Doctor insights on:
Dialysis Patient Assessment Forms
What if a dialysis patient takes a medication or something that isn't dialyzable and can't be removed by dialysis?
See below: Prescribing for pts on dialysis can be challenging. Many drugs are not cleared by the kidneys. The drug’s clearance and therapeutic index determine if a dose adjustment is needed. When prescribing for pts on dialysis, it is essential to consult a reference guide to determine if the drug is subject to renal clearance and requires a dose adjustment. Best to discuss with a nephrologist. ...Read more
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
Clean & Squeeze: Dialysis is both about cleaning (dialysis) the blood of toxins and squeezing (ultra-filtering) excess fluid out. Both functions are done constantly in patients with normal function. Missing a session puts you 4-5 days between treatments and at risk for electrolyte and/or fluid retention problems. ...Read more
Metabolism: Kidneys eliminate toxins from the body. Dialysis is never a complete substitute for a real kidney. Some toxins are not removed or only partially eliminated from the body. Accumulation of these chemicals often disturbs brain function. Dialysis may result in infection, of which the first manifestation may be impaired thinking (cognition). ...Read more
Possible: Tropical fruits have been shown to inhibit enzymes in the liver that help break down drugs. While this has not been critically tested in patients, test tube results are concerning. I would review with your doctor your medications and the available patient data on the interaction of tropical fruits with you meds. ...Read more
IT DEPENDS: There are no set values at which a patient should be placed on dialysis. It is a decision that needs to be made by the patient and physician to avoid progression of symptoms such as feeling tired and ill all the time, volume overload in the body not corrected by medications, and declining nutritional status. It is important to be ready for dialysis before a patient requires it emergently. ...Read more
ESRD and Death: Most patients simply become very disoriented, sometimes agitated, and then they go to "sleep". Many health professionals have commented to me that dying from renal failure is gentle and painless. My grandfather simply went to sleep and never woke up and he appeared comfortable. ...Read more
Kidney machine clog?: I am not sure what you are referring to by a dialysis patient's clogging of a kidney machine. Patients can have their dialyzer (d), the artificial kidney, during dialysis. This normally occurs when the patients are not getting enough Heparin during dialysis and their d's clot ending their use of that d. If that is not the answer you were looking for, ask the patient's nephrologist youyr question. ...Read more
High albumin: You need to ask your nephrologist and renal dietician about the significance of your high Albumin level (ha). It can be seen in cases of dehydration, severe infection, hepatitis, HIV, some congenital disorders, cancer, severe infection and in some instances of chronic inflammation. Please speak to your nephrologist for the cause in your case. ...Read more
5 years: It varies based on the patient other medical conditions. But on the average the mortality rate (death rate) is 20% per year. However some patients who are young with fewer other associated medical conditions and who are compliant with their dialysis. Treatment could live over 10 to 20 years on dialysis ...Read more
Is it possible that dialysis patients stop their dialysis when the creatinine level became normal.
Yes: But if renal function has not returned then the cr level will rise fairly quickly. ...Read more
What causes dialysis patients urine to be so dark? Why do they stop making urine after long term dialysis?
Dialysis dark urine: 34 F asks why do dialysis pats have dark urine and why do they stop making urine. ANS: urine is the remains of the fluid filtered at the glomerulus. As glomeruli are destroyed by the disease colored chemicals that normally go out in the urine build up in blood-thus the funny skin color. This color stays in the urine so dark. Eventually all glomeruli die from the cause and no urine Is formed. ...Read more
Can a male dialysis patient still be fertile after being appr.10 year on dialysis? He is still active in sex.
My friend is an dialysis patient and vomited during dialysis! This is the second time. Will it cause any problems?
Discuss with nephrol: We can not answer your question as we do not have enough information about your friend. I will suggest your friend discuss with his/her doctor as to what is causing the vomiting and if it needs any therapy. ...Read more
What is the best recommendation for a 19yr female patient diagnosed with pauci glomerulonephritis. No improvement after a month. She's on dialysis.?
Listen to nephrology: Nephrologist, a specialist in kidney disease can best advise you on this. ...Read more
It's due to the need: Dialysis access grafts or fistulas develop aneurysms due to the repeated injury from being punctured multiple times per week. ...Read more
Cleansing of blood: Dialysis is the cleansing of the blood through an artificial membrane. It replaces some of the physiologic functions of a normal kidney but is generally inferior to a functioning kidney. One of the functions of the kidney is to produce a hormone that stimulates blood produciton. When kidney function is impaired, this hormone production is diminished, resulting in anemia. ...Read more
Don't Really Know: Have spent a bunch of time researching your question and can find no good answer. It is reported to improve renal function in some patients and there are many testimonials to its benefits. However, the peer reviewed medical literature is a bit sparse on the subject. Before doing anything, I would strongly recommend you talk with your kidney doctor. ...Read more
When kidneys fail: People are treated with dialysis when the kidneys are no longer able to perform their main functions: filtering out toxins and removing excess body fluids. For an excellent reference, look for the book "Help! I Need Dialysis! " by Dori Schatell and John Agar, MD. LGromkoMD ...Read more
Avoid decongestants.: Best to check with your nephrologist for specific advice that is tailored to you. Many cold medicines with decongestants can raise blood pressure and most dialysis patients already have high blood pressure. Coricidin HBP contains medicines that will not affect your blood pressure so this may me a safe option. ...Read more
Dialysis diet: Patients on dialysis need to have diet that are special to them. If they are not diabetic, the usual diet is a two gram sodium, 2 gram potassium and 80 gram protein diet. If they are diabetic, they may be on a 1800-2200 calorie ADA diet, as another restriction. Speak to the dietitian at the patient's dialysis center for more specific information. Good luck. ...Read more
See below: In general regular dialysis. Watch fluid intake. Follow dietician's instructions. Take medications on time. Your dialysis center has a dedicated team of doctor, dietician, social worker, dialysis staff- please follow their instructions. They spend a lot of time, sometimes without your knowledge planning optimal health for you. Please get on transplant list. ...Read more
Age illnesses matter:
The attached picture is from medicare data. It breaks down life expectancy of dialysis using age and sex.
20yo male on dialysis 15.3years average
40yo male on dialysis 8.4 years average
60yo male on dialysis 4.6 years average
80yo male on dialysis 2.3 years average
illnesses and the reason for starting dialysis matter too, but that's too complicated for a chart. Good luck. ...Read more
7-14 days: If a long time dialysis patient stops dialysis, not because of recovery of function, the average 10 days. Usually death occurs between 7-14 days. Some patients may live much longer if their native kidney function is still present and they eat a very restricted diet without protein or potassium and they manage their fluid well. The death from withdrawal of dialysis is usually peaceful. ...Read more
In-center dialysis: Your home training facility should have an in-center hemodialysis facility nearby that is available in he event you are unable to perform your home dialysis treatments. ...Read more