x%20Treatment%20Methods%20for%20Kidney%20Failure%20-%20Hemodialysis

X%20Treatment%20Methods%20for%20Kidney%20Failure%20-%20Hemodialysis

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i Treatment Methods for Kidney Failure HEMODIALYSIS U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH National Kidney and Urologic Diseases Information Clearinghouse
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Treatment Methods for Kidney Failure HEMODIALYSIS NATIONAL INSTITUTES OF HEALTH National Institute of Diabetes and Digestive and Kidney Diseases
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Contents When Your Kidneys Fail . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 How Hemodialysis Works . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Adjusting to Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Getting Your Vascular Access Ready . . . . . . . . . . . . . . . . . . 3 Equipment and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . 4 Tests To See How Well Your Dialysis Is Working . . . . . . . . 7 Conditions Related to Kidney Failure and Their Treatments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 How Diet Can Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Financial Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Hope Through Research . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
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1 Hemodialysis is the most common method used to treat advanced and permanent kidney failure. Since the 1960s, when hemodialysis first became a practical treatment for kidney failure, we’ve learned much about how to make hemodialysis treatments more effective and minimize side effects. But even with better procedures and equipment, hemodialysis is still a complicated and inconvenient therapy that requires a coordinated effort from your whole health care team, including your nephrologist, dialysis nurse, dialysis tech- nician, dietitian, and social worker. But the most important members of your health care team are you and your family. By learning about your treatment, you can work with your health care team to give yourself the best possible results, and you can lead a full, active life. When Your Kidneys Fail Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. When your kid- neys fail, harmful wastes build up in your body, your blood pressure may rise, and your body may retain excess fluid and not make enough red blood cells. When this happens, you need treatment to replace the work of your failed kidneys. How Hemodialysis Works In hemodialysis, your blood is allowed to flow, a few ounces at a time, through a machine with a special filter that removes wastes and extra fluids. The clean blood is then returned to your body. Removing the harmful wastes and extra salt and
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2 fluids helps control your blood pressure and keep the proper balance of chemicals like potassium and sodium in your body. One of the biggest adjustments you must make when you start hemodialysis treatments is following a rigid schedule. Most patients go to a clinic—a dialysis center—three times a week for 3 to 5 or more hours each visit. For example, you may be on a Monday-Wednesday-Friday schedule or a Tuesday- Thursday-Saturday schedule. You may be asked to choose a morning, afternoon, or evening shift, depending on availabili- ty and capacity at the dialysis unit. Your dialysis center will explain your options for scheduling regular treatments.
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X%20Treatment%20Methods%20for%20Kidney%20Failure%20-%20Hemodialysis

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