File Name: hemodialysis and peritoneal dialysis .zip
- Peritoneal dialysis versus hemodialysis: risks, benefits, and access issues
- Comparison of hemodialysis and peritoneal dialysis patients’ dietary behaviors
- The Main Differences Between Hemodialysis and Peritoneal Dialysis
- Peritoneal Dialysis: What You Need to Know
Kidney failure can be treated by either hemodialysis or peritoneal dialysis. Both processes involve the removal of waste and extra fluid from the body. Hemodialysis is done with the help of an apparatus called a dialyzer.
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Peritoneal dialysis versus hemodialysis: risks, benefits, and access issues
Access your health information from any device with MyHealth. You can message your clinic, view lab results, schedule an appointment, and pay your bill. Possible complications of peritoneal dialysis include an infection of the peritoneum, or peritonitis, where the catheter enters the body.
Peritonitis causes fever and stomach pain. A dietitian will help plan your diet during peritoneal dialysis, so we can ensure you are choosing appropriate meals. During dialysis:. Hemodialysis is can be performed at home or in a dialysis center or hospital by trained healthcare professionals. During the procedure, we will:. Interventional radiologists work closely with you, your nephrologist and your vascular surgeon to help maintain functional hemodialysis access.
Interventional radiologists are skilled at treating clots with special devices and by administering clot-dissolving drugs directly into the clot. They are also skilled at treating sites of narrowing with angioplasty and, if appropriate, stent placement.
Interventional radiologists can often open a channel through the blockage to allow placement of a new catheter. If that is not possible, we can use alternative sites through the veins draining the legs, through the liver, or through the back for placing the catheter.
Possible complications of hemodialysis include muscle cramps and hypotension sudden drop in blood pressure. Hypotension may cause you to feel dizzy, weak or sick to your stomach. You can usually avoid side effects by following the proper diet and taking your medications. A dietitian will work with you to plan your meals according to your physician's orders. Share on Facebook. Notice: Users may be experiencing issues with displaying some pages on stanfordhealthcare.
We are working closely with our technical teams to resolve the issue as quickly as possible. Thank you for your patience. New to MyHealth? Manage Your Care From Anywhere. Activate Account. Create a New Account. Forgot Username or Password? Types of Dialysis There are two types of dialysis we may use: peritoneal and hemodialysis.
Peritoneal Dialysis To perform peritoneal dialysis, we will: Surgically place a soft, hollow tube into the lower abdomen near the navel. Instill a special solution called dialysate into the peritoneal cavity. The peritoneal cavity is the space in the abdomen that houses the organs and is lined by two special membrane layers called the peritoneum. Leave the dialysate in the abdomen for a certain period of time, which we will determine on an individual basis. The dialysate fluid absorbs the waste products and toxins through the peritoneum.
Drain the fluid from the abdomen, measure it and then discard it. Exchanges, often referred to as "passes," can be done three to five times a day, during waking hours. Continuous cyclic peritoneal dialysis CCPD : Requires the use of a special dialysis machine that can be used in the home. This type of dialysis is done automatically, even while you are asleep. IPD can be done at home, but it is usually in the hospital. Peritoneal Dialysis: Possible Complications Possible complications of peritoneal dialysis include an infection of the peritoneum, or peritonitis, where the catheter enters the body.
During dialysis: You may have different protein, salt and fluid needs. You may have different potassium restrictions. You may need to reduce your calorie intake, since the sugar in the dialysate may cause weight gain.
Hemodialysis Hemodialysis is can be performed at home or in a dialysis center or hospital by trained healthcare professionals. During the procedure, we will: Surgically place a special type of access, called an arteriovenous AV fistula, usually in your arm.
We will need to join an artery and a vein together. We may also insert an external, central intravenous IV catheter, but is less common for long-term dialysis. Connect you to a large hemodialysis machine. The machine drains the blood, bathes it in a special dialysate solution to remove waste substances and fluid and then returns it to your bloodstream.
Tips for Undergoing Hemodialysis Hemodialysis is usually performed several times a week and lasts for four to five hours. Because of the length of time hemodialysis takes, it may be helpful to bring reading material, in order to pass the time during this procedure. During treatment you can read, write, sleep, talk or watch TV.
At home, hemodialysis is done with the help of a partner, often a family member or friend. If you choose to do home hemodialysis, you and your partner will receive special training. Hemodialysis: Dialysis Access Management Interventional radiologists work closely with you, your nephrologist and your vascular surgeon to help maintain functional hemodialysis access. Treating stenoses and clots: If you have arteriovenous fistulas or grafts, hemodialysis may fail if narrowings, called stenoses, develop in your blood vessels.
