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Dialysis Patient Assessment Forms
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 moreSee 1 more doctor answer
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
Advanced cardiac issues- how can a patient obtain treatment w/o health insurance or medicare coverage while waiting 2 yrs. For the ssi/cal program?
FQHC : Seek out a fqhc near you. Federally qualified health centers are the best places for uninsured or underinsured patients to recieve their care. ...Read more
Is it ethical/legal for blood banks to cite fictional patient cases in an attempt to get donations? ie, "A dialysis patient needs your blood type..."
Renal Diet: Patients who have ESRD (end-stage renal disease) and require dialysis need adequate nutrition (daily protein 1.2 gm/kg) but need to watch out for high phosphorus and potassium. Dialysis patients are assigned a dietitian to review their diet and to go over their blood test results to individualize their dietary needs. ...Read more
Which nursing interventions are most appropriate for the patient diagnosed with fluid volume deficit after paracentesis..?
Multiple things: Paracentesis is done to remove fluid from the abdomen for a number of reasons, diagnostically or therapeutically. Diagnostic paracentesis usually removes only a small amount of fluid and is generally not associated with fluid deficit. Large volume paracentesis can be associated with hypotension (particularly orthostatic), tachycardia, diminished urine output. Keep IV patent, give Albumin as rx. ...Read more
Depends: Usually, CHF pts will need to be treated daily for life but there are exceptions depending on the cause of the chf, the severity of the symptoms, and whther there were extraneous factors that caused a flare of symptoms. Please note: if this is about you, chewing tobacco is very dangerous in the presence of CHF (can precipitate dangerous arrhythmias). ...Read more
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?
Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?
Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read moreSee 1 more doctor answer
Can patient with fsgs and aiha undergo kidney transplant ? Whether the patient should go for live donor or cadaver transplant ? What r success rate?
Fsgs recurs but,: Fsgs is okay to transplant whether live donor or not! however, recurrence, is possible. Fsgs returns in about one third of the transplanted kidneys i.e. Every 3 persons with kidney failure due to fsgs who get transplant, one of them will see fsgs affecting his transplant. The disease may take years to appear however. So, possible recurrence is not a reason to not transplant persons with fsgs. ...Read more
What are the possible negative outcomes for emergency IV fluid treatment for a patient with low blood pressure who also has end stage renal disease?
Dialysis patient: The fact that needs to be ascertained is what the low BP was caused by. Was the patient bleeding or have a heart attack? When was the patient's last hemodialysis? Iv fluids may be appropriate in the short term and the object of therapy is to find the cause of the low BP and treat it. I assume that the patient is in the hospital and can be dialyzed for fluid removal with pressors to raise it. ...Read moreSee 1 more doctor answer
Diagnostic assessment before fontan operation in patients with bidirectional cavopulmonary anastomosis: are noninvasive methods sufficient?
Not traditionally: I don't believe so. There may be some programs that will experiment with noninvasive pre-fontan imaging, but i believe that this is risky. The pressures are obtainable only by catheterization and this data may change the operation (e.g., whether or not to fenestrate the fontan to allow a pop-off of blue blood to increase the cardiac output.) catheterization also allows presurgical interventions. ...Read moreSee 1 more doctor answer
Cardiac transplant: Transplant survival rates have been improving over the past several years as better options exist in preventing rejection (better than 60% live 10 or more years). Diffuse post-transplant coronary arteriopathy tends to or relate more with late post-transplant events. Coexistant renal failure would also be a negative predictor on survival irrespective of transplant status (mortality 50% at 2 yrs). ...Read more
What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP (> 180/100) and dm (fasting blood sugar >350)?
What's the care plan for patient with nephrotic syndrome and diagnosed with ineffective tissue perfusion , renal?
Depends: It depends on if it is steroid responsive or not. Treatment can vary - it needs to be individualized. ...Read more
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