Med Viva 38

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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:
- Better QoF
- COMPARED TO CADAVERIC:
- Shorter waiting time
- Reduced chance of rejection
- Less time on ice - better function
- More well-planned
(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