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Doctor insights on: Can You Administer Antibiotics Through A Dialysis Catheter

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Dr. Quresh Khairullah
520 Doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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What is the definition or description of: dialysis catheter insertion?

What is the definition or description of: dialysis catheter insertion?

See below: A dialysis catheter is a conduit to access either the blood stream or the peritoneal cavity to enable to performance of dialysis.
Hemodialysis catheters can be acute or temporary or chronic and in that case tunnelled under the skin. Peritoneal catheters are always tunnelled and enter the abdominal wall. Insertion is done with local anesthesia under ultrasound guidance or surgically. ...Read more

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Why does a dialysis catheter clog sometimes?

Catheter Clogs: Causes of intermittent peritoneal dialysis catheter malfunction are: 1) a tissue called the omentum has wrapped itself around the catheter; 2) the catheter openings are up against the bowel; or 3) the catheter openings are against the lining of the abdominal cavity called the peritoneum. One added reason that really is serious is impending infection. Need to talk with your dr. About this. ...Read more

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What exactly is peritoneal dialysis catheter manipulation?

What exactly is peritoneal dialysis catheter manipulation?

PD Catheters: This is a procedure that is used to get a malfunctioning catheter to work again. There are many different ways this is done - putting a wire down the catheter or putting other devices down the catheter. Ask you doctor for a more thorough explanation. ...Read more

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When can I expect my peritoneal dialysis catheter be removed?

When can I expect my peritoneal dialysis catheter be removed?

When infection occur: Peritoneal catheter can serve for long years unless a resistant infection develops or open abdominal surgery is needed. ...Read more

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Is there anything that can protect the catheter site during peritoneal dialysis?

Yes: Keep it covered and without tension on the exit site, and use a antibacterial cream recommended by your nephrologist. Contact your nurse if you notice any redness or discharge. ...Read more

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Do I need to be very careful in catheter care during peritoneal dialysis?

Definitely: Infection tracking to the inside of the abdomen is not only very painful but will limit the life of the procedure. A resistant infection could lead to removing the tube and just using hemodialysis procedure instead. ...Read more

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Husband has chest catheter for dialysis. Said has some green drainage from exit site for a couple weeks. Wont go get it looked it. What should he do?

Not normal: Green drainage or push from any drains is concerning and should be evaluated before it becomes a bigger problem. If he was my father or brother, I would help him make an appointment with the doctor that put in the chest catheter to at least get it looked at. Even if he is stubborn, it may be that he is afraid of what the doctor may tell him. Get him to make an appointment or make it for him. ...Read more

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Husband has green drainage from exit site from dialysis venous catheter for three weeks and won't go to the dr. Does local infection always spread?

Husband has green drainage from exit site from dialysis venous catheter for three weeks and won't go to the dr. Does local infection always spread?

Green goo dialysis: Green goo makes me worry about staph or other serious infection. If he wants to live much longer he should see Dr. Many patients decide that dialysis is not worth it and stop. Or may have serious depression. Please call his dialysis team. ...Read more

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During dialysis why does the subclavian catheter have darker blood than in patients with a fistula?

During dialysis why does the subclavian catheter have darker blood than in patients with a fistula?

Venous blood: A subclavian catheter has only venous, deoxygenated blood returning from the body. A fistula contains oxygenated arterial blood coming from the heart. This is the reason for the bright red blood seen in fistulas. ...Read more

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For a dialysis, why is the subclavian catheter has darker blood rather than in patient with fistula?

For a dialysis, why is the subclavian catheter has darker blood rather than in patient with fistula?

Catheter vs fistula: An a-v fistula (avf) is a connection between an artery and a vein, that's why its called an a, for artery, v, for vein, fistula. Arterial blood has more oxygen, making it redder, than venous blood. A subclavian catheter has both blood tubes in the vein, where there is less oxygenated blood, as it does not have any arterial inflow. That's why it has darker blood than an avf. ...Read more

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Why would nephrologist recommend catheter dialysis to my 90 yr old grandmother? Demented, barely ambulatory and 16% function.

Catheter dialysis: I assume you are referring to peritoneal dialysis, using a catheter in her abdomen. This decision brings the family to a discussion of life goals. Extending her life with dialysis may not be the consensus decision. Hemodialysis is harsh for everyone, especially so for the frail elderly and was never intended for frail elderly. Peritoneal dialysis is gentle. At 16% function, she does not require D. ...Read more

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Would dialysis using a permanent catheter in the only patent left phimoral vein rule out transplantation on it? Had aneurysmal rupture on the right.

Would dialysis using a permanent catheter in the only patent left phimoral vein rule out transplantation on it? Had aneurysmal rupture on the right.

