Types of dialysis

Types of Dialysis There are two types of dialysis we may use: peritoneal and hemodialysis. Peritoneal Dialysis To perform peritoneal dialysis, we will: • Surgically place a soft, hollow tube into the lower abdomen near the navel. • Instill a special solution called dialysate into the peritoneal cavity. The peritoneal cavity is the space in the abdomen that houses the organs and is lined by two special membrane layers called the peritoneum. • Leave the dialysate in the abdomen for a certain period of time, which we will determine on an individual basis. The dialysate fluid absorbs the waste products and toxins through the peritoneum. • Drain the fluid from the abdomen, measure it and then discard it. Types of Peritoneal Dialysis There are three different types of peritoneal dialysis: • Continuous ambulatory peritoneal dialysis (CAPD): Does not require a machine. Exchanges, often referred to as "passes," can be done three to five times a day, during waking hours. • Continuous cyclic peritoneal dialysis (CCPD): Requires the use of a special dialysis machine that can be used in the home. This type of dialysis is done automatically, even while you are asleep. • Intermittent peritoneal dialysis (IPD): Uses the same type of machine as CCPD, but treatments take longer. IPD can be done at home, but it is usually in the hospital. Peritoneal Dialysis: Possible Complications Possible complications of peritoneal dialysis include an infection of the peritoneum, or peritonitis, where the...

There are two kinds of dialysis. In hemodialysis, blood is pumped out of your body to an artificial kidney machine, and returned to your body by tubes that connect you to the machine. In peritoneal dialysis, the inside lining of your own belly acts as a natural filter. Wastes are taken out by means of a cleansing fluid called dialysate, which is washed in and out of your belly in cycles. There are two kinds of peritoneal dialysis: • Continuous Ambulatory Peritoneal Dialysis (CAPD) • Automated Peritoneal Dialysis (APD) The basic treatment is the same for each. However, the number of treatments and the way the treatments are done make each method different. CAPDis "continuous," machine-free and done while you go about your normal activities such as work or school. You do the treatment by placing about two quarts of cleansing fluid into your belly and later draining it. This is done by hooking up a plastic bag of cleansing fluid to the tube in your belly. Raising the plastic bag to shoulder level causes gravity to pull the fluid into your belly. When empty, the plastic bag is removed and thrown away. When an exchange (putting in and taking out the fluid) is finished, the fluid (which now has wastes removed from your blood) is drained from your belly and thrown away. This process usually is done three, four or five times in a 24-hour period while you are awake during normal activities. Each exchange takes about 30 to 40 minutes. Some patients like to do their exchanges at meal...

Dialysis is a type of treatment that helps your body remove extra fluid and waste products from your blood when the kidneys are not able to. Dialysis was first used successfully in the 1940's and became a standard treatment for kidney failure starting in the 1970s. Since then, millions of patients have been helped by these treatments. Dialysis can be done in a hospital, a dialysis center, or at home. You and your doctor will decide which type of dialysis and which place is best, based on your medical condition and your wishes. Dialysis performs some of the duties that your kidney usually does to keep your body in balance, such as: • removing waste and extra fluids in your body to prevent them from building up in the body • keeping safe levels of minerals in your blood, such as potassium, sodium, calcium, and bicarbonate • helping to regulate your blood pressure Hemodialysis (HD) In Image Source:National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Peritoneal Dialysis (PD) In Two of the most common types of peritoneal dialysis are: • Continuous Ambulatory Peritoneal Dialysis (CAPD) • Automated Peritoneal Dialysis (APD) The supplies and equipment needed, duration of each treatment (also known as an exchange), and number of treatments per day will differ depending on the type of PD you are using and your medical condition. More information about these treatments can be found on the NKF Dialysis is a very effective treatment option for clearing waste product...

