The key points are:
- Renal replacement therapy helps clear accumulated solutes, water, or toxins from the blood via diffusion or convection across a semipermeable membrane.
- Peritoneal dialysis can be performed manually or with a machine and involves exchanging dialysate fluid into the peritoneal cavity. Hemodialysis uses an artificial kidney to filter blood outside the body. Continuous renal replacement therapy provides prolonged dialysis without interruption that is better tolerated in critically ill
Pd intervention-1
This document provides information about peritoneal dialysis (PD), including:
- An overview of PD, how it works, and the components of PD fluid.
- Details on different PD modalities, principles of exchanges, and factors in patient selection.
- Complications of PD like peritonitis and their treatment, as well as non-infectious complications.
- The PD program at Mansoura International Hospital, including patient education, catheter insertion, and home visits.
Icm peritoneal dialysis 234
Peritoneal dialysis involves exchanging dialysis fluid into the peritoneal cavity through a catheter to remove waste and excess fluid. There are different types of peritoneal dialysis including continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD). A peritoneal equilibration test (PET) determines a patient's transporter status which guides the best dialysis regimen. High transporters have faster fluid and waste removal but poorer fluid status. New dialysis solutions aim to reduce glucose absorption and improve fluid management.
Overview of peritoneal dialysis
This document provides an overview of peritoneal dialysis, including:
1. Peritoneal dialysis removes waste and fluid from the blood through diffusion and ultrafiltration across the peritoneal membrane in the abdomen.
2. The peritoneal membrane contains pores that allow transport of water, small solutes, and macromolecules. Transport is assessed through the peritoneal equilibration test.
3. Prescriptions are tailored based on membrane transport characteristics, with more frequent exchanges for high transporters to optimize fluid removal and clearance of waste.
How to improve Peritoneal dialysis adequacy
Peritoneal dialysis , guidelines , cases , , history of adequacy , Optimum dialysis , clinical cases , Clinical Questions , practical calculation , CCPD , CAPD , Kt/V
Fluid management in pd patient
This document summarizes key aspects of fluid management in peritoneal dialysis (PD) patients. It discusses optimizing PD prescriptions to balance adequate solute clearance while avoiding excess dialysis fluid exposure. Factors like residual renal function, membrane characteristics, fill volume and dwell time are considered. Monitoring adequacy includes measuring clearances and adjusting therapy if targets are not met. Guidelines recommend strategies to preserve renal function like ACEi/ARB use and avoiding dehydration.
Peritoneal dialysis in children
خلاصه:
دیالیز صفاقی یکی از روش های درمانی جایگزین در کودکان با نارسایی مزمن و شدید کلیه می باشد . روش ساده ای است که بدون وابستگی به مرکز میتوان در منزل انجام داد و به فعالیتهای معمول ادامه داد. در این روش کاتتر دیالیز که تنکوف می باشد و معمولا انتهای پیچ خورده ای دارد و گردن خروجی ان به صورت خمیده می باشد به روش جراحی یا در کنار تخت بیمار کاتتر وارد شکم و به طرف پشت مثانه هدایت می شود. در کودکان به منظور جلوگیری ازانسداد کاتتر ، امنتکتومی صورت میگیرد. معمولا دوهفته بعد از کاتتر گذاری می توان دیالیز را شروع کرد. محلول دیالیز صفاقی خاصیت اسموتیک بالا دارد و عمدتا دارای قند بالا می باشد . قند موجود در مایع دیالیز کمک می کند تا آب و املاح براساس خاصیت اسموتیک از خون به حفره صفاق جابجا شوند، براساس خاصیت انتشار اوره و کراتینین ، فسفر و پتاسیم جابجا میشوند تا به تعادل برسند. حجم مایع دیالیز معمولا 1100 سی سی به ازای هر متر مربع در کودکان بالای یکسا ل و 600 سی سی به ازای هر متر مربع بدن در کودکان زیر یکسال می باشد. بهتر است دفعات تجویز مایع دیالیز با اندازه گیری تست تعادل پریتوئن صورت گیرد. به منظور جلوگیری از بروز فتق ویا نشت بهتر است حجم مایع تجویز شده با اندازه گیری فشارداخل شکم کنترل شود. وفشارداخل شکم کمتراز 18 سانتی متر آب نگهداشته شود. عوارض دیالیز صفاقی به عوارض عفونی ( پریتونیت ، عفونت محل خروج کاتتر و یا تونل) و حوادث غیر عفونی شامل بروز فتق ، نشت مایع دیالیز ، تجمع مایع د رفضای پریتونئال ، جابجایی کاتتر دیالیز صفاقی ، چسبندگی وانسداد ونهایتا فیبروز اسکلروزه پریتوئن می باشد. درکودکان توجه به دریافت مناسب کالری متناسب با سن برای رشد قدی و وزنی ضروری است.
Pediatric hd dr. mohammed zedan
Willem Kolff developed one of the first artificial kidneys in 1942 using a drum of aluminum slats and open dialysate bath. In the 1940s, J.P. Merrill's pediatric patient received a single 4-hour dialysis treatment with modest but short-lived improvement. Hemodialysis in children differs from adults and requires pediatric expertise, with considerations for growth, development, and age-appropriate facilities and equipment. Proper assessment and timing of dialysis initiation is important to avoid complications while allowing for normal development.
