Hemodialysis Peritoneal
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

More costly

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.

CAPDAPD
Performed for 24 hoursMainly during sleeping time
Less costlyVery costly
Chances of technique failure is more (ultrafiltration)Chances of techniques (ultrafiltration) failure is less
Can more around with dialysis going onThe patient is continuously connecting with machine, so can’t move around.
Chances of infection is highChances 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.

SLED

CRRT

Done with conventional hemodialysis machine

Done with special machine

Needs less man power

Needs more man power and expertise

Less costly

More costly

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

  

Hemodialysis

Peritoneal 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

More costly

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

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

·         DIET

·         How much should I eat

·         Potassium

·         Water/liquid

·         Pulses

·         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

·         UTI

·         Second or 3rd transplant

·         Noctomal hemodialysis

·         Pediatric kidney transplant

·         Urine problems

·         Post kidney transplant problems

·         How much my kidney are functioning (gfr)

·         DTPA scan

·         DMSA

·         PTN
vaccination

·         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

·         Nephrologist

·         Urologist

·         Dialysis technician

·         Dialysis machine

·         Hemodiafilteration

·         SLED

·         CRRT

·         Hemo hemodialysis

·         Kidney transplant for international patients

·         Online consultation

·         Mobile and whatsapp consultation

·         SWAB (exchange kidney transplantation)

 

Miscellaneous

·         Acute kidney injury

·         Acute on ucd

·         Mcu

·         Kidney biopsy

·         Ultrasonography

·         Usg , CT scan

·         24 hours urine sample

·         Abg

·      Reflux nephropathy