Doctor insights on:
What Is Pre Dialysis Meaning
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 moreSee 1 more doctor answer
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
Clean blood: Dialysis removes waste products from the blood and extra fluids to replace the function of the kidneys and prolong life. Without it death is usually eminent in a few months more or less. The quality of life on dialysis is less than that with functioning kidneys due to substantial fatigue and other medical problems and medications. ...Read moreSee 2 more doctor answers
Less likely: Fertility is significantly decreased in patients on dialysis, but it is still possible to have children. If you become pregnant, however, your likelihood of a successful pregnancy are much lower. If it is not your intention to become pregnant, make sure that you are using some form of birth control. ...Read more
RRT options: There are five renal replacement therapy options i always discuss with patients who are about to start dialysis. 1. Blood dialysis a) in center (hd) b) home (hhd) 2. Peritoneal (ccpd or capd) (also done at home) 3. Renal transplantation 4. Comfort care. Not everyone decides to use this technology. ...Read moreSee 1 more doctor answer
See below: Opinions may vary, but most nephrologists agree that home dialysis which includes home hemo dialysis [ where you perform your own dialysis at home ] and peritoneal dialysis [stomach dialysis, blood free dialysis] are better options than incenter hemodialysis where you go for dialysis to a center 3 times a week. There are some considerations whereby home dialysis may not be a proper option. ...Read moreSee 1 more doctor answer
Possible: If you are an in center patient, travel becomes more difficult but not impossible. Depending on where you are traveling the social woker must arrange for a dialysis center to perform dialysis at your destination location. This requires 3 week advance notice, but many dilaysis patients have been to the caribbean and mexico. ...Read moreSee 1 more doctor answer
See below: 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 wastes are removed here. ...Read more
Dialysis risks: Dialysis is a high risk procedure that should not be done unless absolutely necessary. The risks do not increase of its not needed, but if there is no benefit they are senseless. Complications include blood loss, both rapid and slow, dangerous blood pressure drops, reactions to the fluid or membranes used, and increased risks of infection.While dialysis is generally safe, why risk it if no need? ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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
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