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Doctor insights on: What Is The Cpt Code For Creation Of Bresciacimino Fistula For Chronic Hemodialysis

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How do you treat a fistula of someone with hemodialysis?

How do you treat a fistula of someone with hemodialysis?

Fistula? Hemodial?: Your question is confusing. Did you get a fistula formed to be cannulated for hemodialysis or are you getting hemodialysis treatment and you have some form of fistula on your body somewhere i.e. colocutaneous fistula, perianal fistula, intestinal fistula..... What do you have? ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


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I am a hemodialysis patient with av fistula and I lift 5-10 pds of weights which my nephro agrees, can I take amino acid and creatinine to gain mass?

I am a hemodialysis patient with av fistula and I lift 5-10 pds of weights which my nephro agrees, can I take amino acid and creatinine to gain mass?

Hemodialysis: You sound like you are in excellent shape. I have seen the lab value for creatinine rise a bit in some patients, not on hemodialysis. This does not mean the kidney function was diminished; the body just had a higher creatinine intake. Especially being on hemodialysis, you should be able to take both supplements. Let your nephrologist know, in case any routine labs change over time. ...Read more

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What is the definition or description of: av fistula creation?

What is the definition or description of: av fistula creation?

Artery to vein Conni: An av fistula is a direct connection made by a surgeon connecting a vein to an artery. These are usually performed in the wrist or elbow crease. These are created to increase blood flow in the vein so it can be used for dialysis access. ...Read more

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Why would I do daily home hemodialysis?

Easier on body: More frequent daily treatments make need to remove fluids less per treatment. ...Read more

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How can the process of hemodialysis work?

How can the process of hemodialysis work?

Hemodialysis: The blood from your system will be diverted to a mechine....dialysis mechine...where it will be washed. ...meaning the toxic material will be removed there and then the blood will be returned back to your circulation.....note....it does not completely replace a kidney ...Read more

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What tests are performed before hemodialysis?

What tests are performed before hemodialysis?

Kidney function: The decision to initiate dialysis usually is based on several factors. First laboratory testing can be performed to estimate the glomerular filtration rate. These include 24 urine collection for protein and creatinine clearance as well as complete blood. In addition clinical signs are taken into account such as the presence of swelling, poor appetite, weight loss, and decreased level of functioning. ...Read more

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What is the purpose venous access on hemodialysis?

Venous access use: Patients on hemodialysis need access to their vascular system to remove blood and send it to the artificial kidney (af). That can be done with an arteriovenous fistula, a graft or a central venous catheter. The arterial part of the access is the part that takes the blood out of the patients body to the af. The blood is returned to the patient via the venous access. ...Read more

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What is the difference between hemodialysis and CRRT?

IHD vs CRRT: CRRT is a continuous form of hemodialysis used in critically ill patients who have kidney failure and unstable blood pressure. What most people mean when they use the term "hemodialysis" is intermittent hemodialysis. About 90% of dialysis patients in the U.S. get their blood cleansed and excess fluids removed by HD. Most get their treatment 3x per week and each session lasts 3-4 hrs. ...Read more

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What is the purpose of "venous access on hemodialysis"?

What is the purpose of "venous access on hemodialysis"?

See below: To perform hemodialysis blood needs to pass through a artificial kidney or membrane in a hemodialysis machine. A fairly large volume needs to pass trough the machine and recirculated back to the patient to be an efffective way to "clean" the blood of waste. A large vein needs to be canulated and a large size IV plastic tube needs to inserted into a vein in the neck or groin. ...Read more

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How much does hemodialysis for patients hurt?

Hemodialysis hurting: Once a patient is placed on dialysis, there usually is no pain. Patients may experience some pain when the needles (n) are placed in the vascular access. They may get used to this or have Lidocaine or Ethyl Chloride spray given to numb the n pain. If patients have some cramping, due to too much fluid being taken off, that can be painful. Other than that, patients on dialysis are usually pain free. ...Read more

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If I need hemodialysis, will I need to be seen by a specialist?

If I need hemodialysis, will I need to be seen by a specialist?

Yes: Dialysis is ordered by kidney specialist called nephrologist who will discuss various dialysis options and kidney transplant. ...Read more

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Are diabetics good candidates for daily home hemodialysis?

Are diabetics good candidates for daily home hemodialysis?

No: Well, I assume you are talking about diabetics with impaired renal function, but just to make sure we're on the same page, a diabetic must have significantly decreased renal function to be considered for dialysis. Not all patients will qualify for that. I'd get a referral to a kidney specialist to start the process of determining what modality will be best for the person in question. ...Read more

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Is hemodialysis that's inserted through the jugular painful?

A little: The hd catheter insertion thru the jugular stings a little. You usually get sone Lidocaine and sedation to put it in. It is like a big IV line. ...Read more

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Expert opinions? Which dialysis is better: peritoneal or hemodialysis?

To peritoneal or not: Hemodialysis cleans your blood directly meaning, your blood is taken from you, ran thru a filteration system, then returned to you. On the other hand, peritoneal does it indirectly. The blood vessels in your abdomen are exposed to a very concentrated solution. By osmosis, the concentrated solution will leech out the excess fluids you normally pee out if your kidneys were working well. As the ...Read more

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Hcv can spread by hemodialysis machines?

Hcv can spread by hemodialysis machines?

