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Doctor insights on: Dialysis Nephrologists

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Who are candidates for kidney dialysis?

Who are candidates for kidney dialysis?

Failing kidneys...: Having failing kidneys - most commonly from diabetes and/or high blood pressure - is the admission 'requirement' for most dialysis patients. But remember that dialysis can give you only a fraction of normal kidney function! transplant, especially a living donor transplant from a relative, will likely give you the best chance to return to as normal a life as would be possible. Lindagromkomd.Com. ...Read more

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Dr. Quresh Khairullah
518 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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How to perform venipuncture from renal dialysis patient?

How to perform venipuncture from renal dialysis patient?

Venipuncture: It depends on the reason for the labs and the dialysis access the patient has. Most often, labs are draw during dialysis from the machine. If a fistula or graft is being used and labs are drawn outside of dialysis, its best to use the arm without the access. ...Read more

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What are hemodialysis and peritoneal dialysis?

What are hemodialysis and peritoneal dialysis?

Dialysis methods: Hemodialysis as the name suggests is directly cleansing the blood of waste, there are incenter ie going to a dialysis unit 3 times a week, and home hemodialysis ie doing it yourself at home peritoneal dialysis is home dialysis with a special fluid instilled nto the abdomen cavity which can also clean the blood through the lining of the cavity. ...Read more

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How does kidney dialysis machine work?

How does kidney dialysis machine work?

Dialysis machine: The purpose of a dialysis machine (d) and the artificial kidney (a) used on it is to replace the function of the kidneys of a end stage renal disease kidney patient which do not work. The a filters the blood of the patient removing waste products and water the diseased kidneys of the patient cannot do. This prevents the patient dying of kidney failure. ...Read more

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Intermittent peritoneal dialysis cpt code?

90945 and 90947: 90945*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single physician evaluation 90947*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescript. ...Read more

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Can haemodialysis correct metabolic acidosis in renal failure patient?

Can haemodialysis correct metabolic acidosis in renal failure patient?

Renal Replacement Th: Dialysis is one of the treatments for metabolic acidosis. Depending on the cause as well as the other medical problems and type of the acidosis, correcting the inciting problem is the first step dialysis may or may not be needed. ...Read more

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Do patients with esrd need Foley catheters?

Do patients with esrd need Foley catheters?

Not usually: Esrd patients usually have no urine output but some patients do still produce some urine...It depends on the patient. ...Read more

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Kidney function at 18% ---- will i need dialysis or transplant?

Kidney function at 18% ----  will i need dialysis or transplant?

Quite possibly: Best to discuss with a nephrologist. You are close to a world class kidney dialysis & transplant center at maine medical center in portland. Long term prognosis is best with a transplant rather than dialysis. ...Read more

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Copd + renal failure not a candidate for dialysis?

Copd + renal failure not a candidate for dialysis?

Depends...: It depends on the severity of the copd. If the patient is on COPD medications and has relatively mild symptoms and/or is well-controlled, then dialysis can be given. It will likely need to be hemodialysis as a pulmonary patient is not likely to tolerate peritoneal dialysis. For an individual case, a kidney specialist will determine if the patient will tolerate dialysis treatment. ...Read more

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Expert opinions? Which dialysis is better: peritoneal or hemodialysis?

To peritoneal or not: Hemodialysis cleans your blood directly meaning, your blood is taken from you, ran thru a filteration system, then returned to you. On the other hand, peritoneal does it indirectly. The blood vessels in your abdomen are exposed to a very concentrated solution. By osmosis, the concentrated solution will leech out the excess fluids you normally pee out if your kidneys were working well. As the ...Read more

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How to prolong life expectancy in diabetic kidney transplant amputee?

How to prolong life expectancy in diabetic kidney transplant amputee?

Life for an amputee: The patient needs to be evaluated for arterial disease of his heart and brain. Peripheral artery disease (pad) is found system wide, not only in the legs. He should be scheduled for a stress echocardiogram to see if he has ischemic disease of his coronary arteries, if positive, angiography of his coronary vessels needs to be done. He also needs a carotid artery scan to see if he has disease there. ...Read more

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End-stage renal disease means you need dialysis?

End-stage renal disease means you need dialysis?

When kidneys fail: End stage renal disease is stage five ckd or GFR 15 or less. Dialysis is started when the function of the kidneys is inadequate to remove the metabolic byproducts of metabolism. In practice this is usually determined by measuring gfr. Most people have to start dialysis when GFR drops to 10-15 though it may have to be started higher or lower than that. ...Read more

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In what situation dialysis or transplantation done?

END STAGE RENAL FAIL: Both are done at end stage renal failure due to any cause. ...Read more

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Is dialysis necessary to cure kidney disease?

Is dialysis necessary to cure kidney disease?

No: Dialysis does not cure kidney disease. It replaces enough kidney function to allow support and survival while the kidneys get better or, if kidney failure is permanent, until transplant can be considered. Some permanent kidney failure patients remain on dialysis for the rest of their lives. ...Read more

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What is peritoneal dialysis?

Dialysis inside you : Hemodialysis involves blood leaving your body in a circuit that passes through a filter membrane, before being returned to your circulation. Peritoneal dialysis involves the patient instilling fluids into the abdominal space, via a surgically placed silicone catheter which remains in place. The toxins from the blood stream in the blood vessels flowing to the bowel loops, pass through to the fluid. ...Read more

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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

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Does kidney failure in small children mean dialysis?

It depends: Acute, reversible kidney failure in a child does not always result in dialysis. Chronic, non-reversible renal failure will likely result in dialysis. Peritoneal dialysis is preferred for a variety of reasons. Finally, renal transplant asap is the ultimate preferred treatment for children who are on dialysis. Children need to grow and getting a transplant is their best hope to see that happen. ...Read more

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Glomerular filtration & renal clearance, what is this?

Glomerular filtration & renal clearance, what is this?

GFR: Glomerular filtration is is the amount of filtering that occurs in the glomeruli of the kidney. We use this number (usually an estimation based on creatinine, age, race, sex and albumin) to determine how well the kidneys are functioning. It tells us how much kidney function (or clearance) someone has. ...Read more

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Can dialysis technicians learn phlebotomy too?

Do you mean?: Do you mean phlebology, the diagnosis and treatment of vein disease or phlebotomy- vein drawing for lab work? If you mean the second, i'm sure there must be labs that would have that course or send you in the right direction. ...Read more

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Why are renal failure patients anemic?

Why are renal failure patients anemic?

Reducerythropoietin : In significant chronic renal failure the hormone erythropoietin is produced in lower amounts. If the anemia is severe and there is no other type of anemia (usually less that 11) and if pt is symptomatic this substance can be given in form of injection (procrit (epoetin alfa) and others). ...Read more

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