Peritoneal dialysis 4
This document discusses complications of peritoneal dialysis (PD) therapy, including infectious and non-infectious complications. It provides guidance on diagnosing and treating peritonitis, the major infectious complication of PD. It recommends empiric antibiotic therapy for peritonitis including cefazolin/cephalothin and vancomycin or teicoplanin initially. Therapy should be adjusted based on culture results and patient response. Non-infectious complications discussed include mechanical issues like pain or hernias as well as metabolic disturbances like ultrafiltration failure or encapsulating peritoneal sclerosis. Overall the document provides clinical guidelines for managing common complications of peritoneal dialysis.
Volume status and fluid overload in peritoneal dialysis
Volume status and fluid overload in peritoneal dialysis
By Yousaf khan
Renal Dialysis Lecturer
IPMS-KMU Peshawar
Pd
Peritoneal dialysis (PD) has several potential advantages over hemodialysis (HD), but each modality also has limitations that must be considered for each patient. PD is generally less expensive than HD due to lower infrastructure and labor costs. It allows more freedom and flexibility for patients while preserving residual kidney function for longer compared to HD. However, not all patients are medically suitable for PD due to certain comorbidities. The optimal dialysis modality must be selected individually based on each patient's medical needs and preferences.
Indications of peritoneal dialysis
This document discusses peritoneal dialysis as a viable option for renal replacement therapy. It provides indications for peritoneal dialysis including for chronic kidney disease stage V and acute kidney injury. It highlights advantages of peritoneal dialysis such as flexibility, ease of travel, and lower risk of infections compared to hemodialysis. It also discusses challenges of peritoneal dialysis including catheter complications and metabolic issues. The document concludes that peritoneal dialysis and hemodialysis are not rivals, and that individualizing therapy and timely switching between modalities can improve patient outcomes and survival.
Hemodialysis in children
Hemodialysis in children has some differences from adults. Dialysis should start when the estimated GFR is below 15 mL/min/1.73m2 with symptoms of uremia, fluid overload, or malnutrition despite medical management, or below 6 mL/min/1.73m2 without symptoms. Clinical factors like growth, development, and nutrition are also important considerations. Hemodialysis facilities for children should be located within 30 minutes of patients' homes and have age-appropriate decorations to create a comfortable environment. Vascular access may include temporary catheters or arteriovenous fistulas created 6-12 months before dialysis. Hemodialysis prescriptions consider factors like dry weight estimation, dial
Initiation And Incremental Dialysis
The document discusses various guidelines and opinions on when to initiate dialysis for patients with chronic kidney disease. It notes that residual kidney function and signs of malnutrition or uremia are often used as criteria for determining when to start dialysis. However, the optimal timing remains controversial as there is no strong evidence from randomized controlled trials. Earlier initiation of dialysis could help prevent complications but also imposes additional burdens.
Pd aki 2019
The document provides historical background on the development of peritoneal dialysis (PD) and outlines its use in acute kidney injury (AKI). It discusses:
1. The first experiments using the peritoneal cavity for uremia removal in the 1920s.
2. The development of intermittent PD in the 1960s and continuous ambulatory PD in the 1970s.
3. Evidence that high doses of continuous PD can provide appropriate metabolic control in AKI, with survival and renal recovery rates similar to other renal replacement therapies.
4. Indications for acute PD include hemodynamic instability and bleeding risks, while contraindications include recent abdominal surgery and severe peritonitis.
Complications of peritoneal dialysis
The document discusses complications of peritoneal dialysis, specifically peritonitis. It describes the typical presentation of peritonitis as abdominal pain and cloudy dialysate fluid. Causes include breaks in sterile technique or recent infections. Diagnosis requires abdominal pain and cloudy fluid with leukocytosis. Treatment involves empiric antibiotics targeting gram positive and negative organisms. Outcomes depend on causative organisms and whether the peritoneal catheter is infected.
Dialysis various modalities and indices used
Dialysis is a process used to remove waste and excess water from the blood of patients with kidney failure. There are various modalities of dialysis including intermittent hemodialysis, peritoneal dialysis, and continuous renal replacement therapy. Hemodialysis uses diffusion and ultrafiltration across a semi-permeable membrane in a dialyzer to clean the blood. Proper vascular access and anticoagulation are also important aspects of hemodialysis treatment.
Peritoneal Dialysis
Peritoneal dialysis is a way to remove waste products from your blood when your kidneys can no longer do the job adequately.
A cleansing fluid flows through a tube (catheter) into part of your abdomen and filters waste products from your blood. After a prescribed period of time, the fluid with filtered waste products flows out of your abdomen and is discarded.
Peritoneal dialysis differs from hemodialysis, a more commonly used blood-filtering procedure. With peritoneal dialysis, you can give yourself treatments at home, at work or while traveling.
Urine dr.hamada elsadaway
This document discusses urinalysis and urinary sediment examination. It provides details on:
1. The components evaluated in urinalysis including gross evaluation, dipstick analysis, and microscopic examination of urine sediment.
2. Procedures for proper collection and handling of urine samples.
3. The clinical significance of findings from urinary sediment examination such as crystals, cells, casts, and microorganisms.
4. Common urinary sediment profiles associated with kidney diseases including nephrotic syndrome, nephritic syndrome, acute tubular necrosis, and urinary tract infections.
Peritoneal dialysis catheter dysfunction
Peritoneal Dialysis Catheter dysfunction causes and Management , Clinical Cases , Catheter Migration , Catheter Extrusion , Omental wrapping ,
Adequacy hd
This document summarizes key aspects of hemodialysis adequacy and dose. It discusses:
- Early studies that showed a correlation between dialysis dose and patient outcomes. The NCDS study in 1981 was the first randomized controlled trial showing higher Kt/V values were associated with better outcomes.
