Hemodialysis is a medical procedure that uses a machine to filter waste and excess fluid from the blood of patients with kidney failure or injury. During hemodialysis, the patient's blood is pumped through a dialyzer filter to remove toxins and regulate electrolyte and mineral levels before being returned. It helps control symptoms but is not a cure for kidney disease. Vascular access is required, either through an arteriovenous fistula, graft, or temporary catheter placed in the subclavian, jugular, or femoral vein. Precise regulation of dialysate solutions, blood flow rates, and treatment time is needed to safely remove waste while avoiding complications.
It is the removal of solutes and water from body across a semipermeable membrane (dialyzer)
care during and after the dialysis is very important to prevent the entry of pathogens in to the body.
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. Health care providers call this lining the peritoneum. A more convenient method of dialysis in home itself.
It is the removal of solutes and water from body across a semipermeable membrane (dialyzer)
care during and after the dialysis is very important to prevent the entry of pathogens in to the body.
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. Health care providers call this lining the peritoneum. A more convenient method of dialysis in home itself.
End-stage renal disease is a condition in which the kidneys no longer function normally and required excellent medical and nursing care for the managing this condition.
A cardiac event monitor is a device that you control to record the electrical activity of your heart (ECG). This device is about the size of a pager. It records your heart rate and rhythm. Cardiac event monitors are used when you need long-term monitoring of symptoms that occur less than daily
End-stage renal disease is a condition in which the kidneys no longer function normally and required excellent medical and nursing care for the managing this condition.
A cardiac event monitor is a device that you control to record the electrical activity of your heart (ECG). This device is about the size of a pager. It records your heart rate and rhythm. Cardiac event monitors are used when you need long-term monitoring of symptoms that occur less than daily
Dialysis is a treatment for people whose kidneys are failing. When you have kidney failure, your kidneys don't filter blood the way they should. As a result, wastes and toxins build up in your bloodstream. Dialysis does the work of your kidneys, removing waste products and excess fluid from the blood
In medicine, dialysis is the process of removing excess water, solutes, and toxins from the blood in people whose kidneys can no longer perform these functions naturally. This is referred to as renal replacement therapy.
RENAL DIALYSIS.
RRT
Renal Replacement Therapy.
Dialysis is the artificial process of eliminating waste (diffusion) and unwanted water (ultra filtration) from the blood.
Dialysis is a procedure that cleans and filters the blood. It rids the body of harmful wastes and extra salt and fluids. It also controls blood pressure and helps our body keep the proper balance of chemicals such as potassium, sodium, and chloride.
Dialysis is a Greek word meaning "loosening from something else".
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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2 Case Reports of Gastric Ultrasound
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
2. Hemodialysis is a treatment to filter wastes and water from blood, as kidneys
did when they were healthy. Hemodialysis helps control blood pressure and
balance important minerals, such as potassium, sodium, and calcium, in
blood. Hemodialysis can help to feel better and live longer, but it’s not a cure
for kidney failure. During hemodialysis, blood goes through a filter, called a
dialyzer, outside the body. The dialysis machine pumps blood through the
filter and returns the blood to patient’s body.
INTRODUCTION
3. Haemodialysis is the most common renal replacement therapy used with ESKD and kidney
failure. dialysis remove excess fluids and waste products & chemical and electrolyte
balance.
( Iganativicous)
Hemodialysis is a medical procedure to remove fluid and waste products from the blood
and to correct electrolyte imbalances. This is accomplished using a machine and a
dialyzer, also referred to as an "artificial kidney.“
( Medicinenet)
DEFINITION
6. VASCULAR ACESS
PERMENTANT TYPE
AV FISTULA
AV GRAFT
TEMPORARY TYPE
Haemodialysis catheter mainly subclavian,
jugular and femoral catheter.
Sub cutaneous device.
7. PERMENTANT VASCULAR ACCESS
AV FISTULA
An arteriovenous fistula (AV) Fistula is an internal access surgically created by a vascular
surgeon using the patient’s own blood vessel.
AV fistula is created by adjoining artery and vein
2 blood vessels are joined in a side to side or end to end connection.
The diversion of arterial blood into the vein causes the vein to become enlarged ,distended
and prominent, allowing placement of large gauge needles for the dialysis treatment.
Access will be able to deliver a blood flow of 300 to 500ml /mt.
Maturation occur when there is dilation and thickening of the venous segment occurred.
