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Doctor insights on: Hemodialysis Catheters And Internal Port Devices

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Hi doctors! can you help me figure out which hemodialysis catheter to purchase?

Hi doctors! can you help me figure out which hemodialysis catheter to purchase?

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

Catheter (Definition)

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


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How safe is a central Venus catheter for hemodialysis?

How safe is a central Venus catheter for hemodialysis?

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 more

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Husband has chest hemodialysis catheter and went swimming last night without waterproof bandage over exit site. is this ok?

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

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Can i restart peritoneal dialysis after having removed the catheter due to peritonitis, as i've blood clotting, deep vein issues with heamodialysis ?

Can i restart peritoneal dialysis after having removed the catheter due to peritonitis, as i've blood clotting, deep vein issues with heamodialysis ?

Difficult: After peritonitis, cavity will be obliterated, forms adhesions, loculations, will not allow free inflow and out flow, all the fluid will not return, also have to wait wks or months for pd , renal transplantation is best alternative, . ...Read more

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What can I do to get a sexual life with my husband who is under hemodialysis kidneys?

What can I do to get a sexual life with my husband who is under hemodialysis kidneys?

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

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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?

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

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Why would I do daily home hemodialysis?

Easier on body: More frequent daily treatments make need to remove fluids less per treatment. ...Read more

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If I need hemodialysis, will I need to be seen by a specialist?

If I need hemodialysis, will I need to be seen by a specialist?

Yes: Dialysis is ordered by kidney specialist called nephrologist who will discuss various dialysis options and kidney transplant. ...Read more

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How can I deal with the dizziness and nausea that occurs after hemodialysis?

How can I deal with the dizziness and nausea that occurs after hemodialysis?

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 more

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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?

Ethical dilemma: It is always stressful for parents to have their children undergo surgery. In this case, have them consider how they would feel if the situation were reversed and they were told they would not be given the option to saw their sibling. ...Read more

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What does it feel like to undergo hemodialysis?

What does it feel like to undergo hemodialysis?

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 more

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Where could I find recipes for hemodialysis diet ?

Where could I find recipes for hemodialysis diet ?

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

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What foods are good for person under hemodialysis?

A good: "old fashioned" "balanced" diet is usually recommended although in kidney failure some restriction of protein is sometimes recommended to decrease the frequency of dialysis treatments. Hope this helps! Dr Z ...Read more

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How is saline hemodialysis performed?

How is saline hemodialysis performed?

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

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Can you please describe needle infiltration in hemodialysis?

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

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What will happen when a hemodialysis person takes restyl 0.5mg?

What will happen when a hemodialysis person takes restyl 0.5mg?

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

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Hcv can spread by hemodialysis machines?

Hcv can spread by hemodialysis machines?

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 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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What can a kidney do that a hemodialysis machine can't do?

What can a kidney do that a hemodialysis machine can't do?

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 more

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