myths of dialysis

8/12/2019 Myths of Dialysis

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Myths of Dialysis


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What is Kidney Dialysis?

The kidneys are responsible for filtering wasteproducts from the blood.

Dialysisis a procedure that is a substitute formany of the normal duties of the kidneys.

The kidneys are two organs located on eitherside of the back of the abdominal cavity.

Dialysis can allow individuals to live productiveand useful lives, even though their kidneys nolonger work adequately
http://www.medicinenet.com/script/main/art.asp?articlekey=2980http://www.medicinenet.com/script/main/art.asp?articlekey=2980


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When is dialysis needed?

You need dialysis when you develop end

stage kidney failure --usually by the timeyou lose about 85 to 90 percent of yourkidney function.


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What does dialysis do?

Like healthy kidneys, dialysis keeps yourbody in balance. Dialysis does thefollowing:

removes waste, salt and extra water toprevent them from building up in the body

keeps a safe level of certain chemicals in

your blood, such as potassium, sodiumand bicarbonate helps to control blood pressure


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What is hemodialysis?

Hemodialysis is a procedure in which a machinefilters harmful waste and excess salt and fluid

from your blood. A needle is inserted into your arm through a

special access point. Your blood is then directedthrough the needle to a machine called a

dialyzer, which filters your blood a few ounces ata time. The filtered blood returns to your bodythrough another needle


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Who needs hemodialysis?

If your kidneys are failing, you may needdialysis to help control your bloodpressure and maintain the proper balanceof fluid and various chemicals such aspotassium and sodium in your body.

Dialysis also helps your body maintain theproper acid-base balance


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Sometimes kidney failure is caused by a specifickidney disease. In other cases, it's a complication

of another condition, such as:

Diabetes

High blood pressure (hypertension)

Kidney inflammation (glomerulonephritis)

Inflammation of blood vessels (vasculitis)

Polycystic kidney disease


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Myth 5: There are too many things to learn about dialysisFALSE! While there are many things to learn, whatever your treatment choice,there is an entire kidney healthcare team, including nephrologists, nurses,

dietitians, social workers, care technicians and others, to support youthroughout the dialysis process. Here are some ways they help:Educating patients about ESRD and dialysis treatment optionsHelping patients cope emotionallyMapping out a treatment plan for specific needsPrescribing a kidney diet and helping choose kidney-friendly foods

Helping patients apply for insurance and financial assistanceConnecting patients with support groupsScheduling dialysis treatments if patients decide to travelProviding in-depth training programs with close supervision and plenty ofopportunities to practice for patients and their care partners who choosedialyzing at home


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Myth: Dialysis isnt for someone who fears needles.

FALSE! Fear of needles and the pain associated with needle sticks iscommon for patients. To ease your fear, medications are available to

numb the skin prior to inserting the needle. You can applya numbingcream over your vascular access (the area that allows your blood to travelto and from the dialysis machineto remove toxins from the body) aboutone hour before your treatment. Lidocaine, a local anesthetic, may be anoption used by your center.If your access is an arteriovenous (AV) fistula, needles are inserted in the

exact same site every treatment, which creates a tunnel similar to apierced ear. This site is called a buttonholeand once established, needleinsertion becomes less painful.Another way for patients to ease their fear of needles is self-cannulation.Your dialysis care team can teach you how to self-cannulate, which isinserting needles into your own access. Gaining control over theprocedure may also make you more comfortable with it. Finally, peritonealdialysis (PD)is a form of home dialysisthat does not use needles. Thistreatment is explained in more detail below.
http://www.davita.com/kidney-disease/preparing-for-dialysis/planning-for-a-vascular-access/arteriovenous-(av)-fistula-%E2%80%94-the-gold-standard-hemodialysis-access/e/5032http://www.davita.com/treatment-options/in-center-dialysis/what-is-in-center-dialysis/how-does-a-dialysis-machine-work?/t/5596http://www.davita.com/kidney-disease/preparing-for-dialysis/planning-for-a-vascular-access/arteriovenous-(av)-fistula-%E2%80%94-the-gold-standard-hemodialysis-access/e/5032http://www.davita.com/treatment-options/home-hemodialysis/why-hhd/the-buttonhole-technique-for-home-hemodialysis/t/5587http://www.davita.com/kidney-disease/preparing-for-dialysis/planning-for-a-vascular-access/overview-of-self-cannulation-for-home-hemodialysis/e/5046http://www.davita.com/treatment-options/home-peritoneal-dialysis/what-is-peritoneal-disease-/a-brief-overview-of-peritoneal-dialysis/t/5483http://www.davita.com/treatment-options/home-peritoneal-dialysis/what-is-peritoneal-disease-/a-brief-overview-of-peritoneal-dialysis/t/5483http://www.davita.com/kidney-disease/vocabulary/home-dialysis/e/5410http://www.davita.com/kidney-disease/vocabulary/home-dialysis/e/5410http://www.davita.com/treatment-options/home-peritoneal-dialysis/what-is-peritoneal-disease-/a-brief-overview-of-peritoneal-dialysis/t/5483http://www.davita.com/treatment-options/home-peritoneal-dialysis/what-is-peritoneal-disease-/a-brief-overview-of-peritoneal-dialysis/t/5483http://www.davita.com/kidney-disease/preparing-for-dialysis/planning-for-a-vascular-access/overview-of-self-cannulation-for-home-hemodialysis/e/5046http://www.davita.com/kidney-disease/preparing-for-dialysis/planning-for-a-vascular-access/overview-of-self-cannulation-for-home-hemodialysis/e/5046http://www.davita.com/kidney-disease/preparing-for-dialysis/planning-for-a-vascular-access/overview-of-self-cannulation-for-home-hemodialysis/e/5046http://www.davita.com/treatment-options/home-hemodialysis/why-hhd/the-buttonhole-technique-for-home-hemodialysis/t/5587http://www.davita.com/kidney-disease/preparing-for-dialysis/planning-for-a-vascular-access/arteriovenous-(av)-fistula-%E2%80%94-the-gold-standard-hemodialysis-access/e/5032http://www.davita.com/treatment-options/in-center-dialysis/what-is-in-center-dialysis/how-does-a-dialysis-machine-work?/t/5596http://www.davita.com/kidney-disease/preparing-for-dialysis/planning-for-a-vascular-access/arteriovenous-(av)-fistula-%E2%80%94-the-gold-standard-hemodialysis-access/e/5032


