Doctor insights on:
What Is The Classic Sign Of Hemolysis During Dialysis
Watch for...: While I am not a nephrologist I understand that you should look for a falling crit line, severe pain, or a pink hue to the filtrate. There may be acute hypertension, shortness of breath, and generalized redness of the skin. All of these are indications that action should be taken immediately to remedy the situation.
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
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.See 1 more doctor answer
Irritation: The skin over the shunt may be itching in reaction to irritation from adhesive from tape or from the topical antiseptic used on clean the shunt prior to use. If there is any redness or signs of irritation, see a dermatologist for topical treatment.
ESRD and fertility: While being on dialysis does decrease fertility, pregnancy is still possible. Men are affected to a much much smaller degree then women. Many organizations recommend pregnant dialysis patients receive more frequent dialysis than other patients in attempts to have healthier newborns. Talk to your doctor and dialysis team if your intentions are pregnancy. Good luck.
My friend is an dialysis patient and vomited during dialysis! This is the second time. Will it cause any problems?
Discuss with nephrol: We can not answer your question as we do not have enough information about your friend. I will suggest your friend discuss with his/her doctor as to what is causing the vomiting and if it needs any therapy.
Concentrations: Concentrations of waste are zero in the dialysis fluid. Combined with the glucose and other substances in the dialysis fluid "drags" waste and water out of the blood and changing the bags as has been prescribed by your kidney doctor results in less waste and water in the body. It's all based on the behavior of fluids and physical chemistry. Great question!See 1 more doctor answer
What does my husband need to do for an erection that occurred during dialysis that is quite painful? My husband is a 20 year diabetic and a 2 1/2 year dialysis patient.
Yes: Keep it covered and without tension on the exit site, and use a antibacterial cream recommended by your nephrologist. Contact your nurse if you notice any redness or discharge.See 1 more doctor answer
Adjust electolytes: Your nephrologist should be able to adjust your electrolyte levels for you during your dialysis to help prevent this issue. Please discuss with your nephrologist. Hope this was helpful. Thanks for using Healthtap. Best of luck with this. Dr R
Cramps during HD: Do not gain more than 3 liters or kg between sessions; know calcium and potassium levels; if these drop too low with HD, cramping occurs; also, know bicarbonate (sodium bicarbonate) setting on machine for you - too high can induce cramping; talk to nephrologist and dietitian; and avoid constipation.See 1 more doctor answer
My husband does home dialysis and is suffering from extreme cold sweats low body temp and regurgitation. Is this a sign of infection?
Could be: He should go see a doctor as these are potentially worrisome symptoms.
Tell me why patients with kidney failure eat and drink what they like only during the first few hours of dialysis?
Nurses being nice: The total fluid removal target is programmed at the beginning of the dialysis run. Fluids consumed on dialysis are added to the total weight target. The removal target is doable from the onset of dialysis. If you drink 32 oz in the last hour, it is difficult to get this (and the preprogrammed amount) all off in the last hour.
I have chronic renal retention. I was able to urinate during daytime & can't for the rest of the day. Now I can't urinate at all. Will I need dialysis now?
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