#Dialyse

[deinheilpraktiker]

Die Studie untersucht die Häufigkeit der gleichzeitigen Hospiz- und Dialysebehandlung bei Veteranen mit ESKD Heutzutage sind Patienten, die ihre Medicare-Hospizleistungen mit Nierenerkrankungen im Endstadium (ESKD) in Anspruch nehmen, gezwungen, die traumatische Entscheidung zwischen der Fortsetzung der Dialyse oder der Aufnahme in ein Hospiz zu treffen. Die Veterans Health Administration (VA) hat im Vergleich zu Medicare weitaus liberalere Kriterien für die Hospizberechtigung; Ob solche Kriterien den Zugang zu gleichzeitiger Dialyse und Hospizversorgung für ESKD-Patienten ve... #Diabetes #Dialyse #Forschung #Frequenz #Gesundheitspflege #Hospiz #Krankenhaus #Krebs #Medicaid #Medicare #Medizin #Nephrologie #Niere #Nierenerkrankung #Nierenversagen #OKT #Veteranenangelegenheiten

[artymarie]

[medicalequipmentabimed]

Dialysis Machine

A dialysis machine is a vital medical device used to perform hemodialysis, a life-sustaining treatment for individuals with kidney failure or kidney disease. Hemodialysis involves the removal of waste products and excess fluids from the blood when the kidneys are unable to perform this function adequately. Arterial pressure, trans membrane pressure and venous pressure monitoring

[keynewssuriname]

Nierpatiënten aan de dood overgelaten

Nierpatiënten aan de dood overgelaten

“De nierpatiënten zijn aan de dood overgelaten”, zegt Robert Knott, voorzitter van de patiëntenorganisatie van het Nationale Nier Dialyse Centrum 2. Hij geeft aan dat de regering het dialysetarief heeft aangepast, waarbij verzekeringsmaatschappijen nu een hoger tarief zullen vergoeden. “Het ministerie moet niet doen alsof het een heldendaad heeft gepleegd, want het volk is voor de gek gehouden.…

[macgyvermedical]

Let's Talk ESRD and Dialysis

Have you thanked your kidneys today? Do you feel grateful when you pee? How about when you eat a little too much potassium or drink a little too much water, do you really enjoy feeling confident that your kidneys will just dispose of the excess?

If so, you probably know the alternative.

About 10% of the world's population has a condition called Chronic Kidney Disease, or CKD. About 2 million of those people are in End Stage Renal Disease (ESRD) and require dialysis or a kidney transplant to live.

Your kidneys are amazing things. They are two organs that sit outside of the sac that hold the rest of the abdominal organs, called the peritoneum. They take in blood from the body, determine the levels of electrolytes, water, and waste products in that blood, and remove the waste products and excess electrolytes and water.

They also have secondary tasks. They monitor the amount of red blood cells in your blood and send out hormones that entice the bone marrow to make more when we're low. They also monitor blood pressure and release hormones that raise that blood pressure when it gets low.

Lots of things can hurt the kidneys. For example, poorly controlled high blood pressure and poorly controlled diabetes are among the top reasons why kidneys fail. Additionally, being dehydrated while engaging in strenuous exercise or taking medications like ibuprofen or naproxen (any NSAIDs) can cause kidney damage.

We measure how well the kidneys are working via the Glomerular Filtration Rate, or GFR. This is a measure of (essentially) how much blood in milliliters the kidneys filter per minute. 90 or higher is normal, while a GFR of 15 or lower is considered ESRD.

So let's say someone has a GFR of less than 15 and the decision is made to start them on dialysis and put them on the kidney transplant list. What options do they have?

Well, they need to figure out if they want to do hemodialysis or peritoneal dialysis.

In hemodialysis, the patient is hooked up to a machine that runs their blood across a special membrane. On the other side of the membrane, a solution called dialysate draws excess water, electrolytes, and waste products from the blood. Hemodialysis is usually done at a dialysis center for 3-5 hours, 3 times per week.

Hemodialysis is better for patients who have either failed home peritoneal dialysis or can't or aren't comfortable with doing the technical part of the job by themself at home. There is also a social component, where dialysis is a chance to meet and interact with other people who are going through the same things they are.

