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Related Concept Videos

Dialysis01:27

Dialysis

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Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
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Dialysis01:15

Dialysis

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Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
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Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

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Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
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Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

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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...
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Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

2.0K
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
2.0K
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

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The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
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[What to expect from dialysis in the future?].

M Schneider, S Kissling, F Saucy

    Revue Medicale Suisse
    |April 23, 2015
    PubMed
    Summary

    The global rise in end-stage kidney failure necessitates better renal replacement therapies. This article reviews emerging alternatives to current treatments like transplantation and dialysis, addressing their limitations.

    Area of Science:

    • Nephrology
    • Renal Medicine
    • Public Health

    Context:

    • Increasing global prevalence of end-stage kidney failure, primarily driven by population aging.
    • Expanding demand for renal replacement therapies worldwide.
    • Limitations of current gold-standard treatments: kidney transplantation, hemodialysis, and peritoneal dialysis.

    Purpose:

    • To review existing renal replacement therapies and their associated challenges.
    • To explore novel techniques for kidney failure management.
    • To address the need for improved alternatives considering complications, migration, and environmental concerns.

    Summary:

    • Current renal replacement therapies (kidney transplantation, hemodialysis, peritoneal dialysis) face limitations including high complication rates.

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  • An aging global population is increasing the incidence of end-stage kidney failure, driving demand for effective treatments.
  • Emerging alternative techniques are under development to overcome the shortcomings of established methods.
  • Impact:

    • Highlights the urgent need for innovative solutions in renal replacement therapy.
    • Provides an overview of developing technologies for kidney failure management.
    • Informs clinicians and researchers about future directions in treating kidney disease.