Hemodialysis (HD) Or Peritoneal Dialysis (PD)? | Dr Dudz

HEMODIALYSIS

Hemodialysis, also spelled haemodialysis, or simply dialysis, is a process of purifying the blood of a person whose kidneys are not working normally. 

Diet:

Renal dietitians encourage most people on hemodialysis to eat high-quality protein because it produces less waste for removal during dialysis. High-quality protein comes from meat, poultry, fish, and eggs. Avoid processed meats such as hot dogs and canned chili, which have high amounts of sodium and phosphorus.


Side effects:

Risks

Low blood pressure (hypotension). A drop in blood pressure is a common side effect of hemodialysis, particularly if you have diabetes

Muscle cramps

Itching

Sleep problems

Anemia

Bone diseases

High blood pressure (hypertension)

Fluid overload


Contraindication:

Absolute contraindication to hemodialysis is the inability to secure vascular access, and relative contraindications involve difficult vascular access, needle phobia, cardiac failure, and coagulopathy.


Flow rate:

During hemodialysis, a blood pump is set to a constant speed to push your blood through the dialyzer and back to your body. Your doctor prescribes the blood flow rate. It's usually between 300 and 500 mL/min (milliliters per minute). Ask your technician to show you how to see the blood flow rate on your machine.


PERITONEAL DIALYSIS

Peritoneal dialysis is a type of dialysis which uses the peritoneum in a person's abdomen as the membrane through which fluid and dissolved substances are exchanged with the blood. It is used to remove excess fluid, correct electrolyte problems, and remove toxins in those with kidney failure. 

Diet:

High-quality protein comes from meat, poultry, fish, and eggs. Avoid processed meats such as hot dogs and canned chili, which have high amounts of sodium and phosphorus. Dietitians encourage most people on peritoneal dialysis to eat high-quality protein.

Patients:

Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. Health care providers call this lining the peritoneum. A few weeks before you start peritoneal dialysis, a surgeon places a soft tube, called a catheter, in your belly.

Contraindications:

Clinical contraindications include inflammatory abdominal processes such as Crohn disease, ulcerative colitis, current clostridium difficile infection, and end-stage liver disease with ascites. The main anatomic contraindication to PD is an unrepaired hernia that would potentially increase in size with the use of PD.

Reference: google.com

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#Hemodialysis #Peritoneal_Dialysis #Chronic_Kidney_Disease #Renal_Problems #CKD #Diabeties #Cardiovascular_Disease #Sakit_sa_Bato #May_Bato_ang_Bato #Kidney_Stones #NKTI #AFPMC #Kidney_Failure #Kidney_Transplant

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