Dialysis is a method of removing waste and toxins from the blood when the kidneys fail. There are two main types: hemodialysis which uses a machine to filter blood outside the body through a semipermeable membrane, and peritoneal dialysis which uses the peritoneal membrane in the abdomen. Hemodialysis treatments typically last 4 hours and occur 3 times per week to cleanse the blood and maintain electrolyte and fluid balance for patients with kidney failure. Access points for hemodialysis include catheters, arteriovenous shunts, and arteriovenous fistulas or grafts.
Hemodialysis is a method for removing waste and excess fluid from the blood of patients with kidney failure. It involves connecting the patient's blood to a dialysis machine via vascular access points, usually a catheter, arteriovenous fistula, or graft. Blood is passed through a dialyzer where waste diffuses out of the blood and into the dialysate fluid before being returned to the patient. Potential side effects include low blood pressure and infection risks from the vascular access.
Dialysis is used to treat kidney failure and manage its complications. There are different modalities including peritoneal dialysis, hemodialysis, and continuous renal replacement therapy. Hemodialysis uses a dialyzer, tubing, and machine to remove waste and fluid by diffusion and ultrafiltration as blood and dialysate flow countercurrently. Vascular access includes catheters, arteriovenous grafts, and arteriovenous fistulas. Complications can include infections, thrombosis, and fluid overload.
Dialysis is a method of removing waste and toxins from the blood when the kidneys fail. There are two main types: hemodialysis which uses a machine to filter blood outside the body through a semipermeable membrane, and peritoneal dialysis which uses the peritoneal membrane in the abdomen. Hemodialysis treatments typically last 4 hours and occur 3 times per week to cleanse the blood and maintain electrolyte and fluid balance for patients with kidney failure. Access points for hemodialysis include catheters, arteriovenous shunts, and arteriovenous fistulas or grafts.
Hemodialysis is a method for removing waste and excess fluid from the blood of patients with kidney failure. It involves connecting the patient's blood to a dialysis machine via vascular access points, usually a catheter, arteriovenous fistula, or graft. Blood is passed through a dialyzer where waste diffuses out of the blood and into the dialysate fluid before being returned to the patient. Potential side effects include low blood pressure and infection risks from the vascular access.
Dialysis is used to treat kidney failure and manage its complications. There are different modalities including peritoneal dialysis, hemodialysis, and continuous renal replacement therapy. Hemodialysis uses a dialyzer, tubing, and machine to remove waste and fluid by diffusion and ultrafiltration as blood and dialysate flow countercurrently. Vascular access includes catheters, arteriovenous grafts, and arteriovenous fistulas. Complications can include infections, thrombosis, and fluid overload.
This document summarizes peritoneal dialysis (PD) and peritonitis. It provides an overview of PD, including its history in Thailand, principles, procedure, and membrane properties. Factors influencing fluid balance like sodium intake are discussed. Peritonitis, its definition, specimen processing, and treatment are covered. Statistics on peritonitis episodes from local studies are presented, showing treatment success rates and outcomes. Refractory peritonitis is also mentioned.
Hand out culture negative peritonitis Feb 2018 - Baxter ScientiaKamol Khositrangsikun
Culture negative still a main problem for PD patient to leave peritoneal dialysis.
We try to make patient happy in PD for a life long.
If we can cope the peritonitis problem peritoneal membrane will last longer.
This document discusses peritoneal dialysis (PD) catheter dysfunction and methods for troubleshooting issues. It begins by outlining the ideal characteristics of a PD catheter and guidelines for peritoneal access. Various techniques for catheter placement are described, including open surgical and laparoscopic approaches. Nonsurgical methods for addressing malfunctioning catheters include wire manipulation, repositioning under fluoroscopy, and using a Fogarty catheter. If nonsurgical techniques fail, surgical options like minilaparotomy or laparoscopy can be considered. The document emphasizes following guidelines and protocols to minimize infections and promote long-term catheter function.
30. Practice general nephrology in parallel with
PD care
Pre-dialysis education, catheter insertion,
training, initial PD prescription to long-term
follow-up
Complication management.
31.
32.
33. Consultation and management of
Surgical complications such as
▪ hernia
▪ repair
Laparoscopy catheter insertion for
complicated patients
Take out the catheter
etc.