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Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
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Peritoneal Dialysis III: Nursing Management

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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
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Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
Dialysis01:27

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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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Published on: July 20, 2022

Peritoneal dialysis in the elderly.

Edwina A Brown

    Contributions to Nephrology
    |June 5, 2009
    PubMed
    Summary
    This summary is machine-generated.

    Older adults can benefit from peritoneal dialysis (PD), a home-based treatment. Overcoming barriers and providing unbiased information can improve quality of life for elderly patients requiring dialysis.

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    Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

    Published on: July 19, 2018

    Area of Science:

    • Nephrology
    • Geriatrics

    Background:

    • Elderly patients on dialysis have distinct needs and outcomes compared to younger individuals.
    • Peritoneal dialysis (PD) is underutilized in older adults despite haemodialysis often being poorly tolerated.
    • Home-based PD avoids transport burdens, enhancing quality of life for elderly patients.

    Purpose of the Study:

    • To highlight the underutilization of peritoneal dialysis (PD) in the elderly population.
    • To identify barriers preventing older adults from accessing PD.
    • To advocate for increased PD use in the elderly through assisted care models.

    Main Methods:

    • Review of current literature on PD in elderly patients.
    • Analysis of outcomes and barriers in different international healthcare settings.
    • Examination of the role of assisted PD programs.

    Main Results:

    • Haemodialysis is often poorly tolerated by the elderly, yet they are less likely to be offered PD.
    • Barriers include visual impairment, frailty, cognitive issues, accommodation, and provider bias.
    • Assisted PD models, as seen in France, increase PD prevalence among the elderly.

    Conclusions:

    • Older patients can successfully utilize PD, especially with community nurse assistance.
    • Nephrologist bias and geographical factors should not limit PD access for the elderly.
    • Patients must receive unbiased information to choose the dialysis modality that best suits their lifestyle and quality of life.