- Methods for measuring dialysis dose including Kt/V, eKt/V, URR. The preferred method is formal kinetic urea modeling.
- Guidelines recommend a minimum Kt/V of 1.2 or eKt/V of 1.2. Studies like HEMO showed no additional benefit to higher doses above 1.3-1.4.
- Maximizing
Dr alaa saleh complications of peritoneal dialysis (2)
Peritoneal dialysis complications include:
1) Catheter related issues such as pain, poor flow, and cuff erosion.
2) Hernias which occur in 10-20% of patients and are minimized by proper catheter placement.
3) Dialysate leaks which can occur through the exit site or cause hydrothorax and are related to catheter placement.
4) Metabolic complications from glucose absorption which can cause weight gain, hypertriglyceridemia, and loss of amino acids in the effluent dialysate.
CME: Dialysis & Transplantation
Hemodialysis is a type of dialysis that relies on diffusion of solutes across a semipermeable membrane. It is used to treat end-stage kidney disease and involves circulating blood through a dialyzer while dialysate fluid passes on the outside of the fibers. Peritoneal dialysis infuses dialysate fluid into the peritoneal cavity, allowing diffusion and ultrafiltration of solutes. Both have risks like infections, metabolic complications, and encapsulating peritoneal sclerosis. Kidney transplantation is the treatment of choice for advanced kidney failure and has better outcomes than long-term dialysis, but requires lifelong immunosuppression.
PD in AKI
This document discusses the use of peritoneal dialysis (PD) for acute kidney injury (AKI). It finds that PD is a viable option for RRT in AKI, especially in remote or resource-limited settings. Several studies have found mortality rates similar to other RRT modalities like CRRT. PD offers advantages of wider availability, lower cost, and gentler fluid removal in unstable patients. High-volume PD techniques can provide clearance comparable to intermittent hemodialysis. While concerns remain around clearance and peritonitis risk, evidence suggests PD is a valuable complementary therapy for selected AKI cases.
More Related Content
What's hot
Icm peritoneal dialysis 234
Peritoneal dialysis involves exchanging dialysis fluid into the peritoneal cavity through a catheter to remove waste and excess fluid. There are different types of peritoneal dialysis including continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD). A peritoneal equilibration test (PET) determines a patient's transporter status which guides the best dialysis regimen. High transporters have faster fluid and waste removal but poorer fluid status. New dialysis solutions aim to reduce glucose absorption and improve fluid management.
Overview of peritoneal dialysis
This document provides an overview of peritoneal dialysis, including:
1. Peritoneal dialysis removes waste and fluid from the blood through diffusion and ultrafiltration across the peritoneal membrane in the abdomen.
2. The peritoneal membrane contains pores that allow transport of water, small solutes, and macromolecules. Transport is assessed through the peritoneal equilibration test.
3. Prescriptions are tailored based on membrane transport characteristics, with more frequent exchanges for high transporters to optimize fluid removal and clearance of waste.
How to improve Peritoneal dialysis adequacy
Peritoneal dialysis , guidelines , cases , , history of adequacy , Optimum dialysis , clinical cases , Clinical Questions , practical calculation , CCPD , CAPD , Kt/V
Fluid management in pd patient
This document summarizes key aspects of fluid management in peritoneal dialysis (PD) patients. It discusses optimizing PD prescriptions to balance adequate solute clearance while avoiding excess dialysis fluid exposure. Factors like residual renal function, membrane characteristics, fill volume and dwell time are considered. Monitoring adequacy includes measuring clearances and adjusting therapy if targets are not met. Guidelines recommend strategies to preserve renal function like ACEi/ARB use and avoiding dehydration.
Peritoneal dialysis in children
خلاصه:
دیالیز صفاقی یکی از روش های درمانی جایگزین در کودکان با نارسایی مزمن و شدید کلیه می باشد . روش ساده ای است که بدون وابستگی به مرکز میتوان در منزل انجام داد و به فعالیتهای معمول ادامه داد. در این روش کاتتر دیالیز که تنکوف می باشد و معمولا انتهای پیچ خورده ای دارد و گردن خروجی ان به صورت خمیده می باشد به روش جراحی یا در کنار تخت بیمار کاتتر وارد شکم و به طرف پشت مثانه هدایت می شود. در کودکان به منظور جلوگیری ازانسداد کاتتر ، امنتکتومی صورت میگیرد. معمولا دوهفته بعد از کاتتر گذاری می توان دیالیز را شروع کرد. محلول دیالیز صفاقی خاصیت اسموتیک بالا دارد و عمدتا دارای قند بالا می باشد . قند موجود در مایع دیالیز کمک می کند تا آب و املاح براساس خاصیت اسموتیک از خون به حفره صفاق جابجا شوند، براساس خاصیت انتشار اوره و کراتینین ، فسفر و پتاسیم جابجا میشوند تا به تعادل برسند. حجم مایع دیالیز معمولا 1100 سی سی به ازای هر متر مربع در کودکان بالای یکسا ل و 600 سی سی به ازای هر متر مربع بدن در کودکان زیر یکسال می باشد. بهتر است دفعات تجویز مایع دیالیز با اندازه گیری تست تعادل پریتوئن صورت گیرد. به منظور جلوگیری از بروز فتق ویا نشت بهتر است حجم مایع تجویز شده با اندازه گیری فشارداخل شکم کنترل شود. وفشارداخل شکم کمتراز 18 سانتی متر آب نگهداشته شود. عوارض دیالیز صفاقی به عوارض عفونی ( پریتونیت ، عفونت محل خروج کاتتر و یا تونل) و حوادث غیر عفونی شامل بروز فتق ، نشت مایع دیالیز ، تجمع مایع د رفضای پریتونئال ، جابجایی کاتتر دیالیز صفاقی ، چسبندگی وانسداد ونهایتا فیبروز اسکلروزه پریتوئن می باشد. درکودکان توجه به دریافت مناسب کالری متناسب با سن برای رشد قدی و وزنی ضروری است.
