Doctor insights on:
Hemodialysis Catheters And Internal Port Devices
Tough question: If you're referring to permanent catheters they all function pretty well. Price is certainly an issue and sizes as well. You need to be able to place them in different sites (left or right). I've used a bunch of different brands and I have not found one to better than the others for flow rates or infection resistance. ...Read more
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
Catheters: They are useful because they can offer a HD dialysis in a patient when needed right away. But would not suggest that be the longer term access, getting a permanent access such as a AV fistulae is the way to go. All plastics gets infected, it is a matter of time. So while very useful short term, aim for a permanent access. Talk to your Kidney doc if there is ESRD and dialysis will be permanent . ...Read moreSee 2 more doctor answers
Husband has chest hemodialysis catheter and went swimming last night without waterproof bandage over exit site. is this ok?
No: Since the site is not waterproof, it is not generally ok. However he might be lucky enough to not have water entering the unsealed area. However if there is any abdominal or chest discomfort, be sure to get him to see his doctor or to an emergency room. ...Read more
Can i restart peritoneal dialysis after having removed the catheter due to peritonitis, as i've blood clotting, deep vein issues with heamodialysis ?
Sex function varies: The definition of a quality sexual relationship varies for each individual couple. If you are specifically asking about the ability of your husband to have and maintain an erection, then this depends upon his primary disease. For example, diabetic patients frequently have kidney failure and also impotence from the same etiology. Your physician can prescribe medications, such as viagra, (sildenafil) that help. ...Read more
What do you suggest if i would like to know if someone has hyperglycemia, and gets a hemodialysis, is the machine gonna clear this high glucose?
Glucose transport: Glucose (G) has a molecular mass of 180.2 and can diffuse across a hemodialyzer membrane. So if there is no glucose in the dialysate (D), there will a flux of G from the patient to the D. If there is G in the D, the concentration is 200 mg/dl. If the patient's glucose is > 200, glucose will flux from the D to the patient, if it's ...Read more
Less fluid removal: When you develop dizziness and nausea after a dialysis treatment, that usually indicates that too much fluid was removed during the treatment. You may want to speak to your doctor about increasing your target weight so less fluid is removed during the treatment. ...Read moreSee 1 more doctor answer
My lil brother's renal graft failed, hemodialysis since june '12. I'm 21, female, ABO compatible. My family won't let me donate, hw to convince?
Hard to Answer: Probably best to ask someone you know about who is on dialysis, and would like to talk about it. There are over 500, 000 patients receiving dialysis in the us each year. It should not be hard to find a dialysis patient. You could also call a local dialysis unit--and even volunteer to help out. ...Read moreSee 1 more doctor answer
NIDDK resources: The national institute of diabetes & digestive & kidney diseases (part of the national institute of health) has an excellent and very readable resource packet, which includes references for many cookbooks, both online and printed. Check out eat right to feel right on hemodialysis at: http://kidney.Niddk.Nih.Gov/kudiseases/pubs/eatright/index.Aspx. ...Read more
Using saline: During hemodialysis heparin is used to prevent clotting in the system at entrance ( arterial end ) when blood returns back ( venous end ) unclothed state . Some times heparin is contraindicated ( like reaction to it etc ) then saline is used continuously or intermittent flush to prevent clotting in extracorporeal system . ...Read more
Bad needle stick : Usually when the needle gets out of the vein due to different reasons (movement of patient, bad veins , poor initial placement) an infiltration of blood coming out of the vein occurs. The degree of severity is variable. ...Read more
Will lower anxiety: Restyl is the brand name for alprazolam in India. It's marketed as Xanax in the U.S. The major form of metabolism is through the liver to an inactive metabolite excreted through the kidneys. 20% of the active form is found in urine. Since you're on hemodialysis, the drug should lower anxiety, similar to someone w/o renal disease, unless you also have liver disease which may cause stronger effects. ...Read more
Tiny amounts blood: Even very small amount of blood from someone who has hepatitis c can spread this infection. So in dialysis units, improper cleaning of surfaces that might have been contaminated with blood could be an issue, as is using multi-use vials of medicines for multiple patients. If health workers use universal precautions the risk to patients is low. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Many things: It has a much finer filtering mechanism to selectively remove waste products. The kidney also has endocrine function meaning it can respond to other hormones in the body such as parathyroid hormone to keep the bones healthy and aldosterone or vasopressin that aid in salt and water control. The kidney also can produce hormones that stimulate the bone marrow and produce vitamin d. ...Read moreSee 2 more doctor answers