• Dialysis

    May 23, 2022 admin

    After-care for haemodialysis patients

    Haemodialysis overview for Patient education:

    Dialysis is a treatment for those who have severe kidney failure (also called a renal failure or end-stage kidney disease). Waste products and fluid build-up in the blood when the kidneys are no longer functioning properly. Dialysis helps the failing kidneys eliminate fluid and waste. When 90 per cent or more of renal function has been lost, dialysis is usually required. Renal function may be lost quickly (acute kidney damage) or gradually over months or years (chronic kidney disease). Other treatments are tried to assist preserve kidney function and delay the need for replacement therapy early on in the course of renal disease. The timing of dialysis beginning is influenced by your kidney function (as assessed by blood and urine tests), health status, nutritional status, symptoms, quality of life, individual preferences, and other considerations. Dialysis should be started as soon as kidney disease has progressed to the stage where life-threatening consequences are possible.

    Dialysis can be performed in a hospital, a hospital-affiliated clinic, or a standalone clinic. Physicians, nurses, and patient-care technicians all work in the centres and are involved in your care. In-centre hemodialysis takes three to five hours (on average three and a half to four hours) and is performed three times a week. During treatment, you will be able to read or sleep, and you will normally have access to a television. In a dialysis centre, visits, eating, and drinking is frequently prohibited. Hemodialysis can also be done in a dialysis centre at night (known as nocturnal hemodialysis) three times per week while you sleep there.

    Dialysis patients need extra care after dialysis:

    Cleaning the skin over the fistula or graft with soap and water every day is the first step in Arteriovenous fistula or graft care. 4 to 6 hours after dialysis, remove the bandage from the fistula or graft. Touch your fistula or graft with your fingertips every day to check for proper blood flow. The buzzing indicates that it is operational. Examine for any signs of blood, discomfort, redness, or swelling. These symptoms could indicate an infection or a plugged fistula or a transplant. No one should take your blood pressure or draw blood from the arm with the fistula or graft to avoid damaging the fistula or graft. Wear loose clothing and avoid sleeping on that arm. It’s possible that you’ll need to follow a specific diet. A nutritionist will assist you in determining what you may and cannot consume. It’s possible that you’ll need to eat foods that are low in sodium (salt), potassium, and protein. Consume foods that are high in fibre. Cereals, fruits, and vegetables are all good sources of fibre.

    Potassium is abundant in some fruits and vegetables. Inquire with your nutritionist about which fruits and veggies you can consume and how much. It takes time to adjust to a new diet. Special cookbooks can assist the family cook in discovering new recipes. Chronic renal failure causes your kidneys to produce insufficient erythropoietin. Erythropoietin is a hormone (a natural substance) produced by your kidneys that aids in the production of red blood cells in your body. Your doctor may prescribe EPO, a synthetic hormone. It functions similarly to erythropoietin and may aid in the prevention of anaemia (low levels of red blood cells). If you have anaemia, your body does not receive enough oxygen, and you may feel weak and fatigued all of the time. To help your body make enough red blood cells, you may need to take iron and folic acid supplements. This should boost your energy levels. Calcium may also be required to prevent or cure bone disorders that can occur as a result of kidney failure. As calcium leaves your bones and blood, your bones may become softer and more easily break.

    IMAEC MEDNTEKs dialysis kit that secures the patient’s needs:

    IMAEC MEDNTEK provides a complete dialysis kit, right from the syringe to the dialyzer. Our dialysis kit includes a syringe, needle, Y-introduce needle, scalpel, dilator, and 2-way lumen. It is a one pack solution for dialysis patients. We provide a complete dialysis consumable kit that comprises Dialyzer, blood tubing set for haemodialysis, heparin injection, and iron sucrose injection. We also provide the Part A and Part B solutions for the dialysate. Dialyser functions as a kidney outside the body and is the most important component of the dialysis unit. The heparin injection is used as an anticoagulant that prevents coagulation of blood while dialysis is performed. The iron sucrose injection helps to restore the iron levels after the dialysis is performed. The blood flows through the dialysis unit so it is necessary to maintain the sterility of the dialyser. IMAEC also provides hot and cold sterilants for the disinfection of dialyser and dialysis machines.

    Reference:

    1. Hemodialysis Schedules (Aftercare Instructions)—What You Need to Know. (n.d.). Drugs.Com. Retrieved May 17, 2022, from https://www.drugs.com/cg/hemodialysis-schedules-aftercare-instructions.html
    2. Rushing, J. (2010). Caring for a patient’s vascular access for hemodialysis. Nursing Management, 41(10), 47. https://doi.org/10.1097/01.NURSE.0000388519.08772.eb
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