Very tricky: Transplantation requires an adequate vein near an adequate artery and the bladder. Even if a femoral vein has been damaged, the vein higher up in the abdomen (the iliac or the vena cava) may still support a transplant. These technical details need to be carefully reviewed with a transplant surgeon in advance of transplantation. Most of the time, it is still possible. Best of luck. ...Read more

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Taking subclavian vein from left arm n artrey from right n placing graft betwen them for dialysis. Is it better or permanent catheter? No other option

Avoid catheters.: It sounds like your vascular surgeon is planning on placing what is sometimes referred to as a "necklace graft." Regardless of their location, and if placed by an experienced surgeon, grafts carry a much lower risk of getting infected than catheters. With this lower risk for infection, people with grafts generally live longer than those with catheters, so catheters are a last resort. Good luck! ...Read more

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

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

Difficult: After peritonitis, cavity will be obliterated, forms adhesions, loculations, will not allow free inflow and out flow, all the fluid will not return, also have to wait wks or months for pd, renal transplantation is best alternative, . ...Read more

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If I need antibiotics through an IV for strep infection, what are my options? How long would they need to be administered for?

If I need antibiotics through an IV for strep infection, what are my options? How long would they need to be administered for?

Strep infection: Besides IV antibiotics you can get a long acting penicillen shot that lasts for approximately a month. You can get daily injection of penicillen. You can take penicillen in tablet as well as liquid form. Treatment is usually for ten days depending on the cause and severity of the illness. ...Read more

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How long does it take to feel better after administered antibiotics through IV for kidney infection?

How long does it take to feel better after administered antibiotics through IV for kidney infection?

Days: A few days. Always follow up with your physician. While most kidney infections are successfully treated, some can progress despite antibiotics ...Read more

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What happens if dialysis can't be pumped in through vein in my arm?

What happens if dialysis can't be pumped in through vein in my arm?

Need Catheter: If an av fistula fails in dialysis patients, then they require a dialysis catheter until another long term dialysis access can be established. If all arm veins are too small or scarred, then it is possible to place an av graft (synthetic tube to connect the arterial and venous systems). Av grafts are typically made of gore-tex (ptfe). ...Read more

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What happens if dialysis can't be pumped in through a vein in the arm?

What happens if dialysis can't be pumped in through a vein in the arm?

Other options: Include veins in the other arm or the legs. Also, another kind of dialysis that does not require veins or blood flow is called peritoneal dialysis could be done throught the abdominal wall. ...Read more

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What occurs if someone who doesn't need dialysis goes through the procedure?

What occurs if someone who doesn't need dialysis goes through the procedure?

Filter: Dialysis does the work of kidneys, acts like kidney filter. Removes the extra fluid and wastes, toxins that accumulate in the body. If one goes through the procedure when the kidney function is normal, it will cause electrolyte derangements, which may be life threatening. ...Read more

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When on dialysis, does blood still go through kidneys at all?

When on dialysis, does blood still go through kidneys at all?

Kidneys on dialysis: Many people on dialysis maintain some level of residual kidney function. This is especially true for peritoneal dialysis. This residual function can make a huge difference in blood pressure management, and also in general health and mortality, so it is important to try to maintain it by avoiding kidney toxins (including medicines) and controlling blood sugar, and salt and phosphorus in the diet. ...Read more

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What would cause a catheter in through abdomen to come out with the balloon inflated?

Unanswerable: There has to be more to this story. As it stands there is too much vagueness. What kind of catheter? Where was it? How was it removed? ...Read more

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What would happen to someone who doesn't need dialysis but goes through it anyways?

Dialysis risks: Dialysis is a high risk procedure that should not be done unless absolutely necessary. The risks do not increase of its not needed, but if there is no benefit they are senseless. Complications include blood loss, both rapid and slow, dangerous blood pressure drops, reactions to the fluid or membranes used, and increased risks of infection. While dialysis is generally safe, why risk it if no need? ...Read more

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Need help when on dialysis, does blood still go through kidneys?

Need help when on dialysis, does blood still go through kidneys?

Kidney blood flow: Hemodialysis does not alter the blood flow to any organ of a patient on it. Those patients on dialysis perfuse their hearts, kidneys, brain and livers normally. ...Read more

Catheter (Definition)

A catheter is a thin plastic tube that is inserted into the body to obtain fluids/blood or give medicine. So some catheters can be placed in the veins and medicine given directly into the body, IV fluids given or blood sampled. A catheter can be placed in the bladder ...Read more


Dr. John Leander Po
1,117 Doctors shared insights

Antibiotic (Definition)

An antibiotic is a medicine that slows, stops, or kills germs. The germs are usually bacteria causing an infection in a person, so the person uses antibiotics to help his body get ...Read more