Doctor insights on:
Patient Receiving Hemodialysis
What's the recommended dosage of dilucan for oral candidiasis in a patient receiving hemodialysis?
What is the recommended dosage of dilucan for oral candidiasis for a patient receiving hemodialysis?
Diflucan (fluconazole)?: 100 mg daily will be adequate. Due to partial renal excretion, which is lacking in dialysis patients, the dose may need to be decreased if used more than 10 days. For instance HIV patients may need long term treatment then interrupted treatment guided by response of candidiasis may be the way to go. ...Read more
Hemodialysis hurting: Once a patient is placed on dialysis, there usually is no pain. Patients may experience some pain when the needles (n) are placed in the vascular access. They may get used to this or have Lidocaine or Ethyl Chloride spray given to numb the n pain. If patients have some cramping, due to too much fluid being taken off, that can be painful. Other than that, patients on dialysis are usually pain free. ...Read more
Dialysis isn't diet: Hemodialysis is to replace the poor function of your kidneys and will remove excess water that your kidneys may not clear and can cause swelling and lung fluid. This can reduce your "water weight" but has nothing to do with fat metabolism. That depends upon your diet and activity level. Anyone eating the wrong foods and/or taking too many calories with low energy expenditure can gain far weight. ...Read more
Food/water control: Besides that, they have to do a strict schedule of dialysis i.e. Go to dialysis unit 3 times a week for hemodialysis and do peritoneal dialysis daily at home if on it. Hemodialysis restricts the travel since patients have to secure a space in a dialysis unit at the town they are going to visit before hand. ...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
Yes: Daily home dialysis is better tolerated by most patients compared to in center dialysis as small amount of fluid and toxins are removed with each session. ...Read more
Depends: Dialysis can change the osmolarity of blood. The osmolarity of the jelly like substance inside the eye and lens can also change. These changes create a flux of fluid out of these tissues. These changes the anatomy of this lens system. So prescription of eye changes. These changes are temporary and not occur each time of dialysis or everyone. ...Read more
My father is a hemodialysis patient. He is experiencing shortness of breath. What could be the causes? Should he seek emergency medical treatment?
I am a hemodialysis patient with av fistula and I lift 5-10 pds of weights which my nephro agrees, can I take amino acid and creatinine to gain mass?
Hemodialysis: You sound like you are in excellent shape. I have seen the lab value for creatinine rise a bit in some patients, not on hemodialysis. This does not mean the kidney function was diminished; the body just had a higher creatinine intake. Especially being on hemodialysis, you should be able to take both supplements. Let your nephrologist know, in case any routine labs change over time. ...Read more
Increased risk: Dialysis patients are at increased risk of contracting hepatitis b due to the fact that the virus can survive on environmental surfaces. Patients with hep b that are dialyzed on the same machine that people without hep b can cause this but this is not commonly done any more because of the increased risk. ...Read more
My husband is a chronic kidney failiure patient and is doing haemodialysis twice weekly, what will happen if he misses one session?
Get sick: Missing dialysis results in fluid retention manifested by swelling of the body, especially the dependent areas, making the heart work more, risking potential heart failure. Increase in electrolytes, especially potassium, which can be life threatening with cardiac dysrrhythmia. It is best to maintain a strict dialysis schedule, and stick with it. ...Read more
Yes: Amidarone is predominately metabolized in the liver, and levels will not be significantly affected by dialysis. ...Read more
Slow and steady: Disequilibrium syndrome after dialysis is usually due to "too effective" dialysis. To prevent similar reactions in future treatments ask your dialysis doctors to make adjustments such as slow the blood flow rate, decrease the amount of fluid removed and avoid excessive electrolyte correction or changes. Also treat the symptoms you currently have with appropriate medications. ...Read more
Too high: Symptoms like these are best deterimed by a thorough evaluation by your physician. Based on his/her findings, a treatment plan can be developed to help you. ...Read more
There might be component of coronary disease need evaluation
may be BP related or arrhythmia any way need further work up. ...Read more
See below: Hemo means blood, it is an artificial way of removing waste from the body, there is a artificial membrane/filter which allows the blood from your body to run against a special water solution and waste and excess electrolytes moves across to the water and is eliminated. It takes 3-4 hours 3 times a week in the centers to carry this out. ...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
Maybe: Baking soda may have too much salt for a hd patient. ...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 more
All sorts of reasons: Death can be due to all the reasons everyone dies from, such as heart attacks, strokes, pneumonias, cancers, car accidents, murders, suicides, etc..., as well as their kidney disease worsening to the point that their bodies start to fail them. ...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