Doctor insights on:
What Medication Are Hold During Dialysis
What if a dialysis patient takes a medication or something that isn't dialyzable and can't be removed by dialysis?
See below: Prescribing for pts on dialysis can be challenging. Many drugs are not cleared by the kidneys. The drug’s clearance and therapeutic index determine if a dose adjustment is needed. When prescribing for pts on dialysis, it is essential to consult a reference guide to determine if the drug is subject to renal clearance and requires a dose adjustment. Best to discuss with a nephrologist. ...Read more
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
Yes: You can.Get a more detailed answer ›
Depends: It depends if the medications are renally excreted and if they are dialyzable. If they are renally excreted and not dialyzable then they hang around in the body for a long time and have no way of being removed. If they are not renally excreted then the patient shouldn't have any problem with the medication. ...Read more
Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?
Yes: Yes; an appropriate (but relatively strict) diet would have to be adhered to as recommended by your nephrologist. Exercise and hydration are equally important. Stage v renal disease, however is near " end-stage" and will likely progress into renal failure at some time. Peritoneal dialysis is an extremely appropriate, and oftentimes under used/recommended option, especially for younger patients l. ...Read more
If a kidney transplant fails after 3 years, can the patient go back to dialysis to stay alive? Do the immunosuppressant medications need to be cont?
No: The sole purpose for the immunosuppression is to keep the body from rejecting the graft and thus there is no reason to keep taking it if the transplant is no longer functioning. Yes you will need to get dialysis while waiting for another transplant. Best to check with your nephrologist to see if there may still be some residual function in the transplant before you stop the IS drug. ...Read more
Is their other treatment other than dialysis and transplant for chronic kidney disease? At stage 4. .... Is there medication available to repair?
Treatment of CKD: At CKD stage 4, you do not need dialysis at present. If you CKD progresses to end stage renal disease, you will need to start on dialysis or have a transplant. You do not list that you have diabetes or hypertension, if the cause of your CKD is polycystic kidney disease, not much can be done for your decline into higher stages of ckd. Your nephrologist is the one to speak to about your prognosis. ...Read more
Urochromes and: Middle molecules. These are substances that normally are filtered out by your kidney but not by the dialysis machine. ...Read more
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
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
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
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
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
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
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. ...Read more
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
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
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?
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
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
During dialysis why does the subclavian catheter have darker blood than in patients with a fistula?
Talk to doctor: What kind of dialysate, what kind of mebrane, all can and should be discussed with your renal doctor. ...Read more
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
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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