High blood pressure after dialysis or towards the end of dialysis is a nuisance problem that just seems to keep coming up in every dialysis unit. Frequently patients are kept for observation or admitted which increases the cost of giving care. It can also be quite frustrating to treat. This phenomenon is known as [...]
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A study published in the november issue of Nephrology Dialysis and Transplantation has reported that growth retardation in pediatric dialysis patients (the propensity for children to not achieve normal height) can be improved by a type of dialysis known as daily on line hemodiafiltration (DOLHDF).
OLDHDF is a treatment modality that combines two types of treatment [...]
Sclerosing Encapsulating Peritonitis affects alters the normal Peritoneum | read this item
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Peritoneal dialysis relies on the peritoneal lining as a surface for the exchange of substances during dialysis. However the peritoneal membrane was never intended to be used for this purpose. The goal of peritoneal dialysis research is to find the least traumatic and disruptive method of ensuring efficient dialysis occurs for as long [...]
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An AV fistula is the access of choice in patients starting dialysis. The use of AV fistula first is associated with less risk of infection which is a significant cause of morbidity and reduced survival in dialysis patients.
The technique used to cannulate a fistula is essentially the method used by the HD nurse [...]
photo Credit:happeningfish
Cramping of the muscles while undergoing dialysis is one of the most frequent complaints of dialysis patients. It occurs in up to 20% of dialysis sessions.
Risk factors for cramping includes high weight gain in between dialysis sessions.
Having low serum calcium or derangement of sodium and potassium.
Intradialytic hypotension may also present with cramping of the [...]
photo credit: shanelkalicharan
Hemodialysis is a life saving therapy for patients with severe kidney disease. The therapy is well established and is the most readily available form of renal replacement therapy in the United States. Improving survival on dialysis is the aim of several ongoing studies. The largest of these studies is the Dialysis Outcomes [...]
Pain in hemodialysis new insights. | read this item
Pain is a common complication during hemaodialysis. It may be related to the procedure itself such as in the case of large fluid shifts that may result in cramping or simply the discomfort of remaining seated for 4 hours. Patients frequently complain of back pain or leg pain however some pain is non specific and [...]
Patient Education: What is the best form of dialysis.
Dialysis machine | read this item
This question is asked more times than can be counted. A patient is informed that they have stage 4 kidney disease and they need to make a choice as to what modality of dialysis they prefer while they await transplantation.
The patient is usually confused and unsure, already overwhelmed with dealing with the reality of having [...]
Warfarin may cause increased risk of stroke in hemodialysis. | read this item
Previously aspirin and clopidogrel were found to having an increase risk of mortality in patients on haemodialysis. However warfarin is known to have a survival advantage in patients with atrial fibrillation as the drug prevents clot formation in the poorly contracting left atrium of the heart. Any reduction in clot formation results in a reduction [...]
Dialysis Info: What is the best form of dialysis access. | read this item
When a patient has been diagnosed with chronic kidney disease he or she is staged according to the national kidney foundation staging system. If they are staged as 4 to 5 then preparation is made for dialysis in the medium to short term. If the patient chooses hemodialysis as the preferred method of renal replacement [...]
blood pressure | 
http://crrtinfo.googlepages.com/Hemodialysis_schematic.gif/Hemodialysis_schematic-large.jpg | 
Sclerosing Encapsulating Peritonitis affects alters the normal Peritoneum | 
AV fistula complications | 
cramp | 
Dialysis and Death the Double D's and DOPPS.
Patient Education: What is the best form of dialysis.
