关于增量腹膜透析需要知道的五件事
Mohammed Azfar Qureshi1,2, Shabnam Hamidi1,2, Bourne L Auguste1,2,3
1Department of Medicine, University of Toronto, ON, Canada.
Canadian journal of kidney health and disease
|August 14, 2023
概括
渐进性腹膜透析 (PD) 提供了一个更温和的开始透析,减少患者的负担和保持功能. 这种方法具有成本效益,环保,并符合专家建议.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 脏替代疗法治疗 脏替代疗法
背景情况:
- 标准腹腔透析 (PD) 对新患者来说可能是负担.
- 与标准PD相比,增量PD提供了较小的治疗量.
- 尽量减少功能衰竭的症状是早期透析管理的一个关键目标.
研究的目的:
- 突出增量腹膜透析 (PD) 对开始透析的患者的好处.
- 讨论增量PD的优点,包括减少治疗负担和保存功能.
- 强调增量PD的成本效益和环境效益.
主要方法:
- 审查关于增量PD的现有文献.
- 增量PD与标准PD处方的比较.
- 与国际腹腔透析学会 (ISPD) 的指导方针保持一致.
主要成果:
- 增量PD可以减少治疗负担和侵入性.
- 与残留功能下降的速度较慢有关.
- 证明了成本效益和减少了环境足迹.
- 根据ISPD建议支持高质量,以目标为导向的治疗.
结论:
- 增量PD是一种以患者为中心的方法,适用于适当的人群.
- 实践者应该意识到它的优势和局限性.
- 有助于更个性化的透析处方.
相关概念视频
Peritoneal Dialysis I: Introduction and Procedure
57
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...
57
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
41
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...
41
Peritoneal Dialysis III: Nursing Management
46
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...
46
Acute Kidney Injury V: Interprofessional Care
25
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
25
Continuous Renal Replacement Therapy
54
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
54
Hemodialysis II: Procedure and Complications
42
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,...
42