Overview What is dialysis? Dialysis is a treatment for people whose kidneys are failing. When you have Who needs dialysis? People who have kidney failure, or end-stage renal disease (ESRD), may need dialysis. Injuries and conditions like Some people develop kidney problems for no known reason. Kidney failure can be a long-term condition, or it can come on suddenly (acute) after a severe illness or injury. This type of kidney failure may go away as you recover. There are five stages of kidney disease. In stage 5 kidney disease, healthcare providers consider you to be in end-stage renal disease (ESRD) or kidney failure. At this point, kidneys are carrying out around 10% to 15% of their normal function. You may need dialysis or a What do the kidneys do? Your kidneys are part of your The waste and extra water make urine, which moves from the kidneys into the bladder. Your kidneys also help regulate your Procedure Details What are the types of dialysis? There are two ways to get dialysis: • Hemodialysis. • Peritoneal dialysis. What is hemodialysis? With hemodialysis, a machine removes blood from your body, filters it through a dialyzer (artificial kidney) and returns the cleaned blood to your body. This 3- to 5-hour process may take place in a hospital or a dialysis center three times a week. You can also do hemodialysis at home. You may need at-home treatments four to seven times per week for fewer hours each session. You may choose to do home hemodialysis at night while you s...

Disadvantages • Studies show PD patients live longer. • More mobility and flexibility • Easier to travel • Continuous dialysis can improve well-being • No machine required • May have fewer fluid and diet restrictions • No needles required • May live longer & healthier • Can be a good bridge to a kidney transplant • Can preserve vessels for future hemodialysis access. • Although PD is every day, it takes less time overall than going to a center (when you consider traveling to and from the center, waiting, recovery time). • Done every day; no days off • Catheter may affect body image • Swimming/bathing may be limited • Potential for weight gain due to glucose (sugar) in dialysis fluid • Blood glucose can be more difficult to control in diabetes. • Storage space is required at home for supplies and fluid. • Potential for infection in the catheter. Disadvantages • Studies show that having dialysis at home 5-7 times a week has dramatically better outcomes in every way, including longer life and better survival • You and your dialysis partner learn to do treatments without the in-center staff • Dialysis is done in the comfort of your own home. • No need to travel to a dialysis center • More flexibility to choose a convenient time of day to do dialysis • Greater sense of control from being independent and doing treatment yourself. • A dialysis partner must be present while you are on dialysis • Both you and your dialysis partner must take time off work or regular routine to atten...

Overview In hemodialysis, a machine filters wastes, salts and fluid from your blood when your kidneys are no longer healthy enough to do this work adequately. Hemodialysis (he-moe-die-AL-uh-sis) is one way to treat advanced kidney failure and can help you carry on an active life despite failing kidneys. With hemodialysis, you'll need to: • Follow a strict treatment schedule • Take medications regularly • Make changes in your diet Hemodialysis is a serious responsibility, but you don't have to shoulder it alone. You'll work closely with your health care team, including a kidney specialist and other professionals with experience managing hemodialysis. You may be able to do hemodialysis at home. One of the important jobs of the kidneys is to clean the blood. As blood moves through the body, it picks up extra fluid, chemicals and waste. The kidneys separate this material from the blood. It's carried out of the body in urine. If the kidneys are unable to do this and the condition is untreated, serious health problems result, with eventual loss of life. Why it's done Your doctor will help determine when you should start hemodialysis based on several factors, including your: • Overall health • Kidney function • Signs and symptoms • Quality of life • Personal preferences You might notice signs and symptoms of kidney failure (uremia), such as nausea, vomiting, swelling or fatigue. Your doctor uses your estimated glomerular filtration rate (eGFR) to measure your level of kidney func...

Overview What is hemodialysis? Hemodialysis is a type of During hemodialysis, a machine removes blood from your body, filters it through an artificial kidney (dialyzer) and then returns the cleaned blood to your body. How does hemodialysis work? The dialyzer is the part of the hemodialysis machine that filters your blood. Your blood flows through tiny mesh tubes inside the dialyzer’s core. Waste products and excess fluids in your blood pass through the mesh tubes into dialysate. Dialysate is a fluid that consists of water, salts and electrolytes. Your filtered blood returns to your body. The dialyzer then disposes of the dialysate, which contains your blood’s waste products and excess fluid. What are the two types of hemodialysis? There are two main types of hemodialysis. Talk to your healthcare provider about what type of hemodialysis is best for you. The main types of hemodialysis include: In-center hemodialysis For this type of hemodialysis, you go to a special healthcare facility that specializes in providing hemodialysis. A hemodialysis nurse or technician performs the procedure. Most people get in-center hemodialysis at least three times per week. Each session takes between three and four hours to complete. Home hemodialysis This type of hemodialysis takes place in your home. Over several weeks or months, your healthcare providers will teach you how to perform hemodialysis and resolve common problems that may develop. You then perform the procedure yourself on your o...