CHAKRADHAR HOSPITALS
ICU NURSING
DR.CH PAVAN KUMAR MBBS
CHAKRADHAR HOSPITALS.
DIALYSIS
• Dialysis is the procedure to remove waste materials and toxic substances and to restore normal volume and composition of body fluid in severe renal failure.
• It is also called hemodialysis.
ARTIFICIAL KIDNEY
To treat the patients suffering from:1. Acute renal failure
Slow Low-efficiency Dialysis (SLED)
2. Chronic or permanent renal failure.Continuous Renal Replacement Therapies (CRRTs
principle
diffusion of solutes from an area of
higher concentration to the area of
lower concentration, through a
semipermeable membrane
Parts of dialysis
• Dialyzer Hemofilter
• Cellophane Membranes
• Dialysate
• Blood Delivery System
• Dialysis Access
• Creation of A V FISTULA
FREQUENCY AND DURATION OF DIALYSIS
• Dialysis is done usually thrice a week in severe uremia. Each time,
• the artificialkidney is used for about 6 hours.
PERITONEAL DIALYSIS
Criteria for initiating patients • Uremic symptoms, • Unresponsive hyperkalemia • Persistent extracellular volume expansion
despite diuretic therapy, • Acidosis refractory to medical therapy, • A bleeding diathesis,• And A creatinine clearance or estimated
glomerular filtration rate
ESRD• Continuous Ambulatory Peritoneal Dialysis
(CAPD) • Continuous Cyclic Peritoneal Dialysis (CCPD); • Transplantation
COMPLICATIONS OF DIALYSISHypotension
Muscle crampsCardiovascular diseases
Sleep disordersAnxiety
Depression.
PROVIDING BEST ICU CARE