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Before you start hemodialysis, a surgeoncreates a vascular access point for blood toleave for cleansing and then re-enter your

body during treatment. There are three typesof access points :


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Temporary access.

If you need emergency hemodialysis, thesurgeon may insert a plastic tube (catheter) intoa large vein in your neck or near your groin. Thecatheter is temporary. If it's left in place for too

long, you face a risk of infection, clotting in thecatheter and stenosis (narrowing) ofsurrounding blood vessels.


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Arteriovenous (AV) fistula.

A surgically created AV fistula is a connection betweenan artery and a vein, usually in the forearm. Once the

connection is made, faster flowing arterial blood flowsinto the vein causing it to grow larger and stronger.This makes repeated needle placements for hemodialysiseasier. An AV fistula may take six weeks or longer toheal, but it can last for many years. An AV fistula is less

likely than other types of access points to form clots orbecome infected.


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Arteriovenous (AV) graft.

If your blood vessels are too small to form an AVfistula, the surgeon may instead connect an

artery and a vein with a synthetic tube. Thistube functions like an artificial vein, usually inyour forearm or upper arm. An AV graft oftenheals within two to three weeks. With proper

care, an AV graft may last several years butit's more likely to form clots and becomeinfected than is an AV fistula.


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How do you care for the accesspoint?

Vascular access is a vital part of hemodialysis.Take special care to prevent injury and infection:

Keep the access area clean. Don't use the arm with the access point for blood

pressure readings or to draw blood samples notassociated with the dialysis treatment.

Don't lift heavy objects or put pressure on the arm withthe access point.

Don't cover the access point with tight clothing orjewelry.


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Check the pulse in the access point every day. Ask the nurse or technician to check the access point

before each treatment.

Don't sleep with the access arm under your head orbody. If your access point stops working, the surgeon can

create a new access point in your other forearm, yourupper arm or your groin. Or you may consider peritoneal

dialysis, another type of dialysis done through a catheterinserted in your abdomen


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Can hemodialysis be done at home?

With special training and someone to help, it'spossible to do hemodialysis at home. If patientcomfortable doing the procedure yourself andkeeping records for health care team, thebenefits are appealing. patient quality of life willlikely improve, patient will save yourself traveltime to and from the dialysis center, and you'll

have more flexibility about when to do yourtreatments perhaps even at night while yousleep.


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Myth : People on dialysis can no longer travelFALSE! You can still soak up the sun, camp, visit family or travel for work withsome advance planning and dialogue between you, your doctor, nurse and

social worker. Patients on hemodialysis can arrange treatments at a center attheir planned vacation destination. Patients on PD can have supplies directlydelivered to wherever they are going. Follow the guidelines of this travelchecklistto make traveling on dialysisan easier process.
http://www.davita.com/services/travel-support/travel-tips-and-articles/travel-checklist-for-people-on-dialysis/s/5734http://www.davita.com/services/travel-support/travel-tips-and-articles/travel-checklist-for-people-on-dialysis/s/5734http://www.davita.com/services/travel-support/travel-tips-and-articles/travel-tips-for-dialysis-patients/s/5735http://www.davita.com/services/travel-support/travel-tips-and-articles/travel-tips-for-dialysis-patients/s/5735http://www.davita.com/services/travel-support/travel-tips-and-articles/travel-checklist-for-people-on-dialysis/s/5734http://www.davita.com/services/travel-support/travel-tips-and-articles/travel-checklist-for-people-on-dialysis/s/5734


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Is there a special diet for people onhemodialysis?

> Eating the right foods can improve yourdialysis results and your overall health.

While you're receiving hemodialysis, you'llneed to carefully monitor your intake offluids, protein, sodium, potassium and

phosphorus. Your dietitian will help youdevelop an individualized meal plan basedon:


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Your weight

Your personal preferences

How well your kidneys still function

Other medical conditions you might have,such as diabetes or high blood pressure


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What about medication?

While you're receiving hemodialysis, you'll likely need variousmedications:

Blood thinners to prevent clots in the hemodialysis machine andtubing

Blood pressure medication to control your blood pressure Erythropoietin to stimulate your bone marrow to produce new red

blood cells Calcium, iron and other nutritional supplements to control the level

of certain nutrients in your blood Phosphate binders to prevent the buildup of phosphorus in your

blood Stool softeners and laxatives to manage constipation Your doctor will do frequent blood tests to monitor your condition


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What are the potential complicationsof hemodialysis?

kidneys play a role in many of body'ssystems. When kidneys stop working,

these other systems don't work as well asthey did before. This can lead to variouscomplications, including:


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Lack of red blood cells (anemia) Bone diseases High blood pressure

Fluid overload Inflammation of the membrane surrounding the heart

(pericarditis) High potassium levels, which can affect your heart

rhythm Nerve damage Infection Heart disease


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Thank you

myths of dialysis

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