Med Viva 38
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Med Viva 38
Name 4 issues regarding dialysis in a diabetic patient.
1. Visual impairment
2. Increased infection risk
3. Glycaemia control
4. Access may be difficult due to PVD
What are the pros of haemodialysis?
Shorter time needed (efficiency)
Reduced infection risk
What are the cons of haemodialysis?
Rapid fluid removal (hypovolaemia, electrolytes e.g. hyperK+)
Anticoagulation & vascular access may lead to haemorrhage
Equipment malfunction - air embolism
Hypersensitivity to dialyser - shock
Emergencies between treatments (APO,sepsis)
What are the pros of peritoneal dialysis?
Favours younger pts - dexterity, independence
May preserve renal functions better
What are the cons of peritoneal dialysis?
Sepsis (peritonitis, catheter
Ultrafiltration failure - fluid over loaded
Peritoneal membrane failure
Describe how is haemo and peritoneal dialysis carried out?
Haemo - hospital 3d/wk for 5h each time; home needs skills
Peritoneal - night automated or continuous ambulatory
Name 5 benefits of kidney donation.
COMPARED TO DIALYSIS:
COMPARED TO CADAVERIC:
Shorter waiting time
Reduced chance of rejection
Less time on ice - better function
(Also rewarding to donator! :p)
Describe the procedure of a kidney transplant?
Open OR laporascopic nephrectomy
4-10 days hospital stay
2-12 weeks recovery
At increased risk of kidney disease only if the other kidney is damaged