Pediatric hd dr. mohammed zedan
Willem Kolff developed one of the first artificial kidneys in 1942 using a drum of aluminum slats and open dialysate bath. In the 1940s, J.P. Merrill's pediatric patient received a single 4-hour dialysis treatment with modest but short-lived improvement. Hemodialysis in children differs from adults and requires pediatric expertise, with considerations for growth, development, and age-appropriate facilities and equipment. Proper assessment and timing of dialysis initiation is important to avoid complications while allowing for normal development.
Peritoneal dialysis 4
This document discusses complications of peritoneal dialysis (PD) therapy, including infectious and non-infectious complications. It provides guidance on diagnosing and treating peritonitis, the major infectious complication of PD. It recommends empiric antibiotic therapy for peritonitis including cefazolin/cephalothin and vancomycin or teicoplanin initially. Therapy should be adjusted based on culture results and patient response. Non-infectious complications discussed include mechanical issues like pain or hernias as well as metabolic disturbances like ultrafiltration failure or encapsulating peritoneal sclerosis. Overall the document provides clinical guidelines for managing common complications of peritoneal dialysis.
Volume status and fluid overload in peritoneal dialysis
Volume status and fluid overload in peritoneal dialysis
By Yousaf khan
Renal Dialysis Lecturer
IPMS-KMU Peshawar
Pd
Peritoneal dialysis (PD) has several potential advantages over hemodialysis (HD), but each modality also has limitations that must be considered for each patient. PD is generally less expensive than HD due to lower infrastructure and labor costs. It allows more freedom and flexibility for patients while preserving residual kidney function for longer compared to HD. However, not all patients are medically suitable for PD due to certain comorbidities. The optimal dialysis modality must be selected individually based on each patient's medical needs and preferences.
Indications of peritoneal dialysis
This document discusses peritoneal dialysis as a viable option for renal replacement therapy. It provides indications for peritoneal dialysis including for chronic kidney disease stage V and acute kidney injury. It highlights advantages of peritoneal dialysis such as flexibility, ease of travel, and lower risk of infections compared to hemodialysis. It also discusses challenges of peritoneal dialysis including catheter complications and metabolic issues. The document concludes that peritoneal dialysis and hemodialysis are not rivals, and that individualizing therapy and timely switching between modalities can improve patient outcomes and survival.
Hemodialysis in children
Hemodialysis in children has some differences from adults. Dialysis should start when the estimated GFR is below 15 mL/min/1.73m2 with symptoms of uremia, fluid overload, or malnutrition despite medical management, or below 6 mL/min/1.73m2 without symptoms. Clinical factors like growth, development, and nutrition are also important considerations. Hemodialysis facilities for children should be located within 30 minutes of patients' homes and have age-appropriate decorations to create a comfortable environment. Vascular access may include temporary catheters or arteriovenous fistulas created 6-12 months before dialysis. Hemodialysis prescriptions consider factors like dry weight estimation, dial
Initiation And Incremental Dialysis
The document discusses various guidelines and opinions on when to initiate dialysis for patients with chronic kidney disease. It notes that residual kidney function and signs of malnutrition or uremia are often used as criteria for determining when to start dialysis. However, the optimal timing remains controversial as there is no strong evidence from randomized controlled trials. Earlier initiation of dialysis could help prevent complications but also imposes additional burdens.
Pd aki 2019
The document provides historical background on the development of peritoneal dialysis (PD) and outlines its use in acute kidney injury (AKI). It discusses:
1. The first experiments using the peritoneal cavity for uremia removal in the 1920s.
2. The development of intermittent PD in the 1960s and continuous ambulatory PD in the 1970s.
3. Evidence that high doses of continuous PD can provide appropriate metabolic control in AKI, with survival and renal recovery rates similar to other renal replacement therapies.
4. Indications for acute PD include hemodynamic instability and bleeding risks, while contraindications include recent abdominal surgery and severe peritonitis.
Complications of peritoneal dialysis
The document discusses complications of peritoneal dialysis, specifically peritonitis. It describes the typical presentation of peritonitis as abdominal pain and cloudy dialysate fluid. Causes include breaks in sterile technique or recent infections. Diagnosis requires abdominal pain and cloudy fluid with leukocytosis. Treatment involves empiric antibiotics targeting gram positive and negative organisms. Outcomes depend on causative organisms and whether the peritoneal catheter is infected.
Dialysis various modalities and indices used
Dialysis is a process used to remove waste and excess water from the blood of patients with kidney failure. There are various modalities of dialysis including intermittent hemodialysis, peritoneal dialysis, and continuous renal replacement therapy. Hemodialysis uses diffusion and ultrafiltration across a semi-permeable membrane in a dialyzer to clean the blood. Proper vascular access and anticoagulation are also important aspects of hemodialysis treatment.
