Hemodialysis

• Hemodialysis

  Dialyzer - Artificial kidney, filter/semi-permeable
• Hemodialysis

  Dialysate - Technique: Non-sterile since bacteria and viruses cannot pass through the filter
• Hemodialysis

  Function: Removal of excess fluid & waste products; correction of electrolyte and acid-base imbalance
• Hemodialysis is an intermittent renal replacement therapy involving the process of cleansing the client’s blood
• Hemodialysis

  Arm precaution should be observed when a client has AV fistula or AV shunt. No BP taking or puncturing of the affected arm.
• Hemodialysis

  Assess for patency of AV fistula by auscultating for bruit and by palpating for thrill.
• Hemodialysis

  During hemodialysis, blood transfusion should be administered. To prevent hypovolemia and shock.
• Hemodialysis

  Withhold: Antihypertensive drugs. To prevent hypotension. BP should be monitored.
• Hemodialysis

  Promote comfort. Hemodialysis may take 3 to 4 hours per session.
• Hemodialysis

  Disequilibrium Syndrome dialysis complication that may occur during initial dialysis due to rapid and long duration of administration; REPORT to HCP
• Hemodialysis

  Disequilibrium Syndrome causes Cerebral edema due to loss of intravasular solutes so it would present with s/sx of Increased ICP
• To prevent disequilibrium syndrome, initial hemodialysis should be done for 30 minutes, then the duration is gradually increased.
• Hemodialysis

  Used after 2-3 months
• Hemodialysis

  How often: 3 times per week