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Doctor insights on: What Is The Classic Sign Of Hemolysis During Dialysis

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What is the classic sign of hemolysis during dialysis?

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. ...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


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What is the classic sign of hemolysis?

What is the classic sign of hemolysis?

Jaundice, dark urine: Commonly jaundice and dark urine can be seen in a patient having hemolysis. Other signs can be subtle such as increasing weakness, fatigue, shortness of breath etc. A hematologist can do the proper blood work to evaluate ongoing hemolysis. ...Read more

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Why do you get cold during dialysis?

Why do you get cold during dialysis?

Out of body: The blood flows in tubes out of the body (~150ml), losing heat during it's path from and back to the body. ...Read more

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Itching during dialysis?

Itching during dialysis?

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

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Creatinine 2.3 is the sign of dialysis?

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

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What causes darkening of the skin during dialysis?

What causes darkening of the skin during dialysis?

Urochromes and: Middle molecules. These are substances that normally are filtered out by your kidney but not by the dialysis machine. ...Read more

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What exactly happens during peritoneal dialysis?

What exactly happens during peritoneal dialysis?

Blood is cleaned: Special formulated fluid is filled in the peritoneal cavity in the belly which helps remove toxins and other waste products from the blood into this solution which is then drained. ...Read more

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Why does my dialysis shunt itching during and after dialysis?

Why does my dialysis shunt itching during and after dialysis?

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. ...Read more

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What are the chances of a male conceiving whilst on dialysis?

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. ...Read more

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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. ...Read more

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Do I need to be very careful in catheter care during peritoneal dialysis?

Do I need to be very careful in catheter care during peritoneal dialysis?

Definitely: Infection tracking to the inside of the abdomen is not only very painful but will limit the life of the procedure. A resistant infection could lead to removing the tube and just using hemodialysis procedure instead. ...Read more

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How are wastes and excess water actually eliminated during peritoneal dialysis?

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! ...Read more

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Is there anything that can protect the catheter site during peritoneal dialysis?

Is there anything that can protect the catheter site during peritoneal dialysis?

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. ...Read more

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How can I rid of my back discomfort from lack of electrolytes during dialysis?

How can I rid of my back discomfort from lack of electrolytes during dialysis?

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 ...Read more

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What can I do to relieve stomach cramps during hemo dialysis?

What can I do to relieve stomach cramps during hemo dialysis?

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. ...Read more

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Tell me why patients with kidney failure eat and drink what they like only during the first few hours of dialysis?

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. ...Read more

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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?

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?

Only if azotemic: I.E if you have grade 4 kidney failure ; your BUN ; creatinine are very high. You can live indefinitely on self intermittent catheterization if problem is only urinary retention and you still produce urine without developing kidney failure. ...Read more

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What causes severe leg cramps in a dialysis patient. Especially at night or during dialysis.?

What causes severe leg cramps in a dialysis patient. Especially at night or during dialysis.?

Fluid shifts: Most attribute leg muscle cramps during or after dialysis to the shifting of fluid out of the muscle cells as excess fluid is removed during dialysis and the body re-equillabrates. ...Read more

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During dialysis why does the subclavian catheter have darker blood than in patients with a fistula?

During dialysis why does the subclavian catheter have darker blood than in patients with a fistula?

Venous blood: A subclavian catheter has only venous, deoxygenated blood returning from the body. A fistula contains oxygenated arterial blood coming from the heart. This is the reason for the bright red blood seen in fistulas. ...Read more

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How do you relieve stomach cramps during dialysis probable cause membrane (dialysis) reaction.?

Talk to doctor: What kind of dialysate, what kind of mebrane, all can and should be discussed with your renal doctor. ...Read more

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Will glucose or dextrose 50% help treat leg cramps for patients during dialysis? Why or why not?

Will glucose or dextrose 50% help treat leg cramps for patients during dialysis? Why or why not?

Depends: If it is a glucose issue - yes. If it is an electrolyte issue or a vascular issue - probably not. Make sure to tell your doctor you are having these cramps. ...Read more

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Father (86)has been on dialysis for 3 yrs. Recently he has had diahrrea and upset stomach everyday. Is this a sign dialysis is not working anymore.

Father (86)has been on dialysis for 3 yrs. Recently he has had diahrrea and upset stomach everyday. Is this a sign dialysis is not working anymore.

No: This could be a complication of dialysis, his underlying condition or could result from other causes. Your father needs to be evaluated immediately and treated. At his age with his comorbidity, he susceptible to a host of infectious agents as well ...Read more

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My mother recently died from a heart attack while having a stroke during dialysis. How could this be?

My mother recently died from a heart attack while having a stroke during dialysis. How could this be?