Tiny amounts blood: Even very small amount of blood from someone who has hepatitis c can spread this infection. So in dialysis units, improper cleaning of surfaces that might have been contaminated with blood could be an issue, as is using multi-use vials of medicines for multiple patients. If health workers use universal precautions the risk to patients is low. ...Read more

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What are hemodialysis and peritoneal dialysis?

What are hemodialysis and peritoneal dialysis?

Dialysis methods: Hemodialysis as the name suggests is directly cleansing the blood of waste, there are incenter ie going to a dialysis unit 3 times a week, and home hemodialysis ie doing it yourself at home
peritoneal dialysis is home dialysis with a special fluid instilled nto the abdomen cavity which can also clean the blood through the lining of the cavity. ...Read more

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With hemodialysis, how are the machines cleaned to maintain sterility?

Filter is changed: It's a closed system....the tubings and the filter used for hemodialysis...are discarded after every single case....one line will drive your blood to the filter with the help of the machine....there toxic material will be removed....and your blood will be given back to your body via another line....the removed materials get collected and has no chance to get mixed with anything ...Read more

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Can hemodialysis affect blood glucose level?

Can hemodialysis affect blood glucose level?

Hemodialysis: Hemodialysis really should not affect your blood sugars. Insulin will last longer in your blood stream as kidneys fail so often Insulin requirements decrease with worsening kidney function. Peritoneal dialysis (where the fluid uses is high is dextrose aka sugar) can raise blood sugar levels. ...Read more

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What indication of hemodialysis peritoneal dialysis?

What indication of hemodialysis peritoneal dialysis?

Kidney failure: Hemodialysis and peritoneal dialysis are 2 effective types of treatment for kidney failure. Kidney function generally needs to be less than 10% before dialysis is needed. Kidney failure can be permanent or reversible. Kidney doctors (nephrologists) need to be involved in evaluation and treatment of kidney failure. There are 6 stages depending on severity. Stages 4-6 require specialist care. ...Read more

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Hi doctors, can you tell me what is hemodialysis and peritoneal dialysis?

Hi doctors, can you tell me what is hemodialysis and peritoneal dialysis?

Types of dialysis: The answer to your question is too long to answer here. Please go to this link for a detailed answer to your question.

http://www. Davita. Com/kidney-disease/dialysis

Good luck. ...Read more

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How can I deal with the dizziness and nausea that occurs after hemodialysis?

How can I deal with the dizziness and nausea that occurs after hemodialysis?

Less fluid removal: When you develop dizziness and nausea after a dialysis treatment, that usually indicates that too much fluid was removed during the treatment. You may want to speak to your doctor about increasing your target weight so less fluid is removed during the treatment. ...Read more

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My lil brother's renal graft failed, hemodialysis since june '12. I'm 21, female, ABO compatible. My family won't let me donate, hw to convince?

Ethical dilemma: It is always stressful for parents to have their children undergo surgery. In this case, have them consider how they would feel if the situation were reversed and they were told they would not be given the option to saw their sibling. ...Read more

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What does it feel like to undergo hemodialysis?

Hard to Answer: Probably best to ask someone you know about who is on dialysis, and would like to talk about it. There are over 500, 000 patients receiving dialysis in the us each year. It should not be hard to find a dialysis patient. You could also call a local dialysis unit--and even volunteer to help out. ...Read more

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Where could I find recipes for hemodialysis diet?

Where could I find recipes for hemodialysis diet?

NIDDK resources: The national institute of diabetes & digestive & kidney diseases (part of the national institute of health) has an excellent and very readable resource packet, which includes references for many cookbooks, both online and printed. Check out eat right to feel right on hemodialysis at:
http://kidney. Niddk. Nih. Gov/kudiseases/pubs/eatright/index. Aspx. ...Read more

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What foods are good for person under hemodialysis?

A good: "old fashioned" "balanced" diet is usually recommended although in kidney failure some restriction of protein is sometimes recommended to decrease the frequency of dialysis treatments.
Hope this helps!
Dr Z ...Read more

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Why exactly is BP and temperature checked before and after performing hemodialysis?

Why exactly is BP and temperature checked before and after performing hemodialysis?

Dialysis vitals: Blood pressure and temperature are checked because changes can be associated with infection. Blood pressure also can drop related to fluid removal. Especially in patients with a permcath temperature changes may be due to transiet blood stream infections. ...Read more

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How is saline hemodialysis performed?

Using saline: During hemodialysis heparin is used to prevent clotting in the system at entrance (arterial end) when blood returns back (venous end) unclothed state. Some times heparin is contraindicated (like reaction to it etc) then saline is used continuously or intermittent flush to prevent clotting in extracorporeal system. ...Read more

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Why do poeple on hemodialysis die waiting for a kidney?

Why do poeple on hemodialysis die waiting for a kidney?

All sorts of reasons: Death can be due to all the reasons everyone dies from, such as heart attacks, strokes, pneumonias, cancers, car accidents, murders, suicides, etc..., as well as their kidney disease worsening to the point that their bodies start to fail them. ...Read more

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Can you please describe needle infiltration in hemodialysis?

Bad needle stick: Usually when the needle gets out of the vein due to different reasons (movement of patient, bad veins, poor initial placement) an infiltration of blood coming out of the vein occurs. The degree of severity is variable. ...Read more