Transcript Dialysis
Peritoneal Dialysis End Stage Renal Disease Causes and Treatment Methods Peritoneal Dialysis The Kidney’s Peritoneal Dialysis The Kidney’s - Glomerulus Peritoneal Dialysis Dialysis Process What Your Kidneys Do Removes Metabolic Waste Fluid Balance Electrolyte Balance Acid Base Balance Hormone Production Parathyroid Hormone Erythropoeiten Vitamin D Metabolism The Kidneys Dialysis XX XXX XXXX XXXX X XXX XX XXXXXXXXXX Peritoneal Dialysis Causes of Renal Failure Diabetes Hypertension Glomerulonephritis Infectious Diseases Inherited Disease Drug Toxicity Other Peritoneal Dialysis Types of Renal Failure Acute Sudden Onset Short Duration Reversible Aggressive Dialysis or Conservative Management Chronic Gradual Onset Not Reversible Prior to End Stage Conservative Mgt. End Stage, Chronic Management Peritoneal Dialysis Complications of Renal Failure Hypertension Sodium Retention/Fluid Accumulation Anemia Dyspnoea Electrolyte Imbalance Acidosis Uraemic Syndrome Peritoneal Dialysis Uraemic Syndrome Signs BUN and Creatinine Elevation Symptoms Loss of Appetite Nausea Change in Taste Fatigue Sleep Disorders Mental Changes Neuropathy Anemia Itching Acidosis Shortness of Breath GI Manifestations Neurological Manifestations Hematological Manifestations Dermal Manifestations Respiratory Manifestations Peritoneal Dialysis Renal Diseases Population Risk Factors Mechanism of Injury Renal Damage Recovery Acute Renal Failure Renal Replacement Therapy Chronic Renal Failure End Stage Renal Failure Renal Replacement Therapy Recovery Death Peritoneal Dialysis Management of End Stage Renal Disease Conservative Management Haemodialysis Peritoneal Dialysis - CAPD, APD, NIPD, DAPD Transplantation No Treatment Peritoneal Dialysis Haemodialysis Advantages Effective method to remove waste products Performed by trained professionals Provides socialization for patients Only need dialysis 3 times per week. No equipment in the home (Unless Home HD) Disadvantages Physical ups and downs Use of needles Dietary restrictions Vascular access Travel to Center Peritoneal Dialysis Peritoneal Dialysis Advantages Manage your own care at home Greater independence and control Flexible treatment schedule Less restricted diet No needles Less stress on body Blood pressure control Disadvantages Dialysis every day Permanent catheter Body image changes Risk of infection Possible weight gain Storage space needed for supplies. Peritoneal Dialysis Transplantation Advantages Most like your own kidney Pa tient's Kidney No dialysis needed No access needed Normal Diet (-sodium) More “normal” life style Tra nspla nt Kidney (extra -peritonea lly) Disadvantage Risks of major surgery Risk of body rejecting kidney Possible side effects of drugs Lower resistance to illness Body image changes. Bla dder Peritoneal Dialysis Withdrawal or No Treatment Some patients may not be able to psychologically accept dialysis. An elderly patient with co-morbid conditions may not be accepted for therapy. Medical conditions may preclude therapy. Medical team, patient and patient family will discuss treatment alternatives.