Not sure: Not sure what happened. Heart attack can cause a stroke but not the other way around. You should talk to her doctor who may be able to give you the most likely chain of events. ...Read more

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What happens during a hemolytic anemia investigation?

What happens during a hemolytic anemia investigation?

Cause of hemolysis: Once hemolysis is thought to be occurring, the cause is saught. The causes are many. Some are inherent to the red blood cell (sickle cell, spherocytosis, thalassemia, g6pd deficiency). Some are from antibodies. Some are from other causes of destruction within the blood vessels (mechanical heart valves, hemolytic uremic syndrome). This work up is quite involved. ...Read more

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What causes painful stomach cramp during dialyis?

What causes painful stomach cramp during dialyis?

Stomach cramping: Rapid fluid shifts, electrolyte disturbances, ? Uremia. But make sure to mention to the doctor and the nurse. ...Read more

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Why is it that urobilinogens increase in urine during hemolytic jaundice?

Why is it that urobilinogens increase in urine during hemolytic jaundice?

More bilirubin: As more red cells are destroyed (and thus more are made), more bilirubin cycles between the liver and the large intestine, which returns some as urobilinogen. A little of the latter makes it through the kidney instead, where it's lost as urobilinogen. ...Read more

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Can a rh+ baby during pregnancy can lead to hemolytic disease?

Can a rh+ baby during pregnancy can lead to hemolytic disease?

Yes. But only...: Mom would need to be rh negative. This would sensitize the mom, producing an anti-rh antibody that can cross the placenta and began to hemolyze the rh positive cells of the infant. This can began to occur early in the pregnancy, making the unborn child very sick. Or it can be detected at birth and cause prolonged jaundice. Subsequent children may be more affected. Mom needs rhogam. ...Read more

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A case of immune hemolytic anemia - chances of becoming pregnant? Care during pregnancy

A case of immune hemolytic anemia - chances of becoming pregnant? Care during pregnancy

Should be able to: Having a hemolytic anemia should not affect the ability to get pregnant. However, your hematologist will need to monitor your blood closely. May need extra folic acid. Hope this helps. ...Read more

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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

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When do people need to get dialysis?

Depends: Dialysis is initiated in advanced stages of kidney disease when one develop symtoms due to toxins accumulating in blood or when excess fluid builds up causing shortness of breath or swelling of thebody. Kidney doc evaluates the symptoms of the patient and correlates with level of kidney function to decide initiation of dialysis ...Read more

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How long to one have to do dialysis?

Depends: If you are diagnosed with irreversible kidney disease, you need dialysis life long until you get kidney transplant. If your docs are expecting recovery of kidney function, you may need dialysis until your kidney recover sufficient function. Pls discuss with nephrologist ...Read more

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How much time can I live on dialysis?

Life on dialysis: It is not possible to give you an definite answer. Patients on dialysis live shorter than the age-matched controls not on dialysis. A dialysis patient's life span is dependent on the patient's age at the start of dialysis and the co-morbid conditions the patient has, such as diabetes. You should ask your nephrologist (n) for an answer to your question as the n knows you the best. Good luck. ...Read more

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How long can a person live on dialysis?

How long can a person live on dialysis?

For Years: People can survive for years on dialysis while they wait for a kidney transplant. ...Read more

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Where can I find a list of dialysis centers?

Where can I find a list of dialysis centers?

Kidney dialysis spot: Your local kidney society will have this information. Any nephrologist will also have the locations and in some cases will be needed for an appropriate referral. ...Read more

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How long could a person live without dialysis?

Depends on residual: What is left of kidney function is called residual. It includes urine output amount and how much chemical is in that urine. Persons who have no urine output at all may not survive 2 weeks without dialysis as a general rule. Of course exceptions occur. ...Read more

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Will others be able to tell if I'm on dialysis?

Most time not: Dialysis will take at least 3 h 3 times a week from your time and if you have a catheter for dialysis that is obvious that will be very hard to explain to others. Symptom wise some patients may feel drained after hemodialysis and they may have anemia but these symptoms are not specific for dialysis. In conclusion if you do not have symptoms it is very hard to tell. ...Read more

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How long can a person really survive on dialysis?

Dialysis: I have taken care of patients who have been on dialysis for over 20 years. It really depends on the patient and how well they manage their multiple diseases. It requires care by the patient and the physician but there is no limit as to how long someone can survive on dialysis. ...Read more

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Do I need dialysis if my fluild level been under 1kg?

Need dialysis: I am not sure what your question is. If you have questions about your needing dialysis, speak to your nephrologist (n) who is in charge of your care. If you are dissatisfied with the answers you get from the n, get a second opinion from another n. Good luck. ...Read more