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RENAL NURSINGWITH EMPHASIS ON
HEMODIAYSIS
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MODULE IHISTORY OF
HEMODIALYSIS
By:
CAMILLE M. ESPINOSA, RN, CNN
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Today…
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HEMODIALYSISA procedure for remov !" me#a$o% c &a'#e
produc#' or#o( c'u$'#a!ce' from #)e $%ood'#ream.
T)e pa# e!#*' $%ood ' ')u!#ed from #)e $ody #)rou") amac) !e
for+I -SION a!d -LTRA ILTRATION a!d#)e! re#ur!ed #o #)e pa# e!#*' c
rcu%a# o!.
Re u re'acce'' #o #)e pa# e!#*' $%ood'#ream, a mec)a! 'm for#)e
#ra!'por# of #)e $%ood #o a!d from
#)e d a%y/er, a!d a d a%y/er.
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DEFINITION OF TERMSSEMI PERMEABLE MEMBRANE
A #ype of mem$ra!e &) c) a%%o&' cer#a ! par# c%e' #o
pa'' #)rou")&) %e o#)er' ca!!o#.
+IAL0SATE
T)e ma#er a% #)a# pa''e' #)rou") a mem$ra!e dur !" d a%y' '
+ELI1ER0 S0STEM T)e d a%y' ' mac) !e )a' #&o 'y'#em'#)e e (
# r a c o r p o re a % 2ou#' de #)e $ody3 c rcu # T ) e
e(#racorporea% c rcu # ' #)e #u$ !", $%ood pump, ) e p a r !
2$%ood#) !!er3 pump, 4 d ! e y, a!d mo! #or' for $%ood 5o&,
$%oodpre''ure, a!d a r $u$$%e'.
T)e d a%y'a#e de% very 'y'#em of #)e mac) !e m (e' #)e $a#)
& #)pur 6ed &a#er a!d c)ec4' #o $e 'ure # ' 'afe
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) ")% ")#'
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GRAHAM
• Profe''or of C)em '#ry a# A!der'o!7' -! ver' #y ! 8%a'"o&,
Sco#%a!d.9e formu%a#ed #)e %a& of d u' o! of8a'e' 4!o&! a'
8RA9AM7S LA;
• 9e de'cr $ed #)e dea of SELECTI1E+I -SION2'epara# o! of
'u$'#a!ce'acro'' a 'em permea$%e mem$ra!e3;) c) "ave r 'e #o #)e
#erm +IAL0SIS2#) ' #erm &a' 6r'# u'ed $y 8ra)am o!?3
• +IAL0SIS come' from #)e "ree4 ºea! “loosening from
someone else”
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1913:The First Hem !i"#$sis E%&erime't()I)IDDIFFUSION
APPARATUS*
T)e remova% of d u' $%e'u$'#a!ce' fromc rcu%a# !" $%ood of % v
!"a! ma%' $y + a%y' '
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9e u'ed a 1ENO1ENO-Sapproac) &)ere$y $%ood &a'removed
from #)e $ody a!dpa''ed #)rou") #)e co%%od a!mem$ra!e, e(po'ed #o
ad a%y/ !" 'o%u# o! a!d #)e!re !fu'ed !#o #)e $%ood'#ream
9IR-+IN
A%%er" c reac# o!' #o mpur # e' !9IR-+IN %ed ) m #o a$a!do! )
'e(per me!#'.
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F+u#c) doc#or
Ffa#)er of d a%y' '
F 2
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d 'adva!#a"e'Need more$%ood#ra!'fu' o!
'M !or opera# o!')a' #o $eperformed
Trea#me!# o ered o!%y foracu#e re!a% fa %ure &) c)re u red
#rea#me!# # me ofappro( ma#e%y )our'
F
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FI+NE0
o%f rede' "!ed ) ' dev ce #o"e#)er& #) +R. CARL ;ALTERS a!d
+R.
O9N MERRILL a# #)e PETER BRENTBRI89AM )o'p #a% ! Bo'#o!.
T)e o%fFBr ")am ar# 6c a% 4 d!ey
&a' co!'#ruc#ed of '#a !%e'' '#ee%a!d )ad a P%e( "%a'
)ood.
T)e vo%ume of d a%y/er c%eara!cecou%d $e mod 6ed $y adJu'# !"
#)e
!um$er of &rap' of ce%%u%o'e#u$ !".
Trea#me!# # me %a'#ed #o =F
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K #o > : OREAN ;AR
T)e'e d a%y/er'&ou%d $e u'ed #o#rea# acu#e re!a%fa %ure !
!Jured'o%d er' dur !" #)e&ar.
o%f &ou%d %a#erdeve%op a d 'po'a$%eco % d a%y/er
4!o&!
a' T;IN COIL+IAL0 ER
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?: +R. OSEP9 M-RRA0F 6r'#
or"a! #ra!'p%a!# doc#orNo$%e pr /e !P)y' o%o"y orMed c !e !
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CA+A1ERIC TRANSPLANTSucce''fu% cadaver c#ra!'p%a!#'$e"a! !
#)e
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A Te5o! #u$e &a' p%aced! $o#) #)e pa# e!#7'ar#ery a!d ve
!.
T)e #u$e' &ereco!!ec#ed #o #)e$%ood% !e' of #)e d a%y' 'mac)
!e dur !"
#rea#me!#
;)e! !o# ! u'e for ad a%y' ' #rea#me!#, #)e%oop' &ou%d
$eco!!ec#ed e(#er!a%%y& #) a - ')aped dev cea%%o& !" co!#
!uou' 5o&#o ma !#a ! pa#e!cy
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9emo
T)e Mode% A &a' $u %# $y #)eM %#o! Roy Compa!y !
S#.Pe#er'$ur", %or da !
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$u# &a' %a#ed rev 'ed#o !c%ude #)o'e a"ed > a!d
o%der.
T)e federa% fu!d !" a%%o&ed d a%y' ' #o $e madeava %a$%e #o
pa# e!#' & #)ou# re"ard #o a"e orcomor$ # e'.A' a re'u%# of #)
' %a!damar4 %e" '%a# o!, a
pro% fera# o! of ou#pa# e!# d a%y' ' ce!#er' &a''ee! acro''
#)e cou!#r .
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Dr/. A!mi'istr"ti '"&&r e! the/se 0 E& ieti'
A#0"
A!em a &a' "e!era%%y #rea#ed & #) fre ue!# a!d
mu%# p%e $%ood #ra!'fu' o!'.A!a$o% c '#ero d', 'uc) a'
Na!dro%o!e +eca!oa#e,&ere a%'o u'e #o amme% ora#e #)e a!em
aa''oc a#ed & #) C +. T)e'e '#ero d' &ere u'ua%%yadm !
'#ered &ee4%y $y IM !Jec# o!.
T)e !#roduc# o! of recom$ !a!# )uma!Ery#)ropo e# ! d m ! ')ed or
! mo'# ca'e'prec%uded, #)e !eed #o adm ! '#er BT a!d a!a$o% c'#ero
d'.