Peritoneal Dialysis
Peritoneal dialysis is a way to remove waste products from your blood when your kidneys can no longer do the job adequately.
A cleansing fluid flows through a tube (catheter) into part of your abdomen and filters waste products from your blood. After a prescribed period of time, the fluid with filtered waste products flows out of your abdomen and is discarded.
Peritoneal dialysis differs from hemodialysis, a more commonly used blood-filtering procedure. With peritoneal dialysis, you can give yourself treatments at home, at work or while traveling.
Urine dr.hamada elsadaway
This document discusses urinalysis and urinary sediment examination. It provides details on:
1. The components evaluated in urinalysis including gross evaluation, dipstick analysis, and microscopic examination of urine sediment.
2. Procedures for proper collection and handling of urine samples.
3. The clinical significance of findings from urinary sediment examination such as crystals, cells, casts, and microorganisms.
4. Common urinary sediment profiles associated with kidney diseases including nephrotic syndrome, nephritic syndrome, acute tubular necrosis, and urinary tract infections.
Peritoneal dialysis catheter dysfunction
Peritoneal Dialysis Catheter dysfunction causes and Management , Clinical Cases , Catheter Migration , Catheter Extrusion , Omental wrapping ,
Adequacy hd
This document summarizes key aspects of hemodialysis adequacy and dose. It discusses:
- Early studies that showed a correlation between dialysis dose and patient outcomes. The NCDS study in 1981 was the first randomized controlled trial showing higher Kt/V values were associated with better outcomes.
- Methods for measuring dialysis dose including Kt/V, eKt/V, URR. The preferred method is formal kinetic urea modeling.
- Guidelines recommend a minimum Kt/V of 1.2 or eKt/V of 1.2. Studies like HEMO showed no additional benefit to higher doses above 1.3-1.4.
- Maximizing
Dr alaa saleh complications of peritoneal dialysis (2)
Peritoneal dialysis complications include:
1) Catheter related issues such as pain, poor flow, and cuff erosion.
2) Hernias which occur in 10-20% of patients and are minimized by proper catheter placement.
3) Dialysate leaks which can occur through the exit site or cause hydrothorax and are related to catheter placement.
4) Metabolic complications from glucose absorption which can cause weight gain, hypertriglyceridemia, and loss of amino acids in the effluent dialysate.
What's hot (20)
Volume status and fluid overload in peritoneal dialysis
Volume status and fluid overload in peritoneal dialysis
Dr alaa saleh complications of peritoneal dialysis (2)
Dr alaa saleh complications of peritoneal dialysis (2)
Similar to 18 Use Of Peritoneal Dialysis For The Treatment Of Acute Renal Failure
CME: Dialysis & Transplantation
Hemodialysis is a type of dialysis that relies on diffusion of solutes across a semipermeable membrane. It is used to treat end-stage kidney disease and involves circulating blood through a dialyzer while dialysate fluid passes on the outside of the fibers. Peritoneal dialysis infuses dialysate fluid into the peritoneal cavity, allowing diffusion and ultrafiltration of solutes. Both have risks like infections, metabolic complications, and encapsulating peritoneal sclerosis. Kidney transplantation is the treatment of choice for advanced kidney failure and has better outcomes than long-term dialysis, but requires lifelong immunosuppression.
PD in AKI
This document discusses the use of peritoneal dialysis (PD) for acute kidney injury (AKI). It finds that PD is a viable option for RRT in AKI, especially in remote or resource-limited settings. Several studies have found mortality rates similar to other RRT modalities like CRRT. PD offers advantages of wider availability, lower cost, and gentler fluid removal in unstable patients. High-volume PD techniques can provide clearance comparable to intermittent hemodialysis. While concerns remain around clearance and peritonitis risk, evidence suggests PD is a valuable complementary therapy for selected AKI cases.
CRRT
CRRT (continuous renal replacement therapy) involves using an extracorporeal circuit connected to the patient via catheters to slowly remove fluid and toxins over 24 hours, mimicking the function of the kidneys. It was developed for critically ill patients who cannot tolerate the fluid shifts of intermittent hemodialysis. CRRT uses a semipermeable membrane to filter fluids and small molecules from the blood based on hydrostatic pressure gradients. It provides more hemodynamic stability than intermittent hemodialysis and allows for better nutrition support by preventing fluid overload. CRRT is indicated for patients who cannot tolerate intermittent dialysis due to hemodynamic instability from their critical illness.
Rrt in icu dr said khamis zagazig april 2018 latest
The document provides an overview of renal replacement therapy (RRT) modalities for critically ill patients with acute kidney injury (AKI). It discusses the history and evolution of RRT, including intermittent hemodialysis (IHD) and continuous renal replacement therapy (CRRT). The pros and cons of IHD and CRRT are presented. Key considerations for RRT include which modality to use, anticoagulation options, dialysate buffers, and membranes. Guidelines for determining therapy dose and duration and criteria for discontinuing RRT are summarized. Outcomes with IHD versus CRRT remain unclear due to limitations of existing studies. Overall, the document reviews best practices for delivering RRT to critically ill AK
Renal Replacement therapy
The document discusses renal replacement therapy options for patients with end-stage renal disease, including hemodialysis, peritoneal dialysis, and kidney transplantation. It provides details on each treatment modality and emphasizes the importance of early referral to a nephrologist to allow time for vascular access placement, transplant evaluation, and patient education. The best vascular access for hemodialysis is an arteriovenous fistula due to its lower risk of infection and greater longevity. All statements regarding kidney transplantation timing and criteria are correct. Screening for malignancies is important in transplant recipients due to higher cancer risks with immunosuppression.
