Top
30
Doctor insights on: Sedation For Dialysis

Share
1

1
Is there anything I should be doing right now to assist me in preparation for dialysis when the time comes? (the do's and don't s). Thank you.

Is there anything I should be doing right now to assist me in preparation for dialysis when the time comes? (the do's and don't s). Thank you.

Yes: If you have renal insufficiency ("pre-dialysis" kidney disease) you should consider getting a fistula placed. Since you have some klidney function you are a better surgical candidate, will heal better, and can get a native vein fistula (the best kind). Don't wait until you start dialysis because you may need a catheter (which is not good). ...Read more

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


2

2
How is dialysis performed?

How is dialysis performed?

Dialysis: Dialysis can be done through the blood (hemodialysis) or through the abdomen (peritoneal dialysis). Hemodialysis involves passing the blood across and filter to purify it / remove toxins and remove water. Peritoneal dialysis takes advantage of the membrane within the abdomen to act as a filter. In either case toxins are removed from the blood stream. ...Read more

3

3
What will happen if I have sedation?

Sedation: You will have no recall of the events of the procedure or experience any pain or discomfort. Good luck. ...Read more

4

4
How many forms of dialysis are there?

2 peritoneal & hemo: The 2 types of dialysis are hemodialysis and peritoneal. Both are effective but have pros and cons. Hemodialysis is generally done at a dialysis center three times a week and requires "access" into the blood stream, a fistula is preferred. Peritoneal dialysis is done at home through a catheter (tube) inserted into the abdominal cavity. You should discuss with your nephrologist what is best for you. ...Read more

5

5
My creati ine is 480 do I need dialysis?

My creati ine is 480 do I need dialysis?

Not clear: I'm not sure on the units in your value or if there is a decimal missing.
A creatinine of 4.80 mg/dl is abnormal and requires investigation.
A creatinine of 480 micromol/l is also elevated and requires evaluation. ...Read more

6

6
What is fatty deposit in dialysis tubing?

Not sure: Couild you be more explicit, I never heard about that akthough I take care of dialysis patients. ...Read more

7

7
When is it necessary to commence dialysis?

Dialysis: A patient is started on dialysis when their doctor decides that their metabolic disturbances caused bytheir renal failure can no longer be managed with medications alone. The length of time from the onset of chronic renal failure to dialysis varies from one patient to another and has to be individualized by your doctor with your concurrence. ...Read more

8

8
Where is the perma cath placed for dialysis?

Where is the perma cath placed for dialysis?

The neck: The permacath is placed in the internal jugular vein on either the right or left side of the neck. It is generally considered a temporary dialysis access, with an arteriovenous fistula being the favored dialysis access. It is recommended that people not shower with a permcath because it increases the infection risk. ...Read more

9

9
What creatnine level are you placed on dialysis?

It's all relative.: A rising creatinine is a sign that your kidneys are failing. Dialysis is a type of kidney replacement therapy which needs to be started when you and your doctor decide that the time is right. This may be due to your just feeling lousy or due to specific medical threats to your health--high potassium, heart failure, etc. Once your creatinine is over 2, you need to see a nephrologist. ...Read more

10

10
What are the physical effects of stopping dialysis?

Multiple things: You can become uremic leading to pericarditis, nauseas/vomiting, altered mental status, and comatose. Also you can and likely will become hyperkalemia (increase in your potassium) and if this persist you will die from a cardiac arrthymia. Also you will have itching from increased phosphate. It's best not to missed dialysis. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
11

11
Salting in, salting out dialysis, what is this for?

Dr. James Lin Dr. Lin
1 doctor agreed:
Salting in, salting out dialysis, what is this for?

Here is some...: Dialysis is to help patients with end-stage kidney disease to temporarily handle body fluid, electrolytes, & others by adjusting the electrolyte concentration of circulating fluid so to equilibrate and temporarily restore the electrolyte balance. As to "salting-in & salting-out", it simplifies the idea to balance electrolytes as briefed above. Besides, ask your nephrologist timely. ...Read more

12

12
What all are the conditions when dialysis is suggested?

What all are the conditions when dialysis is suggested?

Kidney...: When dialysis is needed is because the kidneys are not able to work on their own so an artificial "filter" is needed to get rid of the waste that your body produces. What conditions cause kidney failure? Too many to list here but the most common ones are: hypertension, diabetes, kidney tissue damage, medications, autoimmune disease, kidney stones or masses, severe infections. ...Read more

13

13
In what ways are dialysis and isotonic, hypertonic, and hyptotonic solutions related?

Different Solutions: Tonicity refers to concentrations of molecules that cause water to move from one side of a semipermeable membrane to another. Moving water out of a dialysis patient's blood along with waste products that also need to be removed requires a hypertonic solution. Isotonic means that there is no will be no movement of water, etc. Hypotonic means that water will move back into the patient. ...Read more

14

14
What is IV sedation?

What is IV sedation?

