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    Indication, Initiation and Monitoring of Hemodialysis

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    Munawwar Awe
    This document discusses the indication, initiation, and monitoring of hemodialysis. Hemodialysis is the main renal replacement therapy for patients with Stage 5 Chronic Kidney Disease and is indicated when patients experience complications such as fluid overload, electrolyte abnormalities, or uremia. Over 2 million patients worldwide receive hemodialysis treatment. The goal of hemodialysis is to remove uremic toxins and excess fluid from the blood to keep patients physically active, well-nourished, and with good quality of life. Regular monitoring of clinical status, labs, nutrition, and dialysis adequacy is needed for hemodialysis patients.

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    Indication, Initiation and Monitoring of Hemodialysis

    Uploaded by

    Munawwar Awe
    23 views1 page
    This document discusses the indication, initiation, and monitoring of hemodialysis. Hemodialysis is the main renal replacement therapy for patients with Stage 5 Chronic Kidney Disease and is indicated when patients experience complications such as fluid overload, electrolyte abnormalities, or uremia. Over 2 million patients worldwide receive hemodialysis treatment. The goal of hemodialysis is to remove uremic toxins and excess fluid from the blood to keep patients physically active, well-nourished, and with good quality of life. Regular monitoring of clinical status, labs, nutrition, and dialysis adequacy is needed for hemodialysis patients.

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    This document discusses the indication, initiation, and monitoring of hemodialysis. Hemodialysis is the main renal replacement therapy for patients with Stage 5 Chronic Kidney Disease and is indicated when patients experience complications such as fluid overload, electrolyte abnormalities, or uremia. Over 2 million patients worldwide receive hemodialysis treatment. The goal of hemodialysis is to remove uremic toxins and excess fluid from the blood to keep patients physically active, well-nourished, and with good quality of life. Regular monitoring of clinical status, labs, nutrition, and dialysis adequacy is needed for hemodialysis patients.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views1 page

    Indication, Initiation and Monitoring of Hemodialysis

    Uploaded by

    Munawwar Awe
    This document discusses the indication, initiation, and monitoring of hemodialysis. Hemodialysis is the main renal replacement therapy for patients with Stage 5 Chronic Kidney Disease and is indicated when patients experience complications such as fluid overload, electrolyte abnormalities, or uremia. Over 2 million patients worldwide receive hemodialysis treatment. The goal of hemodialysis is to remove uremic toxins and excess fluid from the blood to keep patients physically active, well-nourished, and with good quality of life. Regular monitoring of clinical status, labs, nutrition, and dialysis adequacy is needed for hemodialysis patients.

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    of 1

    Indication, Initiation and Monitoring of Hemodialysis

    Y. Kandarini
    Division of Nephrology and Hypertension, Department of Internal Medicine
    University of Udayana- Sanglah General Hospital Denpasar

    Abstract
    Hemodialysis (HD) is one of renal replacement therapy (RRT) modalities which is
    indicated for Stage 5 Chronic Kidney Disease (CKD) patients. Number of patients receiving RRT
    have risen over the last decade. This increasing number of patients receiving RRT is caused by
    complex of factors such as diabetes mellitus incidence and prevalence that may lead to End-Stage
    Renal Disease (ESRD), besides the effectiveness of CKD management to slow the progression to
    ESRD.
    Hemodialysis is the main renal replacement therapy in most countries. Currently more than
    2 million patients are treated with HD in about 28,500 dialysis units worldwide. Based on
    Indonesian Renal Registry report in 2017, there were 9335 dialysis machines and 77892 patients
    on HD. Regardless of substantial advances in CKD understanding and dialysis technology
    improvements, the annual mortality of HD patients varies from 5% to 25% internationally,
    depending on demographic and possibly genetic factors.
    Indications for dialysis initiation in Stage 5 CKD patients are as follows: uremic
    pericarditis, encephalopathy, muscle cramps, anorexia, nausea, malnutrition, electrolyte
    abnormality (hyperkalemia) and refractory fluid overload after other medicine. The aim of the HD
    system is to deliver blood in a safe manner from patient to the dialyzer, to allow removal of uremic
    toxins and excess fluid, and to deliver clean blood back to the patient. An adequately treated HD
    patient is characterized as physically active, well nourished, euvolemic, and normotensive with a
    maintained good quality of life and life expectancy. In order to reach the goal of HD, every HD
    patient has to do regular monitors toward clinical status, laboratory, nutrition standards and
    clearance status. Patients also have to be checked for medical complications due to HD or CKD
    itself.
    Keywords: Chronic Kidney Disease (CKD), hemodialysis, indication.

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