DIALYSIS

DIALYSIS-
INTRODUCTION-
PPURPOSE-Nephrotoxins
Cystic kidney diseases
Diabetics
Nephro pathy
Hypertension

contraindication�
1.people with extremely serious diseases, low blood pressure or shock, should avoid it.
2.people got serious blood poisoning should not be take it
3.people who have take operation within 3days should not take it
4.people with severe anemia or bleeding tendency should not
5.People with malignant tumor
TYPES OF DIALYSIS
 
{1} HEMODIALYSIS
{2} PERITONEAL DIALYSIS

1. DIALYSIS PRANATI PATRA

2. S/S

3. PURPOSE Nephrotoxins Cystic kidney diseases Diabetics Nephro pathy Hypertension

4. contraindication 1.people with extremely serious diseases, low blood pressure or shock, should avoid it. 2.people got serious blood poisoning should not be take it 3.people who have take operation within 3days should not take it 4.people with severe anemia or bleeding tendency should not 5.People with malignant tumor

5. SCIENTIFIC PRINCIPLES

6. ULTRAFILTRATION- ULTRAFILTRATION- water removal from blood due to a pressure, gradient across a membrane.

7. TYPES OF DIALYSIS   {1} HEMODIALYSIS {2} PERITONEAL DIALYSIS

8. {1} HEMODIALYSIS HD is also called dialysis or renal replacement therapy is a medical procedure for receiving wastes and excess water from the body.

9. How does the dialyzer clean the blood Inside the dialyzer or filter there are two sides - one for blood and other for a fluids called dialysate . A thin membrane separates these two sides blood cells,protein and other important things remain in blood because they are too big to pass through the membrane.smaller waste products,such as urea and creatinine and extra fluid,more from your blood through the membrane and are removed the composition of the dialysate or cleansing fluids .

10. VASCULAR ASSESS

11. A V FISTULA

12. EQUIPMENTS-

13. 1.Hemodialysis with appropriate dialyzer .

14. FISTULA NEEDLE

15. 3.BLOOD TUBING SET

16. 4.DIALYSATE

17. 5.IV solutions ,administration set, iv pole 6.inj heparin,3ml syringe with needle.

18. COMPLICATION Hyperpyrexia Dialysis disequilibrium syndrome[ headache, nausea, restlessness, hypertension,muscle cramps,backache and seizure.] Hypovolemia & hypotension Hyperglycemia and hypernatremia Cardiac arrhythmia Angina Hemolysis [chest pain , dyspnea ]

19. CONTINUOUS AMBULATORY PERITONEAL DIALYSIS [ CAPD]

20. CONTINUOUS AMBULATORY PERITONEAL DIALYSIS [ CAPD] Peritoneal dialysis is a treatment for  kidney failure  that uses the lining of   abdomen , or belly, to filter blood inside body. Health care providers call this lining the peritoneum.

21. EQUIPMENTS

22. 1.Prescribed amount of dialysate [2liter bags 2. The 42’’ connective tubing with drain clamps.

23. COMPLICATION 1.peritonitis 2.septicemia

24. ADVANTAGES 1.Provide more stable fluid & electrolyte level. 2.Helps to resume normal daily activities between solution changes. 3.Less expensive than haemodialysis.  

25. DISADVANTAGES 1.Recent abdominal surgery ,abdominal adhesion 2.Respiratory insufficiencies.  

26. SUMMARY

27. BIBILIOGRAPHY   John T. Daugirdas , Peter G. Blake, Todd S. Ing “Handbook of Dialysis”(2007),4th edition, Wolters Kluwer (India) publication, page no: 59-88.  2. Nicola Thomas “Renal Nursing” (2008), 3rd edition, Elsevier Publication, page no: 73-78, 181- 232  3. Allen R. Nissenson , Richrad N. Fine “Handbook of Dialysis Therapy” (2009), 4th edition, Elsevier Publications, page no: 703-710, 1221-1225. 4.Lippincott “Manual of Nursing Practice” (2009), 10th edition, Wolters Kluwer (India) publication, page no: 785-788