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Related Concept Videos

Dialysis01:27

Dialysis

452
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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Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

123
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,...
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Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

261
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...
261
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...
163
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

160
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...
160
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

101
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...
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Updated: Aug 31, 2025

A Murine Model of Hemodialysis Access-Related Hand Dysfunction
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Exercise in Dialysis: Ready for Prime Time?

Ashley M Morgan1, Alexis C King1, Joao Viana2

  • 1Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Urbana, Illinois, USA.

Blood Purification
|August 25, 2022
PubMed
Summary
This summary is machine-generated.

Despite proven benefits, exercise programs for kidney disease patients on hemodialysis (HD) are underutilized. Recent trials and novel approaches show promise for improving physical activity and patient outcomes in HD.

Keywords:
DialysisExercisePhysical functionQuality of life

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Area of Science:

  • Nephrology
  • Exercise Physiology
  • Public Health

Background:

  • Patients with end-stage kidney disease on maintenance hemodialysis (HD) often experience physical inactivity and dysfunction.
  • Despite extensive research demonstrating health and quality-of-life improvements, exercise interventions are rarely implemented in dialysis clinics.

Purpose of the Study:

  • To review recent large randomized clinical trials on exercise in HD patients.
  • To discuss novel strategies for implementing and evaluating exercise interventions in HD.
  • To identify policy needs for enhancing exercise prescriptions in this population.

Main Methods:

  • Critical review of data from recent large randomized clinical trials.
  • Discussion of global novel approaches to exercise prescription and evaluation.
  • Analysis of policy implications for exercise in HD.

Main Results:

  • Exercise interventions, particularly intradialytic cycling, have shown benefits in strength, physical function, and cardiovascular risk factors.
  • Emerging approaches focus on diverse exercise options and motivational tools, with increasing emphasis on patient-reported outcome measures (PROMs).

Conclusions:

  • Significant advances have been made in exercise interventions for HD patients, but widespread implementation and optimal efficacy require further research and policy support.
  • While promising, exercise in dialysis is not yet fully optimized, necessitating continued innovation and integration into standard care.