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Related Concept Videos

Dialysis01:27

Dialysis

581
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...
581
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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Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

387
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...
387
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

171
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,...
171
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

188
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
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Related Experiment Video

Updated: Oct 7, 2025

Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People
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Exercise training for adults undergoing maintenance dialysis.

Amelie Bernier-Jean1,2, Nadim A Beruni3, Nicola P Bondonno4,5

  • 1School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

The Cochrane Database of Systematic Reviews
|January 12, 2022
PubMed
Summary
This summary is machine-generated.

Regular exercise training in adults undergoing dialysis likely improves depressive symptoms and functional capacity. However, its effects on mortality, cardiovascular events, and safety remain uncertain, with low certainty evidence for improvements in fatigue, quality of life, and pain.

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Area of Science:

  • Nephrology
  • Exercise Physiology
  • Public Health

Background:

  • Dialysis treatments significantly impact patients' physical and psychosocial well-being.
  • Previous research explored exercise training's potential benefits for dialysis patients, but uncertainties remain regarding its long-term effectiveness and patient-important outcomes.
  • This review is an update of a 2011 publication.

Purpose of the Study:

  • To evaluate the benefits and safety of structured exercise training in adults undergoing dialysis.
  • To assess exercise's impact on patient-important outcomes such as mortality, cardiovascular events, fatigue, functional capacity, pain, and depression.
  • To define optimal exercise prescriptions for dialysis patients.

Main Methods:

  • Systematic search of the Cochrane Kidney and Transplant Register of Studies up to December 2020.
  • Inclusion of randomized controlled trials (RCTs) and quasi-RCTs of structured exercise programs (≥8 weeks) in adults on maintenance dialysis.
  • Data extraction and risk of bias assessment by two independent authors, with meta-analyses performed where appropriate.

Main Results:

  • 89 studies (4291 participants) were identified; 77 studies (3846 participants) contributed to meta-analyses.
  • Exercise training likely improves depressive symptoms (moderate certainty) and functional capacity (moderate certainty).
  • Low certainty evidence suggests potential improvements in fatigue, physical quality of life, and pain; effects on mortality and cardiovascular events are uncertain.

Conclusions:

  • Exercise training probably improves depressive symptoms and functional capacity in dialysis patients.
  • Evidence is uncertain regarding exercise's impact on mortality, cardiovascular events, and mental quality of life.
  • The safety of exercise training for dialysis patients remains uncertain, and evidence for improvements in fatigue, physical quality of life, and pain is of low certainty.