Nephrology
If you have an active lifestyle or are often on the go with work, travel or family, then peritoneal dialysis at home may be the right choice. Home peritoneal dialysis offers additional freedom and flexibility as a treatment option that’s closest to natural kidney function and may require fewer dietary restrictions and medications. To learn more about Home PD, visit https://www.FreseniusKidneyCar....e.com/ckd-treatment/
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Eric's Home Dialysis
Rhode Island Hospital's outpatient dialysis program cares for patients with chronic kidney disease. Learn more about the program, which includes a new, state of the art dialysis center in East Providence. http://www.rhodeislandhospital.....org/outpatient-dial
In this instructional video, Director of Critical Care Nephrology, Sevag Demirjian, MD goes over the steps for in-hospital production of ultra-pure continuous hemodialysis fluid.
By using the information in this video and/or any other materials made available by Cleveland Clinic related to the dialysate solution, you agree to comply with and be bound by the terms of the Permissive Use Agreement, a copy of which is available at https://bit.ly/3f9lN4j
#dialysis #uvahealth
If your kidney function is declining and medications and other treatments aren’t working, dialysis can offer life-saving care. UVA has one of the largest dialysis programs in the country. Nephrologist Daphne Knicely, MD, explains the types of home dialysis and how they can work to fit your life.
Find out more at: https://uvahealth.com/services/dialysis
Transcript
Dialysis is just a way to replace the kidneys when they're not working anymore. So when the kidneys stop working, they stop getting rid of water, stop balancing the chemistry, stop getting rid of the toxins. Then dialysis does its job by balancing the chemistries, getting rid of the toxins, and help remove fluid. It doesn't fix the kidneys. It just replaces them.
I usually think of dialysis as two components. There's hemodialysis and peritoneal dialysis. So peritoneal dialysis can only be done at home. Hemodialysis can be done in a center, or it can be done at home.
Hemodialysis is where you have some sort of access to the blood. Either some sort of shunt in the arm that connects an artery and vein, or a catheter. And it allows for blood to leave you, go through a machine, get cleaned, chemistries balanced, and then comes back to you.
For home hemodialysis, the patient actually learns how to do that treatment. It's a very simple machine, very user-friendly. Training is usually about anywhere from four weeks up to eight weeks, and you work one-on-one with a nurse. You still see the physician. You come in about once a month, maybe twice a month, to get labs. You'll see a social worker, and a nutritionist at the same time.
Peritoneal dialysis takes place by putting a tube into your abdomen. And we take dialysis fluid that's chemically balanced. When we put it into the abdomen, it uses those little blood vessels to pull toxins out, to balance chemistries, kind of like little filters. Now, after it sits in there for several hours, we drain it out.
Anyone that needs dialysis is a candidate for home dialysis. There's not one type of dialysis that's going to make you live longer. They're all equal. The goal is to pick the type of dialysis that fits with your life.
In the Dialysis Unit you have an opportunity to provide Dialysis care for a variety of patients, including those with End-Stage Chronic Kidney disease and acutely ill patients requiring dialysis and plasmapheresis.
The Chronic Dialysis Nurse focuses on patients receiving Hemodialysis, Peritoneal Dialysis, or Home Hemodialysis. Our patients range in age from newborns to young adults. The Hemodialysis patient receives their dialysis treatment in the clinic 3-5 times a week. The Peritoneal Dialysis and Home Hemodialysis treatments are provided in the patient’s home once the parent/caregiver is trained to operate the machine. They are followed monthly in clinic. The patient receiving Chronic Dialysis is supported by a multidisciplinary team that consists of a physician, nurses, social worker, nutritionist, pharmacist, child-life therapist, teacher, and counselor. The group works together to meet the medical and emotional needs of the patient and caregiver. Care is specialized to meet the needs of each individual patient.
The Acute Dialysis Nurse focuses on acute dialysis related therapies such as: Continuous Renal Replacement Therapy (CRRT); therapeutic plasmapheresis; or acute peritoneal dialysis. The acute dialysis team works with the multi-disciplinary inpatient nephrology team to provide acute dialysis services to the critically ill ICU patients. The work environment is highly technical and fast-paced.
The Dialysis Unit operates on 12hr shifts 7a – 7p; 7 days a week. Night call is required and shared by the nurses. We provide a detailed orientation plan to the nurse to become proficient in providing hemodialysis, peritoneal dialysis, continuous renal replacement therapy and plasmapheresis. Previous experience in dialysis or pediatrics is not required.
