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Doctor insights on: Permcath Dialysis

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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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Dr. Quresh Khairullah
518 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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How to perform venipuncture from renal dialysis patient?

How to perform venipuncture from renal dialysis patient?

Venipuncture: It depends on the reason for the labs and the dialysis access the patient has. Most often, labs are draw during dialysis from the machine. If a fistula or graft is being used and labs are drawn outside of dialysis, its best to use the arm without the access. ...Read more

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How does peritoneal dialysis work?

How does peritoneal dialysis work?

Cleans blood: Fluid is infused into the abdomen. The fluid is separated from the abdominal organs by the peritoneal membrane. Toxins that build up in the blood will diffuse through the membrane into the fluid. This fluid is then drained from belly and that is how toxins are removed from your body. ...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 kidney dialysis work?

Filters blood.: It's a complicated process, but basically dialysis involves a filter called a dialyzer that the patient's blood passes through. Potentially harmful molecules in the blood are diffused across the filter membrane and eliminated as waste. Dialysis replaces some of the function of normal kidneys, but not all. It is better to stay healthy and prevent the need for dialysis if possible. ...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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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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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...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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Do patients with esrd need Foley catheters?

Do patients with esrd need Foley catheters?

Not usually: Esrd patients usually have no urine output but some patients do still produce some urine...It depends on the patient. ...Read more

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Can dialysis technicians learn phlebotomy too?

Do you mean?: Do you mean phlebology, the diagnosis and treatment of vein disease or phlebotomy- vein drawing for lab work? If you mean the second, i'm sure there must be labs that would have that course or send you in the right direction. ...Read more

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How do physicians de-clot an av fistula for dialysis patients?

Open or endo: It can be done with tpa (alteplase) (a high-potency medication to dissolve blood clot) and a rotor-rooter device inserted through a needle stick in the access. I tend to make a small incision to remove the clot with a balloon catheter, then do an angioplasty on the area of stenosis (narrowing) which you usually find in the vein or graft. ...Read more

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How long is continuous ambulatory peritoneal dialysis continued?

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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How does a renal dialysis machine work?

Good question: Dialyzers are made of a polyurethane capsule within which hollow fibers or parallel membrane plates are suspended in dialysate (dialysis solution). The fibers or plates act as a semipermeable membrane across which blood and dialysate flow. By crossing this membrane, solutes and water move between a patient's intravascular compartment and the dialysis fluid contained within the dialyzer. ...Read more

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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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Why do physicians use metal needles to access dialysis fistula?

Why do physicians use metal needles to access dialysis fistula?

It is less traumatic: Usually specially-trained nurses or technicians access dialysis fistulas, not physicians. Metal needles are used to help penetrate the skin and the thickened wall of the vein accurately and with minimal trauma. Sometimes blunt needles are used (if a buttonholing technique is being employed). ...Read more

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How to prolong life expectancy in diabetic kidney transplant amputee?

How to prolong life expectancy in diabetic kidney transplant amputee?

Life for an amputee: The patient needs to be evaluated for arterial disease of his heart and brain. Peripheral artery disease (pad) is found system wide, not only in the legs. He should be scheduled for a stress echocardiogram to see if he has ischemic disease of his coronary arteries, if positive, angiography of his coronary vessels needs to be done. He also needs a carotid artery scan to see if he has disease there. ...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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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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