DIALYSIS
DIALYSIS
DIALYSIS
Peritoneal Dialysis - The goals of PD are to remove toxic substances and metabolic wastes and to
reestablish normal fluid and electrolyte balance. treatment of choice for patients with kidney disease
who are unable or unwilling to undergo hemodialysis or kidney transplantation. susceptible to the rapid
fluid, electrolyte, and metabolic changes that occur during hemodialysis experience fewer of these
problems with the slower rate of PD.
sterile solution is in the peritoneal cavity, uremic toxins such as urea and creatinine begin to be cleared
from the blood. Diffusion and osmosis occur as waste products move from an area of higher
concentration (the bloodstream) to an area of lesser concentration (the dialysate fluid) through a
semipermeable membrane (the peritoneum). This movement of solute from the blood into the
dialysate fluid is called clearance.
Hemodialysis is used for patients who are acutely ill and require short term dialysis for days to weeks
until kidney function resumes and for patients with advanced CKD and ESKD who require long-term or
permanent renal replacement therapy. Hemodialysis prevents death but does not cure kidney disease
and does not compensate for the loss of endocrine or metabolic activities of the kidneys.
patients receive intermittent hemodialysis that involves treatments three times a week with an average
treatment duration of 3 to 5 hours in an outpatient setting. Hemodialysis can also be performed at
home by the patient and a caregiver. With home dialysis, treatment time and frequency can be adjusted
to meet optimal patient needs.
objectives of hemodialysis are to extract toxic nitrogenous substances from the blood and to remove
excess fluid
dialyzer (artificial kidney) – Is a synthetic semipermeable membrane through which blood is filtered to
remove uremic toxins and a desired amount of fluid.
Diffusion - they move from an area of higher concentration in the blood to an area of lower
concentration in the dialysate.
Dialysate - solution that circulates through the dialyzer, made up of all the electrolytes in their ideal
extracellular concentrations.
Osmosis – remove excess fluid is removed from the body. water moves from an area of low
concentration potential (the blood) to an area of high concentration potential (the dialysate bath)
Ultrafiltration - fluid moves under high pressure to an area of lower pressure. This process is much more
efficient than osmosis for fluid removal and is accomplished by applying negative pressure or a
suctioning force to the dialysis membrane. Because patients with disease requiring dialysis usually
cannot excrete water, this force is necessary to remove fluid to achieve fluid balance.
DIALYISIS