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Doctor insights on: Peritoneal Dialysis Exchange

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What indication of hemodialysis peritoneal dialysis?

What indication of hemodialysis peritoneal dialysis?

Kidney failure: Hemodialysis and peritoneal dialysis are 2 effective types of treatment for kidney failure. Kidney function generally needs to be less than 10% before dialysis is needed. Kidney failure can be permanent or reversible. Kidney doctors (nephrologists) need to be involved in evaluation and treatment of kidney failure. There are 6 stages depending on severity. Stages 4-6 require specialist care. ...Read more

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Dr. Jared Fialkow
386 doctors shared insights

Peritoneal Dialysis (Definition)

One of the options for treatment of end stage kidney disease, the other options are hemodialysis and kidney transplantation. In peritoneal dialysis a tube is placed surgically in the belly. One end is in the peritoneal cavity and the other end is outside. Dialysis fluid is placed in the peritoneal cavity through the tube. The peritoneum acts as a filter, and drained ...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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Intermittent peritoneal dialysis cpt code?

90945 and 90947: 90945*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single physician evaluation 90947*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescript. ...Read more

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Could patient on peritoneal dialysis swim?

Could patient on peritoneal dialysis swim?

Yes: Only once it heals well after initial insertion. Three to six months minimum. You still need to be very careful with it ...Read more

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What is peritoneal dialysis?

What is peritoneal dialysis?

Dialysis inside you : Hemodialysis involves blood leaving your body in a circuit that passes through a filter membrane, before being returned to your circulation. Peritoneal dialysis involves the patient instilling fluids into the abdominal space, via a surgically placed silicone catheter which remains in place. The toxins from the blood stream in the blood vessels flowing to the bowel loops, pass through to the fluid. ...Read more

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Dialysis shunt and dialysis fistula the same?

Dialysis shunt and dialysis fistula the same?

No: A shunt, or graft, is a piece of synthetic tubular material inserted under the skin that dialysis needles insert directly into. A fistula is a connection of your own artery to a vein. Needles are then placed into the vein when the wall thickness matures. ...Read more

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Kidney transplant needed. Confused about plasma exchange?

Kidney transplant needed. Confused about plasma exchange?

Removes antibodies: Plasma exchange or plasmapheresis is designed to remove antibodies (proteins) from the plasma fraction of the blood, which is then replaced with other plasma or albumin. It is done when the recipient has antibodies targeting the hla antigens in the donor. It may be done before or after the transplant; and is useful to prevent or treat rejections. ...Read more

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What exactly is continuous ambulatory peritoneal dialysis (capd)?

What exactly is continuous ambulatory peritoneal dialysis (capd)?

Type of dialysis: Capd is a form of dialysis which involves inserting a tube into the abdominal cavity and the lining of the cavity the peritoneum, acts like a kidney and exchanges waste when you instill a special fluid into the cavity via the tube.If you do it 3-4 times a day you can draw the waste out . This different from blood/hemo dialysis.The peritoneal dialysis can be done at your home. ...Read more

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Home peritoneal dialysis vs center hemodialysis, which one is safer?

Home peritoneal dialysis vs center hemodialysis, which one is safer?

Depends on patient: In capable patients the peritoneal does not only provide for a better quality of life but also is safer. But in patients who are not likely to follow the rules well due to older age, dementia, poor manual dexterity etc, in-center dialysis is safer. ...Read more

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What exactly is peritoneal dialysis catheter manipulation?

PD Catheters: This is a procedure that is used to get a malfunctioning catheter to work again. There are many different ways this is done - putting a wire down the catheter or putting other devices down the catheter. Ask you doctor for a more thorough explanation. ...Read more

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Expert opinions? Which dialysis is better: peritoneal or hemodialysis?

Expert opinions? Which dialysis is better: peritoneal or hemodialysis?

To peritoneal or not: Hemodialysis cleans your blood directly meaning, your blood is taken from you, ran thru a filteration system, then returned to you. On the other hand, peritoneal does it indirectly. The blood vessels in your abdomen are exposed to a very concentrated solution. By osmosis, the concentrated solution will leech out the excess fluids you normally pee out if your kidneys were working well. As the ...Read more

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What is the cost of hemodialysis compared to peritoneal dialysis?

Don't know: This is variable. Would contact the facility or provider to obtain more information about the anticipated cost. ...Read more

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What type of dialysis access procedure would be necessary for peritoneal dialysis?

What type of dialysis access procedure would be necessary for peritoneal dialysis?

PD cath: A peritoneal catheter is introduced in the lower abdomen to allow for introduction of fluids in and out. ...Read more

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Risks of kidney transplant and plasma exchange?

Risks of kidney transplant and plasma exchange?

Not very harmful: If someone spoke to you about plasma exchange, then the issue is the presence of anti-donor antibodies in the recipient. The procedure removes the plasma containing the antibodies. The procedure is used either at the time (or just before) the transplant to prevent rejection in sensitized patients. Or, after the transplant if antibody mediated rejection has occurred. ...Read more

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How long is continuous ambulatory peritoneal dialysis continued?

CAPD Duration: It continues until there is no longer a need for dialysis. Here is an excellent resource for you to read on the internet: http://kidney.Niddk.Nih.Gov/kudiseases/pubs/peritoneal/. ...Read more

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Are there any diaylsis units that cater for neonate peritoneal dialysis?

Are there any diaylsis units that cater for neonate peritoneal dialysis?

Not typically: Pd is typically done in the neonatal intensive care unit until volumes are great enough, and a baby healthy enough to be done home. ...Read more

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What diet is appropriate for someone undergoing hemodialysis or peritoneal dialysis?

What diet is appropriate for someone undergoing hemodialysis or peritoneal dialysis?

Renal Diet: Patients who have ESRD (end-stage renal disease) and require dialysis need adequate nutrition (daily protein 1.2 gm/kg) but need to watch out for high phosphorus and potassium. Dialysis patients are assigned a dietitian to review their diet and to go over their blood test results to individualize their dietary needs. ...Read more

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How does kidney dialysis machine work?

How does kidney dialysis machine work?

Dialysis machine: The purpose of a dialysis machine (d) and the artificial kidney (a) used on it is to replace the function of the kidneys of a end stage renal disease kidney patient which do not work. The a filters the blood of the patient removing waste products and water the diseased kidneys of the patient cannot do. This prevents the patient dying of kidney failure. ...Read more

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How does automated peritoneal dialysis really work?

Automated by 2 ways: Some machines put liquid in the abdomen and pull it out by gravity i.e. The machine is located below the level of the bed on which the patient lies. The other does not use gravity but creates gentle negative pressure to suck the fluid back. You know the rest, the liquid that remained sometime inside the belly comes out with waste removed from the capillary circulation of the peritoneum by osmosis. ...Read more

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In what situation dialysis or transplantation done?

END STAGE RENAL FAIL: Both are done at end stage renal failure due to any cause. ...Read more

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Dr. Quresh Khairullah
523 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