• Hemodialysis uses a special type of filter to remove excess waste products and water from the body.
• Peritoneal dialysis uses a fluid that is placed into the patient's stomach cavity through a special plastic tube to remove excess waste products and fluid from the body.
• During hemodialysis, blood passes from the patient's body through a filter in the dialysis machine, called a "dialysis membrane."
• For this procedure, the patient has a specialized plastic tube placed between an artery and a vein in the arm or leg (called a "gortex graft").
• Sometimes, a direct connection is made between an artery and a vein in the arm. This procedure is called a "Cimino fistula."
Needles are then placed in the graft or fistula, and blood passes to the dialysis machine, through the filter, and back to the patient. In the dialysis machine, a solution on the other side of the filter receives the waste products from the patient
What does the patient do during dialysis?
• Treatment for hemodialysis takes place in a hemodialysis unit
. This is a special building that is equipped with machines that perform the dialysis treatment. Special equipment adds the proper materials to purified water for the dialysis machines
• Patients generally go to the dialysis unit three times a week for treatment.
• Tuesday, Thursday, and Saturday.
• Before treatment, patients weigh themselves so that excess fluid accumulated since the last dialysis session can be measured.
• Patients then go to assigned chairs that are like lounge chairs.
• The area of the graft or fistula (the connection between the artery and vein), is cleaned thoroughly.
• Two needles are then inserted into the graft or fistula.
• One takes the blood to the machine where it is cleaned.
• The other needle allows blood that is returning to the patient to go back into the patient's body.
• Treatments last from 2 ½ to 4 ½ hours.
• During this time, patient's blood pressure will be checked frequently and also the dialysis machine to ensure that the proper amount of fluid is being removed from the patients body.
• Patients can read, watch television, sleep, or do other work during treatment.
• Patient on dialysis have to follow the schedule about his dialysis.
• Patient also have to take strict precaution about his diet and fluid control.
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