Those narrowing cause poor flow, which affects the ability to efficiently dialyze the blood. The narrowings may cause additional symptoms, such as swelling of the head and arms. Without treatment, poor flow can result in clot formation, which prevents the ability to dialyze. It can even lead to permanent fistula or graft failure.
Tunneled hemodialysis catheters: Interventional radiologists can also place tunneled hemodialysis catheters. Patients with long-standing use of tunneled hemodialysis catheters may develop blockages in the commonly used veins of the neck and chest. Those blockages may make it challenging to place a new catheter. Hemodialysis: Possible Complications Possible complications of hemodialysis include muscle cramps and hypotension sudden drop in blood pressure.
Generally: You may eat foods high in protein such as meat and chicken animal proteins. You may need to limit the amount you drink. You may need to avoid salt. You may need to limit foods containing mineral phosphorus such as milk, cheese, nuts, dried beans, and soft drinks.
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Comparison of hemodialysis and peritoneal dialysis patients’ dietary behaviors
Before dialysis was available, total kidney failure meant death. Today, people with kidney failure can live because of treatments such as dialysis and kidney transplant. Dialysis is a way of cleaning your blood when your kidneys can no longer do the job. It gets rid of your body's wastes, extra salt and water, and helps to control your blood pressure. There are two kinds of dialysis. In hemodialysis, blood is pumped out of your body to an artificial kidney machine, and returned to your body by tubes that connect you to the machine.
For renal replacement therapy, overall survival is more important than the choice of currently available individual therapy. To compare patients and technique survival on peritoneal dialysis as first treatment PDF versus after previous haemodialysis HDPD and other indicators of follow-up. We prospectively studied incident patients, during the period from August 4, , to June 30, , for patients and technique survival Kaplan-Meier log rank. Groups: A PDF: 37 patients, 24 females, age: Comparable patient and technique survival were observed. Peritoneal dialysis enables a greater extension of renal replacement therapy for patients with serious difficulties continuing with haemodialysis.
The Main Differences Between Hemodialysis and Peritoneal Dialysis
Metrics details. Diabetes has become the most common cause of end-stage renal disease ESRD requiring renal replacement therapy RRT in most countries around the world. Peritoneal dialysis PD is valuable for patients newly requiring RRT because of the preservation of residual renal function RRF , higher quality of life, and hemodynamic stability in comparison with hemodialysis HD. A previous systematic review produced conflicting results regarding patient survival.
Adjusted population survival curves comparing the outcome of peritoneal dialysis PD and hemodialysis HD patients with incident end-stage renal disease in the United States stratified by cohort period.
Peritoneal Dialysis: What You Need to Know
Access your health information from any device with MyHealth. You can message your clinic, view lab results, schedule an appointment, and pay your bill. Possible complications of peritoneal dialysis include an infection of the peritoneum, or peritonitis, where the catheter enters the body. Peritonitis causes fever and stomach pain. A dietitian will help plan your diet during peritoneal dialysis, so we can ensure you are choosing appropriate meals. During dialysis:.
Metrics details. Nutritional factors are associated with high mortality and morbidity in dialysis patients, and protein-energy wasting is regarded as an important one. The results of prevalent HD and PD patients were then compared. In the dietary behavior survey, HD patients showed more appropriate dietary behavior patterns overall than PD patients. In the dietary intake analysis with the Semi-FFQ, energy intake was significantly lower in the PD group than in the HD group due to the lower intake of carbohydrates, fat, and protein. A comparison of nutrient intake-to-recommended allowance ratio between the HD and PD groups revealed that the HD group showed higher nutrient intake than the PD group. Serum albumin and potassium levels were significantly higher in HD than in PD patients.
PDF | Considerable geographic variation exists in the relative use of hemodialysis (HD) vs peritoneal dialysis (PD). Studies comparing survival.
Peritoneal dialysis PD and hemodialysis HD are dialysis options for end-stage renal disease patients in whom preemptive kidney transplantation is not possible. Unfortunately, many patients are not educated on PD before beginning dialysis. Most studies show that the relative risk of death in patients on in-center HD versus PD changes over time with a lower risk on PD, especially in the first 3 months of dialysis.
If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Please consult the latest official manual style if you have any questions regarding the format accuracy. Solutes are removed from the blood by diffusion and convection. Excess plasma water is removed by ultrafiltration.
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