People who undergo hemodialysis have to have some kind of "access", or a way for the blood to come out of their body, go through a machine, and go back into their body. For some people, this is a dialysis catheter that is inserted into the person's chest and looks like this:

It can also be a fistula. A fistula is the surgical connection between a vein and an artery in the arm or leg. Over time, this connection becomes large and rubbery, and each time dialysis is done, two needles (one to remove blood, and one to return it) are placed in the fistula. A fistula often looks like this:

In peritoneal dialysis, the patient instills the dialysate directly into the sac that holds their abdominal organs. The sac itself acts as the membrane, and dialysate draws the electrolytes, water, and waste directly through the sac wall. They then wait a certain number of hours, and drain the dialysate. This can be done manually by the patient during the day, or at night while the patient sleeps with a machine called an automatic cycler. Usually peritoneal dialysis is done every day, with 2-4 cycles of 4 hours per cycle.

People using peritoneal dialysis also need a form of access, but instead of it being to their blood stream, it is to their peritoneum. Here's what that looks like:

The catheter is placed surgically into the peritoneum, and stays there all the time, even in between dialysis sessions.

Someone using peritoneal dialysis has to be very careful when they are accessing their dialysis catheter. This is because the biggest problem with peritoneal dialysis is the risk of a life threatening infection called peritonitis. Someone who gets peritonitis too many times may need to switch to hemodialysis.

Here is what a manual exchange looks ilke:

Someone may choose to do peritoneal dialysis over hemodialysis because it affords more freedom to keep a job or do daily tasks like keeping house. People who do PD also don't have to find rides to the dialysis center. However, they do have to take on more of the responsibility for making sure they do treatments correctly and be able to keep accurate records of the treatments they give themselves. Peritoneal dialysis also tends to be less taxing on the body, and have fewer side effects than hemodialysis when done correctly.

[mister-snake]

En ce moment même, il n'est même pas aux soins palliatifs mais plutôt aux soins intensifs. Son cœur fonctionnait à 50% à son arrivée à l'hôpital précédent. Ils l'ont transféré dans un autre hôpital mieux équipé pour le prendre en charge. Maintenant son cœur est à 15%. Ils devaient remplacer deux valves dans son cœur. Ils l'ont opéré pour une seule afin d'éviter que ce soit trop exigeant pour son corps. Après l'opération, il y a eu une hémorragie interne et ils ont dû le réouvrir pour s'en occuper. Aussi son rein a lâché alors il a eu besoin de dialyse. Son corps est également en manque de calcium. Ses jambes sont gonflées après son opération pour ses genoux qu'il a dû faire il y a quelques semaines puisque ses os étaient directement en contact depuis des années. Il souffrait atrocement au début, alors ils ont dû le droguer à fond pour atténuer sa douleur. Maintenant il est à peine conscient et a à peine assez de force pour bouger. Il a réussi à ouvrir les yeux une fois et à serrer la main de sa femme lorsqu'elle était à ses côtés une autre fois. Il a perdu tellement de poids. Il est livide et branché à des tonnes de fils, la salle est remplie de machines. L'infirmière est obligée de vérifier son état toutes les 5 minutes. Il ne veut même pas qu'on le sache. Encore moins qu'on vienne le voir. Je ne sais pas s'il a honte de son état ou s'il cherche à nous protéger. Mais je l'aime et j'aimerais qu'il sache qu'on pense à lui si fort.

