dialysis Blood related therapy Water based therapy Usually done is hospital settings Done at home More dietary
restrictions Less dietary restrictions needed No protein loss High protein loss leads to
malnourishment Painful Not painful Needs vascular access Needs peritoneal Cost varies but less costly than peritoneal dialysis
Chances of blood related
infections More chances of peritonitis Chances of low BP and cardiac anathema No risk and increased sugar levels
Less preferred modality for
pediatric cases.Preferred modality in pediatric.
|Performed for 24 hours||Mainly during sleeping time|
|Less costly||Very costly|
|Chances of technique failure is more (ultrafiltration)||Chances of techniques (ultrafiltration) failure is less|
|Can more around with dialysis going on||The patient is continuously connecting with machine, so can’t move around.|
|Chances of infection is high||Chances of infection is less|
DIALYSIS IN CRITICAL ILL PATIENT
The options for dialysis in critical ill patient are slow low efficiency dialysis (sled).
Continuous renal displacement therapy CRRT.
Continuous veno venous hemodialysis CVVHD
Continuous veno venous hemodialysis CVVHDF
Continuous veno venous hemofiltration CVVHF
Slow continuous ultra filtration SCUF
Acute peritoneal dialysis – it is now mostly useful where hemodialysis machine is not available and the patient the critically ill and needs dialysis, also, it is useful in pediatric cases.
Done with conventional hemodialysis machine
Done with special machine
Needs less man power
Needs more man power and expertise
It is intermittent form of dialysis
It is a continuous form of dialysis.
Lasting for 2-4 days
More chances of hypotension
Less chances of lower blood pressure
Blood related therapy
Water based therapy
Usually done is hospital settings
Done at home
More dietary restrictions
Less dietary restrictions needed
No protein loss
High protein loss leads to malnourishment
Needs vascular access
Cost varies but less costly than peritoneal dialysis
Chances of blood related infections
More chances of peritonitis
Chances of low BP and cardiac anathema
No risk and increased sugar levels
Less preferred modality for pediatric cases.
Preferred modality in pediatric cases.
Hemodialysis: – is one of the important therapies for renal replacement. In this the patients who are suffering from end stage renal disease (ESRD) or chronic kidney disease stage 5 undergo dialysis.
Hemodialysis is a form of dialysis in which harmful toxins are partially removed also excess water is taken out. It also controls important electrolytes like sodium, potassium. It controls increased phosphorus levels ,increased acid level in the blood. It improves appetite , volume overload, swelling in the body . it also improves brain function , heart function . It also strengthens bones and muscles.
Problems of Hemodialysis
It also in hospital it has to visit in hospital twice or thrice in a week.
i.e. why in some areas still hemodialysis facility is not available . So, it is not practical for pts living in remote areas to get dialysis done. It is a painful procedure because for hemodialysis needless are pricked.
Chances of blood related infections like hepatitis b, hepatitis c etc.
Need, a vascular access
Because in some patients a vascular access is a problem.
Advantages of hemodialysis
Rapid correction and rapid fluid removal which is not possible with peritoneal dialysis
Types of kidney diseases
· Advantages and disadvantages of hemo and peritoneal dialysis
· Which form of dialysis should I choose
· Cost of dialysis
· Cost of kidney transplant
· Is kidney transplant a better option than dialysis for me
· Can I donate my kidney
· From where I will get a donor
· Where is my nearest dialysis centre
· Diabetes related kidney disease
· How much should I eat
· Protein intake
· What are symptoms of kidney failure.
· Hoe to prevent kidney disease
· How to delay chronic kidney disease progessioin
· Kidney stone
· Kidney cyst
· Uncontrolled blood pressure
· Uncontrolled blood sugar
· Diabetic retinopathy
· Nephrotic syndrome
· Blood in urine
· ADP KD
· AV fistula
· Dialysis catheter – temporary and long term
· Second or 3rd transplant
· Noctomal hemodialysis
· Pediatric kidney transplant
· Urine problems
· Post kidney transplant problems
· How much my kidney are functioning (gfr)
· DTPA scan
· Cost of therapy post transplant
· Combined liver kidney transplant
· High sensitive pt. kidney transplantation
· Pre-emptive kidney transplant
· Blood gp mismatch
· ABD incompitable
· Small kidneys
· Kidney harmful medicines
· Cadaveric kidney transplant
· Dialysis technician
· Dialysis machine
· Hemo hemodialysis
· Kidney transplant for international patients
· Online consultation
· Mobile and whatsapp consultation
· SWAB (exchange kidney transplantation)
· Acute kidney injury
· Acute on ucd
· Kidney biopsy
· Usg , CT scan
· 24 hours urine sample
· Reflux nephropathy