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Dr.Ashutosh Ojha
MD,DNB(Gen Med)PDCC-Nephro (student)
GMCH..Guwahati
TO download full file go to :
http://88.99.38.121/blo...
Outline
 Indications
 Modalities
 Apparatus
 Access
 Complications of dialysis access
 Acute complications of dialys...
Indications
 Pericarditis or pleuritis
 Progressive uremic encephalopathy or neuropathy (
asterixis, myoclonus, seizures...
Indications for RRT
 Acute management of life-threatening complications of
AKI:
 A: Metabolic acidosis (pH less than 7.1...
Goals of Dialysis
 Solute clearance
 Diffusive transport (based on countercurrent flow of blood
and dialysate)
 Convect...
Modalities
 Peritoneal dialysis
 Intermittent hemodialysis
 Hemofiltration
 Continuous renal replacement therapy
 Dec...
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Dialysis Basics.What is dialysis?

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To download go to :
http://88.99.38.121/blog/dialysis-basics
Indications
Modalities
Apparatus
Access
Complications of dialysis access
Acute complications of dialysis
Indications
Pericarditis or pleuritis Progressive uremic encephalopathy or neuropathy ( asterixis, myoclonus, seizures) Bleeding diathesis Fluid overload unresponsive to diuretics Metabolic disturbances refractory to medical therapy (hyperkalemia, metabolic acidosis, hyper- calcemia , hyper-phosphatemia) Persistent nausea/vomiting, weight loss, or malnutrition Toxic overdose of a dialyzable drug….Dialysable substance IgG/>>>>IgM

Indications for RRT
Acute management of life-threatening complications of AKI: A: Metabolic acidosis (pH less than 7.1) E: Electrolytes -- Hyperkalemia (K >6.5 meq/L) or rapidly rising K) I: Ingestion -- Certain alcohol and drug intoxications O: Refractory fluid overload U: Uremia, ie. pericarditis, neuropathy, decline in mental status.
Goals of Dialysis
Solute clearance Diffusive transport (based on countercurrent flow of blood and dialysate) Convective transport (solvent drag with ultrafiltration) Fluid removal

Modalities
Peritoneal dialysis Intermittent hemodialysis Hemofiltration Continuous renal replacement therapy

Decision of modality determined by catabolic rate, hemodynamic stability, and whether primary goal is fluid or solute removal

For more download down here :

Veröffentlicht in: Gesundheit & Medizin
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Dialysis Basics.What is dialysis?

  1. 1. Dr.Ashutosh Ojha MD,DNB(Gen Med)PDCC-Nephro (student) GMCH..Guwahati TO download full file go to : http://88.99.38.121/blog/dialysis-basics
  2. 2. Outline  Indications  Modalities  Apparatus  Access  Complications of dialysis access  Acute complications of dialysis
  3. 3. Indications  Pericarditis or pleuritis  Progressive uremic encephalopathy or neuropathy ( asterixis, myoclonus, seizures)  Bleeding diathesis  Fluid overload unresponsive to diuretics  Metabolic disturbances refractory to medical therapy (hyperkalemia, metabolic acidosis, hyper- calcemia , hyper-phosphatemia)  Persistent nausea/vomiting, weight loss, or malnutrition  Toxic overdose of a dialyzable drug….Dialysable substance IgG/>>>>IgM
  4. 4. Indications for RRT  Acute management of life-threatening complications of AKI:  A: Metabolic acidosis (pH less than 7.1)  E: Electrolytes -- Hyperkalemia (K >6.5 meq/L) or rapidly rising K)  I: Ingestion -- Certain alcohol and drug intoxications  O: Refractory fluid overload  U: Uremia, ie. pericarditis, neuropathy, decline in mental status
  5. 5. Goals of Dialysis  Solute clearance  Diffusive transport (based on countercurrent flow of blood and dialysate)  Convective transport (solvent drag with ultrafiltration)  Fluid removal
  6. 6. Modalities  Peritoneal dialysis  Intermittent hemodialysis  Hemofiltration  Continuous renal replacement therapy  Decision of modality determined by catabolic rate, hemodynamic stability, and whether primary goal is fluid or solute removal

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