"Axillary Artery to Vein AV Graft for Dialysis Access"
Houston Methodist DeBakey Heart & Vascular Center, presents a cardiovascular procedure featuring Maham Rahimi, MD, M. Mujeeb Zubair, MD, and Louis Gomez, MD, as they demonstrate “Axillary Artery to Vein AV Graft for Dialysis Access".
Surgery: Maham Rahimi, MD, M. Mujeeb Zubair, MD, and Louis Gomez, MD
Narration: M. Mujeeb Zubair, MD
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Dialysis lecture 1. Dialysis Study: EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis https://amzn.eu/d/35Ui1kT
2. Dialysis Study : Q & A: MCQs, Fill in the blanks, True or False https://amzn.eu/d/gGn8u73
1. Dialysis Study :EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis, Naseha Helal.
https://play.google.com/store/....books/details?id=D_7
2. Dialysis Study: Q & A MCQ https://play.google.com/store/....books/details?id=T_3
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Telegram
https://t.me/dialysislife PRINCIPLE OF dialysis
https://youtu.be/cfOm0aFmbe8
Dialysis machine alarms
https://youtu.be/-1A1INyDEOg
DDS dialysis disequilibrium syndrome
https://youtu.be/8AqVFiBOkIc
Peritoneal Dialysis
https://youtu.be/iHPPadGmsv0
Itching
https://youtu.be/T83Wm3HHU4M
What is CRRT
https://youtu.be/jPgFnoSEBMU
LVH
https://youtu.be/ZhFL3Z6LHeA
Sorbent dialysis
https://youtu.be/-rie5dC_FkY
RO Water
https://youtu.be/3jlEsK4Lg_I
Carbon filter RO water
https://youtu.be/mJrgtjNafQw
Hemoperfusion
https://youtu.be/UkbBm8rm9Ww
AV fistula or Dialysis fistula
https://youtu.be/uDbyfqCkCbo
Dialysis MCQ
https://youtu.be/zmOj0BL6jVY
AVF cannulation
https://youtu.be/PyqMcHA07zY
Complications of AV fistula
https://youtu.be/a_CXIvuOO_s
Blood clotting during Dialysis
https://youtu.be/9hYNepiO2o8
Muscle crapms
https://youtu.be/09s07Eiqr2k
Hepatitis C
https://youtu.be/qdNj_GhmnSE
Dialysis procedure
https://youtu.be/u1mGqXO5pzQ
Hypotension
https://youtu.be/4EVPmWTSyN8
Heparin free dialysis
https://youtu.be/rFqAn7HcWwM
Plasmapheresis
https://youtu.be/kbgsjjs9krg
Isolated ultrafiltration
https://youtu.be/xp5I5--uWb0
High flux dialyzer
https://youtu.be/gCNsErn1HHM
Urea and Creatinine
https://youtu.be/Id9AIySMQ6c
Practical RO water demo
https://youtu.be/2pXKGMDNS84
Sodium profiling
https://youtu.be/bE_DcBXNB5g
Peritoneal Dialysis
https://youtu.be/vtK6VZsi8AY
Air embolism
https://youtu.be/WJE-xqnQfd8
Dialysate
https://youtu.be/z_nb43bcWsM
How to stop Bleed from fistula
https://youtu.be/N_inLKPhPUc
Dialysis short form
https://youtu.be/3BqB-gODb5o
Dialyzer reprocessing
https://youtu.be/XelfkKsndlc
Dialysis catheter
https://youtu.be/V7y90m4xlv8
How to set KT/V
https://youtu.be/hWXjU8VTQdk
Mircera injection
https://youtu.be/STtd3I3EijA
Dialysis procedure
https://youtu.be/MIdhIgcKRZ8
Dialysis in snake bite poison
https://youtu.be/niA9RI38jyY
Uf profiling
https://youtu.be/wyjpFjD5Hi0
Heparin dose
https://youtu.be/kB56MkzHIQ0
Hyperkalemia
https://youtu.be/1rWWNlcAuio
Change bandages of leaking fistula
https://youtu.be/_0cebWWdjM8
AvF needle
https://youtu.be/GvUxbXxftTk
Polycystic kidney disease
https://youtu.be/IhsMbHFXZG8
Nephrotic syndrome
https://youtu.be/FEEOsIrXxV8
Diabetic nephropathy
https://youtu.be/v-FBIQ7MA4k
Hemodialysis permanent access
https://youtu.be/_YrwxwiR0f8
Sex and dialysis
https://youtu.be/vvl8UT8lK4k
Albumin and dialysis
https://youtu.be/yzG7yD45Nwg
Watch this video to learn how and when to change a dressing for a child with a hemodialysis catheter. You should change your child's dressing if it becomes soiled with water or blood or if it comes off at home. Keeping a clean dressing on your child will limit risk of infection.
