Question 1

hi doctors! can you help me figure out which hemodialysis catheter to purchase?

Accepted Answer

Tough question: If you're referring to permanent catheters they all function pretty well. Price is certainly an issue and sizes as well. You need to be able to place them in different sites (left or right). I've used a bunch of different brands and I have not found one to better than the others for flow rates or infection resistance.

Question 2

husband has chest hemodialysis catheter and went swimming last night without waterproof bandage over exit site. is this ok?

Accepted Answer

No: Since the site is not waterproof, it is not generally ok.  However he might be lucky enough to not have water entering the unsealed area. However if there is any abdominal or chest discomfort, be sure to get him to see his doctor or to an emergency room.

Question 3

how safe is a central venus catheter for hemodialysis?

Accepted Answer

Fairly safe: When access by peripheral vessels is not possible CVP catheter access is routinely used, and fairly safe. Yes in few cases will have manageable complications. Speak to your doctor.

Question 4

can i restart peritoneal dialysis after having removed the catheter due to peritonitis, as i've blood clotting, deep vein issues with heamodialysis ?

Accepted Answer

Yes: It is possible to continue pd after treatment for peritonitis.

Question 5

what does it feel like to undergo hemodialysis?

Accepted Answer

Mostly nothing: In normal circumstances, many patients can sleep through the proceedure, apart from some discomfort on starting when the needles have to be inserted into the vein. Sometimes when blood pressure goes low patients get unawareness and may have nausea. Some patients feel cold. Ingeneral the proceedure is well tolerated and patients are watching tv when awake.

Question 6

what foods are good for person under hemodialysis?

Accepted Answer

A good: "old fashioned" "balanced" diet is usually recommended although in kidney failure some restriction of protein is sometimes recommended to decrease the frequency of dialysis treatments.
Hope this helps!
Dr Z

Question 7

how is saline hemodialysis performed?

Accepted Answer

Using saline: During hemodialysis heparin is used to prevent clotting in the system at entrance ( arterial end ) when blood returns back ( venous end ) unclothed state . Some times heparin is contraindicated ( like reaction to it etc ) then saline is used continuously or intermittent flush to prevent clotting in extracorporeal system .

Question 8

can you please describe needle infiltration in hemodialysis?

Accepted Answer

Bad needle stick : Usually when the needle gets out of the vein due to different reasons (movement of patient, bad veins , poor initial placement) an infiltration of blood coming out of the vein occurs. The degree of severity is variable.

Question 9

what will happen when a hemodialysis person takes restyl 0.5mg?

Accepted Answer

Will lower anxiety: Restyl is the brand name for alprazolam in India. It's marketed as Xanax in the U.S. The major form of metabolism is through the liver to an inactive metabolite excreted through the kidneys. 20% of the active form is found in urine. Since you're on hemodialysis, the drug should lower anxiety, similar to someone w/o renal disease, unless you also have liver disease which may cause stronger effects.

Question 10

hcv can spread by hemodialysis machines?

Accepted Answer

Blood transfer: Potential risks could be from re-use of needles, tubing, or dialysis cartitrdies/membranes. Other risks would be related sanitary behavior: not changing gloves and washing hands inbetween machines or patients; touching machines/paperwork with gloves on after touching patient. All of these require the transfer of hcv+ blood from one patient to another.

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Doctor answers about:

Tunneled hemodialysis catheter

A member asked:

Hi doctors! can you help me figure out which hemodialysis catheter to purchase?

A member asked:

Husband has chest hemodialysis catheter and went swimming last night without waterproof bandage over exit site. is this ok?

A member asked:

How safe is a central venus catheter for hemodialysis?

A member asked:

Can i restart peritoneal dialysis after having removed the catheter due to peritonitis, as i've blood clotting, deep vein issues with heamodialysis ?

A member asked:

What does it feel like to undergo hemodialysis?

A member asked:

What foods are good for person under hemodialysis?

A member asked:

How is saline hemodialysis performed?

A member asked:

Can you please describe needle infiltration in hemodialysis?

A member asked:

What will happen when a hemodialysis person takes restyl 0.5mg?

A member asked:

Hcv can spread by hemodialysis machines?

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