Question 1

with an av shunt for dialysis, will i still hear the bruit?

Accepted Answer

No: The bruit is usually heard with a stethoscope by your physician.  You may however feel the "thrill" of the fistula, which is similar to a cat purring.

Question 2

how is dialysis performed?

Accepted Answer

Dialysis: Dialysis can be done through the blood (hemodialysis) or through the abdomen (peritoneal dialysis). Hemodialysis involves passing the blood across and filter to purify it / remove toxins and remove water. Peritoneal dialysis takes advantage of the membrane within the abdomen to act as a filter. In either case toxins are removed from the blood stream.

Question 3

how many forms of dialysis are there?

Accepted Answer

2: There are  2 types that patients commonly use. "hemodialysis" involves tubes put in the veins, and the blood goes out to a machine that works as an artificial kidney; this takes about 4 hours, 3 times/week. "peritoneal" dialysis involves a catheter (tube) under the skin in the stomach, fluid from bags goes into the abdominal area, then is drained. This process is repeated 4-6 times every day.

Question 4

should i have a baby and go on dialysis?

Accepted Answer

See below: Need to know details about your question.Is dialysis iminent ie have you been told that you will end up on dialysis after pregancy since you have chronic kidney disease ? If this is the scenario, its better to try and get a kidney transplant if possible. 
If u have an option think about home hemodialysis or peritoneal dialysis.

Question 5

my creati ine is 480 do i need dialysis?

Accepted Answer

It's not creatinine: ...That dictates need for dialysis; usually it's electrolytes such as potassium that build up to toxic levels because the kidney cannot get rid of them.

Question 6

when is it necessary to commence dialysis?

Accepted Answer

Dialysis: A patient is started on dialysis when their doctor decides that their metabolic disturbances caused bytheir renal failure can no longer be managed with medications alone.  The length of time from the onset of chronic renal failure to dialysis varies from one patient to another and has to be individualized by your doctor with your concurrence.

Question 7

where is the perma cath placed  for dialysis?

Accepted Answer

The neck: The permacath is placed in the internal jugular vein on either the right or left side of the neck.  It is generally considered a temporary dialysis access, with an arteriovenous fistula being the favored dialysis access.  It is recommended that people not shower with a permcath because it increases the infection risk.

Question 8

what creatnine level are you placed on dialysis?

Accepted Answer

It's all relative.: A rising creatinine is a sign that your kidneys are failing. Dialysis is a type of kidney replacement therapy which needs to be started when you and your doctor decide that the time is right. This may be due to your just feeling lousy or due to specific medical threats to your health--high potassium, heart failure, etc. Once your creatinine is over 2, you need to see a nephrologist.

Question 9

what are the physical effects of stopping dialysis?

Accepted Answer

Kidney dialysis: Harmful effects of not having dialysis include accumulation of harmful products such as urea and creatinine (uremia).  This may eventuate into death.

Question 10

salting in ,salting out dialysis, what is this for?

Accepted Answer

Here is some...: Dialysis is to help patients with end-stage kidney disease to temporarily handle body fluid, electrolytes, &amp; others by adjusting the electrolyte concentration of circulating fluid so to equilibrate and temporarily restore the electrolyte balance. As to "salting-in &amp; salting-out", it simplifies the idea to balance electrolytes as briefed above. Besides, ask your nephrologist timely.

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Doctor answers about:

Dialysis thrill and bruit

A member asked:

With an av shunt for dialysis, will i still hear the bruit?

A member asked:

How is dialysis performed?

A member asked:

How many forms of dialysis are there?

A member asked:

Should i have a baby and go on dialysis?

A member asked:

My creati ine is 480 do i need dialysis?

A member asked:

When is it necessary to commence dialysis?

A member asked:

Where is the perma cath placed for dialysis?

A member asked:

What creatnine level are you placed on dialysis?

A member asked:

What are the physical effects of stopping dialysis?

A member asked:

Salting in ,salting out dialysis, what is this for?

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