An animation of blood flow inside the hollow fiber of a hemofilter, or a dialyzer, and the flow of the dialysate in an opposite direction with increased extraction of waste and small molecules from the blood as the concentration of these molecules is reduced downstream and exposed to new dialysate.
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Dr. Ahmad Oussama Rifai is certified by the American Board of Internal Medicine (ABIM) in the specialty of Internal Medicine and the sub-specialty of Nephrology.
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Dr. Katherine Scovner from the Division of Nephrology at Massachusetts General Hospital discusses kidney dialysis.
Home hemodialysis gives you the flexibility to fit treatment into your lifestyle and may help you feel better with fewer medications and dietary restrictions. Watch this video to find out about how home hemodialysis could be right for you, and visit our website to learn more: www.FreseniusKidneyCare.com/HHD. #HomeDialysis #DialysisTreatment #KidneyDialysis
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What is hemodialysis and how does it work? Who needs it? How do you prepare for it? In the United States, over 30 million Americans have kidney disease, and sometimes, kidney disease progresses to kidney failure or end-stage renal disease. When this happens, you cannot survive unless you have a kidney transplant or some form of dialysis. So today we're going to talk about hemodialysis.
Your kidneys are the two kidney bean-shaped organs that are located in your lower back, or in your flanks. And the kidneys are responsible for filtering out or cleaning your blood. They get rid of excess waste, excess toxins, and excess fluids. If your kidneys stop functioning, then you develop renal failure or end-stage renal disease.
What is Hemodialysis?
Hemodialysis, or blood dialysis, is the filtering of your blood outside of your body. So, if your kidneys stop working properly, the hemodialysis acts as a substitute kidney. Now it's important to note that hemodialysis does not actually correct your own kidney function. It does not fix or treat your kidneys.
#hemodialysis #drfrita
What is The Dialyzer?
The dialyzer is actually the filter. It's the main powerhouse of the hemodialysis system, and it is what actually acts as the substitute kidney. In the dialyzer, you have these hollow fibers that run through it, and these fibers are bathed in something called dialysates, or dialysis fluid.
How Often Are Patients Treated With Hemodialysis?
Most patients who are on hemodialysis are on it between three and six hours, about three days a week, especially if they go to a center.
How Does Hemodialysis Work?
So when you are on dialysis, how does your blood get from your body to the hemodialysis machine and then back to your body? Well, it does so through tubes, and those tubes are connected to your access, and we'll talk about access in just a moment. But as far as the tubing, the tubing is connected to your body.
Types Of Hemodialysis Access
Arteriovenous Fistula or AV Fistula
The AV fistula is the gold standard as far as hemodialysis access is concerned because it gives you the most efficient hemodialysis and it is the least likely to be infected.
Arteriovenous Graft or AV Graft
The AV graft is very similar to the AV fistula in that you still have a surgically connected artery and a vein, usually in the arm, but in the case where if you have veins that are rather thin or arteries that are thin and maybe too weak in order to really give you a properly functioning, substantial AV fistula, then the vascular surgeon may opt to add an artificial material in order to make that shunt a little stronger, or little more durable. And so, an AV graft is another option for dialysis access.
Catheter
If you're in a situation where you need temporary dialysis, or if you have acute kidney injury, then you may have a temporary Vascath placed, and it's usually placed in a vein of the neck, the internal jugular vein, or it can be placed in the groin, or in the femoral vein.
Who Needs Hemodialysis Treatment?
How do you know if you need hemodialysis, and when is it time to prepare? Well, if you follow up with your kidney doctor (nephrologist) regularly, he or she will be watching your labs. They'll be able to see those signs of your kidneys not functioning properly.
Home dialysis treatment, including for both peritoneal and hemodialysis, has been a slowly developing trend in recent years. Between 2017 and 2018, the number of patients receiving treatment for peritoneal and hemodialysis jumped 7.7% and 8.8%, respectively, according to the United States Renal Data System 2020 Annual Data Report (ADR).
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Dr. Katherine Scovner from the Division of Nephrology at Massachusetts General Hospital discusses kidney dialysis.
BD Pristine™ Long-Term Hemodialysis Catheter Procedural Animation
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