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Hemodialysis
Surendran Radjou
Aug. 29, 2018 • 39 likes • 3,780 views

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Healthcare

Hemodialysis - Definition, Principles, Procedure, Complications

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Conditions

Hemodialysis
1. HEMODIALYSIS BY SURENDRAN RADJOU
2. DEFINITION Hemodialysis is a process that uses a man-made membrane (dialyzer) to: • Remove wastes, such as urea, from the
blood. • Restore the proper balance of electrolytes in the blood. • Eliminate extra fluid from the body.
3. INDICATIONS • Metabolic Acidosis • Electrolyte Imbalance • Overload Of Fluid • Acute Poisoning • Uremia • Renal Failure • Lowered
Glomerular Filtration Rate (GFR)
5. PRINCIPLES OF HEMODIALYSIS DIFFUSION ULTRA FILTRATION OSMOSIS
6. PRINCIPLES OF HEMODIALYSIS • Di!usion is the movement of particles from an area of greater concentration to one of lesser
concentration • Osmosis is the movement of fluids across a semipermeable membrane from an area of lesser concentration of particles
to an area of greater concentration of particles • Ultrafiltration is the movement of fluid across a semipermeable membrane as a result
of an artificially created pressure gradient
7. METHODS OF VASCULAR ACCESS Central Venous Catheter AV Fistula AV Gra"
9. DIALYSIS CIRCUIT
10. NURSING CONSIDERATIONS Pre-dialysis care • Assess: Weight, Vital signs, Potassium level • Review Medications • Check access site
During Dialysis • Watch for Hypotension, Muscle cramps, Nausea and vomiting, Headache, Itching and hypersensitivity reactions.
11. Post Dialysis Care • Monitor BP; report hypotension or hypertension • Watch for bleeding • Check weight and compare (weight loss
should be close to removal goal set during treatment) • Document unusual findings • Assess access site for bruit, thrill, exudate, signs of
infection, bleeding
12. COMPLICATIONS RELATED TO VASCULAR ACCESS INFECTION CATHETER CLOTTING STENOSIS OR THROMBOSIS
13. COMPLICATIONS RELATED TO VASCULAR ACCESS ISCHEMIA ANEURYSM
14. COMPLICATIONS RELATED TO MACHINE AIR EMBOLISM BLOOD LOSSHEMOLYSIS
15. COMPLICATIONS RELATED TO MACHINE HYPO OR HYPERTHERMIA FLUID IMBALANCES

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