Hemodialysis

be linked to certain diseases such as arthrosclerotic ishemia, damaged brain circulation, and decreased coronary perfusion. Intradialytic hypotension is low blood pressure often due to hemodialysis. Some of the risk factors of acquiring intradialytic hypotension includes diabetes, age, and long lengths of hemodialysis. The point of this study is to see whether vascular calcification and intradialytic hypotension are correlated, and what the effect has on the patients clinically. The hypothesis…

Today I had the pleasure of interviewing my colleague Mary “Beth” Upham for the quarterly nursing newsletter. Beth and I have worked together in the hemodialysis unit for 5 years, and I have always heard bits and pieces about her thirty eight years as a hemodialysis nurse. She carries a wealth of knowledge and experience, and shared with me stories about how things “used to be”. She is using her knowledge and experience to develop a PD program along with Dr. J Tang, Nephrologist and Donna…

What is kidney failure? Kidney failure, also called end-stage renal disease. When someone’s kidney function gets below a certain point, it is called kidney failure. Kidney failure is when someone’s body cannot filter wastes from the blood. Kidney failure can make someone feel very ill and if it is left untreated it can be life-threatening. Kidney failure is life changing, it can be deadly and sometimes it can be treatable or…

receiving hemodialysis treatments three times a week, or having to perform exchanges at home, makes it difficult for patients to work or attend school. It can be very hard for a patient on dialysis to support a family. Many patients go on disability, but often the amount of money received is not enough to sustain themselves or their family. Psychologically speaking, dialysis patients often experience depression, loneliness, a feeling that they have lost control, and episodes of anger.…

patient get better. Chronic renal failure is generally treated with hemodialysis. This cleans and filters the blood using a machine to temporarily rid the body of harmful wastes, extra salt, and extra water. Hemodialysis helps control blood pressure and helps the body keep the proper balance of important chemicals (NIH). This method of treatment helps to (partially) perform the functions of the kidney. The hemodialysis machine cleans your blood through a very specific process with…

This paper will focus on creating a foot check program in the hemodialysis unit at the Providence Veterans Administration Medical Center. The prevalence of foot wounds among the veterans has increased over the last six months due to poor foot care practices. Without a program in place to educate, assess and intervene, foot complications will continue. According to Crozier, (2014) patients on hemodialysis have a high prevalence of foot related issues resulting in an increased number of…

Introduction Objective The point of this task is to build up an interpersonal skill in organizing an interview session with the nurse leader then to improve communication skills. Through interviews methods, interpersonal and communication skills can be improved by listening, not only the words spoken, it incorporates non-verbal message conveyed. During the process of the interview, it's easy to learn people’s emotion. Focused area of interview: Management of change Management of change in…

Nursing competencies have a significant impact on quality of life and care for patients suffering from the End-Stage Renal Disease (ESRD). ESRD patients undergo scheduled complex medical practices that involve dialysis and restriction from certain types of foods and fluids; hence, the patient and the physician must observe strict adhering to the treatment process. As such, the health provider taking a patient through the dialysis process must be highly competent to ensure safe and qualify…

significantly during hemodialysis. The American College of Chest Physicians guidelines for treatment and prevention of HIT 2012 suggested the use of Argatroban over other non-heparin anticoagulants in HD patients with HITTs.(38) In a research that compared 3 doses of Argatroban in HD patients, the preferred regimen was a 250-µg/kg bolus followed by an infusion of 2 µg/kg/minute at the start of dialysis, with the option of stopping the infusion as early as 1 hour before the end of…

Acute Kidney Injury Case Study 1. AKI can be prerenal, intrarenal, and postrenal. Prerenal is a decrease in blood flow to the kidneys and this leads to a decrease in glomerulus perfusion and filtration. During prerenal, Azotemia occurs and is the accumulation of nitrogenous waste in the blood. This results in a reduction in sodium excretion, increased sodium and water retention, and decreased urine output. Intrarenal has direct damage to the kidney. Nephrotoxins can cause structures to…