Renal replacement therapy
This document discusses various modes of renal replacement therapy, including hemodialysis, peritoneal dialysis, and renal transplantation. It provides details on how and when each therapy is used to treat both acute kidney injury and chronic kidney disease. Hemodialysis is the most common treatment for acute kidney injury and involves removing waste through a dialyzer via vascular access points. Peritoneal dialysis utilizes the peritoneal membrane through a catheter and frequent infusions of dialysate. Renal transplantation provides the best outcomes but requires an organ donor and lifelong immunosuppression.
Dialysis
This document discusses the management of acute renal failure. It covers various modalities for managing ARF requiring dialysis including peritoneal dialysis, intermittent hemodialysis, and continuous renal replacement therapies. It describes the indications, contraindications, procedures and complications of peritoneal dialysis. It also discusses hemodialysis, continuous renal replacement therapies like CVVH, and SLEDD. The outcome of ARF depends on the underlying cause and severity of renal injury. Special considerations for managing ARF in newborns are also provided.
Renal Replacement Therapy.pptx
This document discusses renal replacement therapy (RRT) in children, including peritoneal dialysis (PD). It provides an overview of indications for RRT, including refractory fluid overload, severe hyperkalemia, signs of uremia, severe metabolic acidosis, and certain drug intoxications. Modalities of RRT discussed include PD, intermittent hemodialysis, and continuous renal replacement therapy. PD is described as exchanging solutes and water between the blood and peritoneal membrane using a dialysis solution. Advantages of PD include being simple to perform and not requiring anticoagulation, while disadvantages include slow removal and unreliable ultrafiltration.
Prevention of contrast nephropathy,CIN.
Furosemide with matched hydration using the RenalGuard System was found to decrease the incidence of contrast-induced acute kidney injury (CI-AKI) compared to control treatments in patients undergoing interventional procedures. The RenalGuard System delivers intravenous fluids matched to urine output with hydration, furosemide, and continuous monitoring to maintain urine output over 300 ml/hr. A meta-analysis found the RenalGuard System reduced CI-AKI and need for renal replacement therapy with no increase in adverse events. However, more randomized trials are still needed to further evaluate the safety of the RenalGuard System.
Preparation of pts with Renal ds for Routine Surgery-18.07.09.ppt
This document discusses the management of a post-renal transplant patient for surgery. Key points include:
- Post-transplant patients have altered physiology due to immunosuppression and potential drug interactions. Their medical history is often complex.
- Common medical problems include cardiovascular issues like hypertension and hyperlipidemia. Immunosuppressants can cause side effects like nephrotoxicity and increased risk of infections.
- A thorough preoperative evaluation of the patient's medical history, current medications and laboratory values is important due to the complexity of managing these high-risk patients undergoing surgery.
Haemodialysis related ascites prof. mohamed sobh
This document discusses nephrogenic ascites, a condition where patients with end-stage renal disease develop refractory ascites. It defines nephrogenic ascites and notes the condition is diagnosed by excluding other causes of ascites through tests and imaging. The document outlines the clinical presentation, poor prognosis, and various treatment options for nephrogenic ascites that have been attempted, including fluid restriction, peritoneal dialysis, peritoneovenous shunt placement, and renal transplantation, with transplantation found to be the most effective treatment.
acute-kidney-injury.ppt
1) A study examined the relationship between renal oxygen supply and demand in patients with and without acute kidney injury (AKI) after cardiac surgery.
2) The study found that patients with AKI had a higher slope in the relationship between renal oxygen consumption and glomerular filtration rate compared to controls, indicating impaired oxygen supply relative to demand.
3) This challenges the previous view that acute renal failure represents an "acute renal success" by reducing renal workload and preserving oxygen supply, and suggests AKI may actually involve renal hypoxic injury due to inadequate oxygen supply relative to demand.
acute-kidney-injury.ppt
This document discusses diuretics and their use in acute kidney injury (AKI). It begins with definitions of AKI and how it is measured. AKI, formerly called acute renal failure, is a clinical syndrome involving a decline in glomerular filtration rate and the accumulation of waste products. Measurement of renal function typically involves serum creatinine, though it has limitations.
The document then discusses the epidemiology of AKI, noting it occurs in 1-7% of hospitalized patients and carries high mortality, especially those requiring renal replacement therapy. High risk factors for AKI are discussed.
The bulk of the document focuses on diuretics - their definitions, classes including loop diuretics and mechanisms of
Dialytic support-of-aki-dep-2017
Dr. Osama El-Shahat discusses various aspects of acute kidney injury (AKI) management including staging, modalities of renal replacement therapy, and general principles. The document covers (1) staging systems like RIFLE and AKIN to classify AKI severity, (2) modalities like intermittent hemodialysis, slow continuous ultrafiltration, and continuous renal replacement therapy, and (3) general guidelines around initiating renal replacement therapy, vascular access, solutions, anticoagulation, and dose of therapy. The overall message is that managing AKI requires an individualized approach and more high-quality research is still needed.
PD THE ROAD LESS TRAVELLED Dr Ayman Seddik 2.pdf
1. The document discusses guidelines for the prevention and management of peritonitis from the ISPD 2022 updates. It focuses on key areas such as the standardized definitions of peritonitis, measurement of peritonitis rates, prevention strategies like exit site care and antibiotic prophylaxis, and treatment recommendations.
