Beruflich Dokumente
Kultur Dokumente
Definition
Dialysis is a treatment that takes over the job of the kidneys when they fail. Most
patients begin dialysis when their kidneys have lost 85%-90% of their ability. Dialysis
will continue for the rest of their lives (or until they receive a kidney transplant). This is
called end-stage renal disease (ESRD).
ESRD is caused by conditions such as diabetes, kidney cancer, drug use, high
blood pressure, or other kidney problems. Dialysis is not a cure for ESRD. It helps you
feel better and live longer.
What to Expect
Prior to Procedure
Hemodialysis
Peritoneal Dialysis
Before the first treatment, the physician places a small, soft tube (approximately 24
inches long) in the abdomen.
This tube will remain there permanently. A portion of the tube remains outside the body
for use in the process. It is important to keep this access clean and dry to prevent
infection.
Anesthesia
For hemodialysis: topical anesthetic
Hemodialysis
Blood is filtered through an artificial kidney machine, called a dialyzer. The blood travels
from the body to the machine through tubes inserted into a vein in your arm, leg, or
neck. An access site called a fistula or shunt may be surgically created in one of your
veins.
Fistulas may need as long as 2 to 3 months to fully heal before they can be used. They
are never used if the treatment is temporary. They are typically created many months
before dialysis is begun.
Hemodialysis
Peritoneal Dialysis
The abdominal lining is called the peritoneal membrane. In this type of treatment it is
used to filter blood instead of a machine. A cleansing solution, called a dialysate, is
inserted into your abdomen. Fluid, wastes, and chemicals pass from the tiny blood
vessels in the peritoneal membrane into the dialysate. It is then drained after several
hours. New dialysate can then be added to repeat the process. A port in the abdomen
may be needed for long-term treatment.
After Procedure
Your blood pressure will be monitored.
Will It Hurt?
In general, dialysis procedures do not cause pain. You will not feel the blood exchange.
There may be some temporary discomfort with the insertion of the needle or tube.
Possible Complications
• Anemia
• Drop in blood pressure during dialysis
• Muscle cramps
• Nausea, vomiting
• Headaches
• Infection
• Feeling hot, sweaty, weak, and/or dizzy
• Peritonitis (infection of the peritoneum), which causes fever and stomach pain
(peritoneal dialysis only)
• Growth problems in children
• Inflammation of the heart sac (pericarditis)
• Neurologic problems
• Disruption of calcium and phosphorus balance, resulting in weakened bones
Postoperative Care
Once the procedure is complete and blood pressure is stable, you are free to continue
daily activities. There are some special considerations:
Dietary Guidelines
Certain dietary guidelines should be followed. This will help to keep overall health and
optimize the treatment. Patients who have peritoneal dialysis may have slightly fewer
dietary restrictions than hemodialysis patients. This is due to the more frequent filter
schedule. Talk to your doctor about your specific dietary needs.
Medications
Your doctor may give various types of medication. These include, but are not limited to
Outcome
Dialysis helps maintain blood pressure, cleaning of the blood, and chemical and
hormonal exchanges that are critical to survival.
RESOURCES:
The Kidney Dialysis Foundation
http://www.kdf.org/
National Kidney Foundation
http://www.kidney.org/
National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC)
http://kidney.niddk.nih.gov/