8. The Av Fistula can be placed in either the upper or lower arm .The radial artery and cephalic vein (
lower arm) and brachial and cephalic vein ( upper arm).
Venography allows for identification of appropriate vein and help to rule outsites that are not
suitable for use. Doppler flow studies may also be used if venography is not available.
AV Fistula may take up to 4 months or longer to mature, enough for cannulation.
9. AV GRAFT
Generally called as arteriovenous graft.
When a patient is not a candidate for native AV-Fistula, a Vascular graft is substituted. It can
be biological or synthetic material.
Graft material is implanted subcutaneously into either forearm or upper arm.
The Graft bridges an artery on one end and a vein on the other end.
The blood flow is from artery to vein with the AV Graft.
The graft may be placed in several configuration.eg straight ,loopsed or curved.
Duration taken for maturation is 2 to 6 weeks after graft placement.
11. CONTINUE…..
ADVANTAGES
Large surface area for
cannulation.
Easy to cannulate
Little time required for
maturation.
Variety of shapes and
configuration
Easy for surgical
implantation.
DISADVANTAGES
Higher rate of infection
May reject graft materials
Higher rate of infection.
Stenosis at the venous
anastomosis, from intimal
hyperplasia.
No development of collateral
circulation.
12. TEMPORARY VASCULAR ACCESS
INDICATIONS
1. An access for acute dialysis
2. Plasmapheresis
3. Patients waiting for kidney transplantation.
4. Patients receiving venovenous continuous renal replacement therapy.
5. Patients on peritoneal dialysis requiring temporary haemodialysis because of peritonitis.
14. HEMODIALYSIS CATHETER
Subclavian vein ,jugular vein and femoral vein are the vessels accessed for using double lumen
catheter.
Haemodialysis catheter has replaced, the use of AV Shunt for patients receiving immediate
haemodialysis.
A catheter designed for H.D may be inserted into subclavian, internal jugular or femoral vein
The lumen of these catheters are much smaller than the permentant access and more time is
required for complete each dialysis.(4 to8 hours).
17. SUBCUTANEOUS DEVICE
Subcutaneous device the implanted beneath the skin.
These devices are composed of 2 small metallic ports with attached catheters that are
inserted into large central vein.
The ports of subcutaneous devices have internal mechanism that opens when needles
are removed.
The blood from one port flows from the body to the H.D machine and return via the
other port.
22. PRE-DIALYSIS CARE
Assess vital signs including orthostatic blood pressure ( lying, sitting and standing ), apical
pulse , respiration ,and lung sounds
Record weight ( weight changes are effective indicators of fluid volume ).
Assess vascular access site for a palpable pulsation or vibration and audible bruit and for
inflammation ,infection and thrombus formation.
Alert all personnel to avoid using the extremity with the vascular access site for blood
pressure or venepuncture. These procedure may damage vessels and lead to failure of the
AV Fistula.
23. POST-DIALYSIS CARE
Assess and document vital-signs, weight and vascular access site condition. Rapid fluid and solute
removal may leads to orthostatic hypotension ,cardiopulmonary changes and weight loss.
Monitor BUN ,Serum Creatinine, serum electrolyte and haematocrit levels between dialysis treatment.
Assess for dialysis disequilibrium syndrome with headache, nausea and vomiting, altered level of
consciousness and hypertension.
Assess for nausea, vomiting, muscle cramp and seizure activity.
Assess for bleeding at the access site. Use standard precautions at all times.
If transfusion is given during dialysis monitor for possible transfusion reaction.
Provide psychological support and listen actively.
Refer to social service and counselling as indicated, clients with renal failure may need additional
support services to help them to adopt to and live with their disease.
24. CONCLUSION
Haemodialysis is used for clients with acute or chronic renal failure, fluid and electrolyte and
imbalances etc. It is usually the treatment of choice, when toxic agents such as barbiturates,
after an overdose needed to be removed from the body quickly, in this process the clients
toxin-laden blood is diverted into dialyzer, cleaned and returned to the client.
25. BIBLIOGRAPHY
1. Joyce M Black , “Textbook of Medical –Surgical Nursing”, Elsevier Publications,8th
Edition,2010, pg no 823 -824.
2. Lippincott Williams & Wikins Hand book of Dialysis ,Wolters Kluwers Publications ,Fifth
Edition, 2015 ,Pg no:392 -400.
3. Iganativicious “Text book of Medical Surgical Nursing”, Elsevier Publications,7th
Edition,2009, pg no 612 -614.