2. The new guidelines recommend monitoring peritonitis rates and aiming for a rate of less than 0.4 episodes per patient year. Prevention strategies discussed include proper exit site care, antibiotic prophylaxis before catheter placement and invasive procedures, and patient education.
3. Treatment guidelines cover initial antibiotic therapy based on peritonitis type and symptoms, and monitoring response and indications for catheter removal. Overall the document summar
Management of Chronic Kidney Disease
1. The document discusses various methods for estimating kidney function, including the MDRD and Cockroft-Gault equations. It also covers the significance of proteinuria and common risk factors for chronic kidney disease.
2. Details are provided on interventions to slow progression of CKD, including glycemic control, blood pressure control, and proteinuria reduction. Treatment targets and guidelines for managing hypertension, lipids, anemia, and mineral metabolism in CKD patients are outlined.
3. Renal replacement therapies for end-stage kidney disease including hemodialysis, peritoneal dialysis, and transplantation are described in detail, along with their advantages, disadvantages, and complications.
uproach to anemia in ICU
This document provides guidance on evaluating and managing anemia in patients. It discusses evaluating the cause of anemia based on history, physical exam, and lab tests. Causes in critically ill patients especially include blood loss from phlebotomy and bleeding, decreased erythropoiesis from inflammation, and nutritional deficiencies. Transfusions are used to manage anemia but have risks, so restrictive protocols targeting Hgb <7g/dL are recommended except for patients with cardiovascular conditions. New blood substitutes are still experimental and have shown adverse effects.
Renal replacement therapy new.pptx
Renal replacement therapy (RRT) replaces the normal blood filtering function of the kidneys. RRT is used in acute kidney injury (AKI) and chronic kidney disease (CKD). The main types of RRT are peritoneal dialysis (PD), hemodialysis (HD), sustained low efficiency dialysis (SLED), and continuous renal replacement therapy (CRRT). PD uses the peritoneal membrane for diffusion and convection, while HD uses a dialyzer and dialysate for diffusion. CRRT provides continuous RRT for hemodynamically unstable patients. Kidney transplantation is the best long-term treatment for end-stage renal disease.
UF vs diuretics in treatment of ADHF, Cardiorenal syndrome
1. Fluid overload and congestion are major characteristics of heart failure (HF) that are important treatment targets. Diuretics have limitations like resistance and worsening renal function.
2. Ultrafiltration (UF) theoretically has advantages over diuretics for acute decompensated heart failure (ADHF) by allowing faster fluid removal without electrolyte issues.
3. However, clinical trials have had conflicting results. The UNLOAD trial found greater benefits with UF, while the CARESS-HF trial found increased renal dysfunction and adverse events with UF.
4. Further research is needed to determine optimal patient selection, monitoring of plasma refill rate during UF, and long-term outcomes comparison
Crrt sudan 2017 dr. osama el shahat
Stage-based management of acute kidney injury (AKI) involves monitoring for progression from risk to injury to failure. For stage 1 (risk), monitoring to prevent progression is recommended. For stage 2 (injury), conservative therapy is recommended due to high risk of mortality/morbidity. For stage 3 (failure), renal replacement therapy (RRT) should be considered due to highest risk of death. Continuous renal replacement therapy (CRRT) is preferred for hemodynamically unstable patients and allows for slow correction while maintaining hemodynamic stability. Higher CRRT doses of 35 ml/kg/hr may improve survival compared to lower doses, though optimal dosing remains controversial.
Similar to 18 Use Of Peritoneal Dialysis For The Treatment Of Acute Renal Failure (20)
Rrt in icu dr said khamis zagazig april 2018 latest
Rrt in icu dr said khamis zagazig april 2018 latest
Preparation of pts with Renal ds for Routine Surgery-18.07.09.ppt
Preparation of pts with Renal ds for Routine Surgery-18.07.09.ppt
UF vs diuretics in treatment of ADHF, Cardiorenal syndrome
UF vs diuretics in treatment of ADHF, Cardiorenal syndrome
More from Dang Thanh Tuan
07 capnography trends in procedural sedation
1) Procedural sedation is used for many medical procedures and aims to provide analgesia, amnesia, and reduce anxiety while maintaining airway reflexes and spontaneous breathing.
2) While pulse oximetry became standard in the 1980s, capnography has emerged as the new gold standard for monitoring procedural sedation as it can detect respiratory issues that oximetry may miss.
3) Overlake Hospital implemented capnography monitoring for all procedural sedations after reviewing evidence and determining it was more effective for patient safety than relying on respiratory therapists to continuously monitor each procedure.
The evolution of pediatric mechanical ventilators
1. Mechanical ventilators have evolved from simple analog machines to sophisticated microprocessor-controlled devices with advanced modes of ventilation.
2. Early ventilators were open-loop controlled while modern ventilators use various closed-loop and dual-loop control schemes to better match ventilation to patient needs.
3. The newest generations of ventilators use proportional assist, automatic tube compensation, adaptive support ventilation, and other advanced modes that aim to provide more patient-synchronized support and facilitate weaning. However, further research is still needed to fully understand the outcomes of these newer ventilation strategies.
20 patient monitoring
The document discusses various methods of patient monitoring during anesthesia, including their purposes, advantages, and limitations. It covers monitoring vital signs, standards for basic anesthesia monitoring according to the ASA, techniques like non-invasive blood pressure monitoring, ECG, pulse oximetry, capnography, and invasive arterial line monitoring. Key aspects emphasized are integrating multiple monitoring methods to evaluate oxygenation, ventilation, and circulation.