There are 3 kinds: There are 3 levels of intravenous sedation: "conscious", "moderate", and "deep". With conscious sedation, a patient is awake and just has a little medication to relax and help with discomfort. With moderate sedation, the patient may doze off. Deep sedation is not much different from general anesthesia, and carries many of the same risks; the provider must be trained in anesthesiology. ...Read more

15

15
Itching during dialysis?

Itching during dialysis?

Hopefully the link: Below would give u tips. Http://www. Kidney-support. Org/dialysis/1350.html. ...Read more

16

16
Does dialysis cause dehydration?

Does dialysis cause dehydration?

It can: Dialysis serves two functions. One is to remove some of the toxins in the blood that are no longer able to be removed by the kidneys due to kidney failure. The other is to remove fluid that has accumulated due to the diseased kidneys. If the dialysis prescription is incorrect in relation to the patient's "optimal" or dry weight, too much fluid can be removed and the person can become dehydrated. ...Read more

17

17
How safe is conscious sedation?

How safe is conscious sedation?

Safe and effective: Conscious sedation is safe and effective for patients who need minor surgery or a diagnostic procedure. ...Read more

18

18
Can you skip dialysis for a week?

Not a good Idea: This is really not a wise choice. While you are likely to survive if you limit you water intake and severely modify your diet, this is a high risk activity. Before you even consider this, talk with your dialysis doctor and explain what is really happening with you to cause you to consider skipping dialysis. ...Read more

19

19
How does conscious sedation work?

How does conscious sedation work?

Technically...OK?: Agents used (e.g., bezodiazepines) produce the following effects: reduced anxiety, skeletal muscle relaxation and amnesia (antegrade). They allow for a relaxed, memory-free surgical experience while preserving wakefulness and one's ability to respond verbally to prompts. They enhance the affinity of specific "receptors" in the nervous system to respond to an inhibitory neurotransmitter. ...Read more

20

20
How can a dialysis machine work?

Filter, toxins: Dialysis does the work of kidney- removing fluids andtoxins. Blood from the patient flows on one side of the chamber and the dialysate solution which contains the optimal concentration of electrolytes on other side of the chamber. Electrolytes move along the concentration gradient, so toxins which are high in the blood, goes to the dialysate solution. ...Read more

21

21
What exacly is a shunt for dialysis?

Fistula: It is a sort of connection between artery and vein either using own blood vessels or with synthetic graft. This site is the access for hemodialysis. ...Read more

22

22
Conscious sedation ok to go to work?

Conscious sedation ok to go to work?

Sedation work: This depends on several factors:
- if work is the same day, then you may still have some sedative in your system
- is your work dangerous if you may still have sedative (heavy machinery, driving)
- has your anesthesia provider given you only short acting medications. (make this request to the provider)
- are you driving to work. ...Read more

23

23
How can I overcome dialysis washout?

How can I overcome dialysis washout?

More time, or CAPD: Patients on night time dialysis (usually 8 hour treatements) report this less often, patients with home peritoneal dialysis also usually feel better. Transplantion will fix this, consider home hemodialysis also. ...Read more

24

24
What is a dialysis machine based on?

Countercurrent flow: The dialysis machine is based on pumps that move blood through the artificial kidney (a filter) while making dialysate (a mixture of water and chemicals) to move the opposite direction through that filter. The blood and dialysate are separated by a semipermeable membrane in the filter. By moving in opposite directions, the waste products in the blood tend to go into the dialysate cleaning the body. ...Read more

25

25
If you skip dialysis are there risks?

Yes: From something as simple as being a bit tired to more serious complications of excessive fluids and difficulty breathing as well as accumulation of waste products that can lead to some really serious medical complications. Skipping dialysis is simply put, not a real wise choice. Please, please, please discuss this with your doctor and get all of the facts. ...Read more

26

26
Can you be fertile while on dialysis?

Yes: Pregnancy is possible but carrying the baby to term is difficult. ...Read more

27

27
Can dialysis patients have a massage?

Yes: Take care not to compress your fistula access while lying down. Catheter exit sites need to remain covered.

If a pd access, keep your exit site covered with gauze. ...Read more

28

28
Creatinine 2.3 is the sign of dialysis?

Start of dialysis: Your question is difficult to answer without knowing the age, weight, sex and race of the patient in question. The creatinine level is rarely the only indication for starting dialysis. Factors such as high potassium, nausea, vomiting, increased sleep during the day time and itching are more commonly used indicators. Ask your doctor, or go to a nephrologist to get more information. Good luck. ...Read more

29

29
Is it possible 2 avoid dialysis in ckd?

Avoid dialysis: Yes, it is possible to avoid dialysis in stage 2 kidney, but it is not guaranteed. You need to be under the care of a nephrologist to find out what caused your CKD in the first place. Was it due to poorly treated hypertension and/or diabetes? Was it due to some disease of the disease of the kidney's glomeruli? Find a good nephrologist to increase your chances of not having your CKD progress. ...Read more

30

30
Should I have a baby and go on dialysis?

Should I have a baby and go on dialysis?

Ask your doctor: I have cared for women who have had children while having severe renal disease. The key is working very closely with your doctor and paying careful attention to your medical treatment. ...Read more