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Doctor insights on: Fluid Management In Dialysis Patients

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What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

Pain on PD: This question is clearer - turbid fluid indicates infection. Infection will cause these symptoms. Call your doctor and PD nurse. ...Read more

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Dr. Quresh Khairullah
517 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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Serious question. Patient has uti. On fluid restriction due to heart problems. Needs dialysis but can't yet. Today eyes yellow. What can be done?

Serious question. Patient has uti. On fluid restriction due to heart problems. Needs dialysis but can't yet. Today eyes yellow. What can be done?

Check liver: This sounds like a very serious problem. The yellow eyes suggests jaundice and liver dysfunction. In the setting of kidney and heart problems, too, I worry about multiple-system organ failure, a bad problem. All these issues relate. The patient needs volume status addressed, antibiotics and likely evaluation of organ function, quickly and closely. So sorry and good luck. ...Read more

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Can dialysis patients have a massage?

Can dialysis patients have a massage?

Yes: Take care not to compress your fistula access while lying down. Catheter exit sites need to remain covered.

If a pd access, keep your exit site covered with gauze. ...Read more

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Laminine can be used for dialysis patients?

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

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When does a patient need to undergo dialysis?

When does a patient need to undergo dialysis?

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

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What cold remedied are safe for a dialysis patient?

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

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What happens if a patient misses a dialysis session?

What happens if a patient misses a dialysis session?

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

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What is the appropriate diet for a dialysis patient?

What is the appropriate diet for a dialysis patient?

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

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What can I do to improve the health of dialysis patient?

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

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Once a patient starts dialysis, how long do they have to live?

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

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If dialysis patients take in too much phosphorus, what will happen?

If dialysis patients take in too much phosphorus, what will happen?

Itching: High phosphorus levels in a dialysis patient can lead to many issues. Usually most patients itch uncontrollably. However over time elevated phosphorus levels can alter bone structure, lead to calcium deposits on heart vessels and cause nerve damage throughout the body. ...Read more

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For what length of time do patients usually last after they start dialysis?

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

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Is there back-up for patients whose home dialysis is compromised due to short term problems?

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

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I'm a dialysis patient for 17 years. I haven't slept in 4 days. I have been trying no sucess what should I do?

Here are some. ..: You should bring to and discuss your concern of insomnia with your treating Doc so how to implement lifestyle and behavioral modification, possible use of melatonin and other sleep-inducing drugs, etc. To suit your clinical profile. There has been no magic means or pill around online to meet your specific need. Best wish. .. ...Read more

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What if a dialysis patient takes a medication or something that isn't dialyzable and can't be removed by dialysis?

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

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Can dialysis patients take Apetamin?

Can dialysis patients take Apetamin?

Dialysis Patients: Should take NOTHING in the way of Nutritional additions, Vitamins, Herbals etc etc etc WITHOUT CLEARANCE FROM their RENAL Physician!!!

Hope this is helpful
My opinion only
BE WELL!
Dr Z ...Read more

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Why do dialysis patients become incoherent?

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

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Is rambutan fruit bad for a patient on dialysis?

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

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When is a kidney patient supposed to be on dialysis?

When is a kidney patient supposed to be on dialysis?

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

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What is the effect of high albumin in dialysis patient?

Good health: Albumin levels reflect the overall nutritional status of your body and generally patients on dialysis who have Albumin level more than 3.5 tend to have better outcomes when compared to patients with low levels. ...Read more