19 introduction of volumetric capnography
The document discusses the introduction and clinical applications of volumetric capnography (VCO2) at one hospital. It provides an agenda for the topics covered, which include VCO2 management, clinical applications, and data from the University of Tennessee Medical Center's experience using VCO2. Key applications discussed are ventilation management, monitoring changes in perfusion, optimization of positive end-expiratory pressure, and assisting with ventilator weaning trials. The University of Tennessee Medical Center saw decreases in length of mechanical ventilation, ventilator days, and re-intubation rates after implementing VCO2 monitoring.
18 basics of pediatric airway anatomy, physiology and management
The document provides an overview of pediatric airway anatomy, physiology, and management. It discusses the differences between pediatric and adult airways, including a more rostral larynx, relatively larger tongue, angled vocal cords, differently shaped epiglottis, and funneled larynx in children. It also reviews normal airway management techniques like bag-mask ventilation and various airway devices, as well as complications from intubation. The goal is to protect, adequately ventilate, and oxygenate the pediatric airway.
17 capnography part4 non-intubated
The document discusses the use of capnography for non-intubated patients experiencing trouble breathing. It describes how capnography can help identify and monitor conditions like bronchospasm from asthma or COPD by examining patterns in exhaled carbon dioxide levels. Specific capnographic signatures are presented for different respiratory conditions including asthma attacks, COPD exacerbations, congestive heart failure, and hypoventilation states. Case studies demonstrate how capnography can track changes in a patient's condition before and after treatment.
16 capnography part3 intubated
Capnography can be used to summarize 3 key applications for intubated patients:
1) It can confirm correct endotracheal tube placement and detect displacement. Characteristic waveforms indicate proper vs displaced placement.
2) During CPR, it can assess the effectiveness of chest compressions by correlating end-tidal CO2 levels with cardiac output and blood flow.
3) It provides an early indicator of return of spontaneous circulation through a rapid rise in CO2 levels, earlier than other signs like pulse or blood pressure. It also aids the decision to cease resuscitation efforts based on CO2 levels.
15 capnography part2 introduction
Capnography measures exhaled carbon dioxide (CO2) to provide real-time monitoring of ventilation, unlike pulse oximetry which monitors oxygen saturation in the blood and is slower to detect changes. A normal capnographic waveform has four phases: 1) dead space, 2) ascending, 3) alveolar plateau, and 4) descending. The end-tidal CO2 value reflects the highest CO2 concentration in exhaled air and typically ranges from 35-45mmHg. Capnography can immediately detect conditions that impact ventilation such as hypoventilation, hyperventilation, and bronchospasm based on changes to the waveform shape, frequency, and CO2 values.
14 capnography part1 overview
This document provides an overview of capnography, which is a technology that objectively measures ventilation by detecting exhaled carbon dioxide. It can be used for both intubated and non-intubated patients to continuously monitor ventilation and the patient's ABCs. The document reviews the history of capnography, from its initial use in operating rooms to new portable technologies suitable for emergency medical services. It also outlines the clinical applications of capnography such as verifying endotracheal tube placement and monitoring treatment effectiveness.
13 icu monitoring standards and capnography
Dr. Ajmal Eusuf discusses the importance and benefits of capnography monitoring in the ICU. Capnography can be used to confirm proper endotracheal tube placement, monitor ventilation, and detect various respiratory issues. While capnography is standard practice in operating rooms and recommended by guidelines, only about half of UK ICUs currently use it as a mandatory monitoring tool. Adopting capnography as routine bedside monitoring in the ICU would help compliance with protocols and better patient care, especially for critically ill patients who are sicker than those in operating rooms.
12 mainstream sidestream capnpgraphy
The document discusses two options for capnography monitoring from ZOLL - the CAPNOSTAT 3 mainstream CO2 sensor and the LoFlo sidestream CO2 module. It provides details on the benefits of each, such as the CAPNOSTAT sensor's accuracy and resistance to contaminants, and the LoFlo module's interchangeability and low 50ml/min sampling rate. The document emphasizes that both provide reliable, accurate CO2 monitoring and waveforms for assessing patient ventilation.
More from Dang Thanh Tuan (20)
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
Recently uploaded
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
SENSORY NEEDS B.SC. NURSING SEMESTER II.
Sensation is the neurological process by which we become aware of surrounding environment.
Giloy in Ayurveda - Classical Categorization and Synonyms
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Cervical Disc Arthroplasty ORSI 2024.pptx
Indication and installation of a mobile cervical disc prosthesis. Benefits of the PRODISC C VIVO mobile disc prosthesis (Centinel Spine)
The Nervous and Chemical Regulation of Respiration
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montrealWhat are the different types of Dental implants.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
What is Obesity? How to overcome Obesity?
Obesity is a chronic complex disease defined by excessive fat deposits that can impair health.
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
une 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
cosmetics and cosmeceuticals
Muskan
mpharm
2nd semester
Guru Gobind Singh college of pharmacy, yamunanagar, haryana
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Recently uploaded (20)
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Giloy in Ayurveda - Classical Categorization and Synonyms
Giloy in Ayurveda - Classical Categorization and Synonyms
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
18 Use Of Peritoneal Dialysis For The Treatment Of Acute Renal Failure
- 1. Use of peritoneal dialysis for the treatment of acute renal failure Ri 李念偉 May 1, 2006
- 34. Thanks for your attention