C'est un bon gars, le genre d'homme qui a un peu de difficulté à montrer ses émotions, mais qui te montre de toutes les façons possibles que t'es important pour lui à travers ses actions et toutes ses petites attentions. C'était un pompier avant qu'il prenne sa "retraite" en devenant déneigeur. Je crois qu'il n'a jamais pu arrêter de travailler, de se garder occupé, d'offrir ses services aux gens parce que c'est ce qui donnait un sens à ses yeux. Il faisait pousser tous les fruits et légumes imaginables dans son jardin, il trouvait toujours des choses à réparer, il avait toujours deux à trois chiens et chats dont il prenait soin par lui-même. Quand j'étais petite, même s'il était toujours occupé par son travail, il trouvait le temps de me faire faire des tours de tracteur, de m'emmener skier au cimetière l'hiver, de jouer aux legos avec moi. À chaque fois que j'allais là-bas, il achetait tous les aliments que j'adore et à chaque matin, il se levait vers 4 heures du matin pour sa journée de travail ou par habitude. Et je me souviens qu'à chaque fois que je restais dormir là-bas, je me levais tôt aussi pour être avec lui le matin. Dès que j'entendais des pas ou que je percevais une lumière tamisée, je m'extirpais hors du sommeil. À chaque fois, il me préparait deux toasts aux raisins beurrées, recouvertes de sirop et coupées en quatre avec un verre de lait. On déjeunait ensemble, puis avant de partir travailler, il préparait du café filtre pour qu'il soit prêt pour sa femme lorsqu'elle se réveillerait. J'adorais la façon dont il fredonnait constamment une mélodie. Tous ses habits étaient de la même couleur, un bleu foncé, et je ne l'ai jamais vu porter quoi que ce soit d'autre en 21 ans. À mes yeux, tout de lui était caractéristique de lui seul, c'était mon grand-père même si je l'ai toujours appelé par son prénom étant donné que toute la famille le faisait. L'année passée, dans une lettre pour Noël, je lui ai écrit que j'adorais passer du temps avec lui, je l'ai appelé grand-papa et je lui ai écrit que je l'aime. C'est des mots que je n'ai jamais vraiment pu lui dire à voix haute, mais j'aurais tellement aimé que ce soit suffisamment naturel pour en être capable. J'ai plus tard appris qu'il a relu ma lettre plusieurs fois et qu'il a tellement été touché qu'il a versé des larmes. Je suis si heureuse d'avoir pu lui communiquer cela avant qu'il se retrouve dans son état actuel. Il ne mérite tellement pas tout ce qu'il a dû traverser. La première femme qu'il a mariée est morte d'un cancer. Son fils est mort aussi lorsque j'étais jeune. Et à chaque année, il dépose une douzaine de fleurs sur les tombes de sa mère, sa première femme et son fils. Leurs fleurs préférées, des roses pour sa femme et des fleurs jeunes pour son fils. Les gens qu'il aime gardent une place dans son cœur, dans sa vie et c'est important pour lui, il continue de penser à eux, de les aimer. C'est quelqu'un de fidèle à ses principes, c'est quelqu'un de bien et je l'aime si fort. J'espère qu'il va s'en sortir ou alors qu'il ne souffrira pas trop et partira en paix. J'espère qu'il sait que je l'aime et que je pense à lui.

[deinheilpraktiker]

Studie berichtet über Unterschiede bei der Anwendung regionaler Anästhesietechniken Frauen, Minderheiten und Patienten, die an Medicaid teilnehmen, erhalten mit geringerer Wahrscheinlichkeit Regionalanästhesietechniken, die die Ergebnisse nach der Operation nachhaltig verbessern. Dies geht aus Forschungsergebnissen hervor, die auf der Jahrestagung ANESTHESIOLOGY® 2022 vorgestellt werden. Die Studie mit mehr als 56.000 Patienten ist die erste, die über diese Unterschiede bei Patienten berichtet, die sich einer von sieben häufigen Operationen unterzieh... #Anästhesiologie #Brechreiz #Dialyse #Drogen #Erbrechen #Fistel #Forschung #Fraktur #Hysterektomie #Katheter #Kehle #Knie #Knieersetzung #Krankenhaus #Kreuzband #Medicaid #Nerv #Nervenblockade #Operation #Opioide #Schmerz #Vorderes_Kreuzband_ACL

[x-neurotoxin-x]

What do you think about the concept of conscious mind trapped in feeling but motionless body seen by others not as a living being, not human or even an animal, but bones, muscles, weins & skin with basic living functions and treated accordingly. You can write your opinion with sexual context but I'm more interested about the nonsexual version. Portable cells manufacture, organic dialyser, biological machine which can be powered with air and nutrients... Who cares about signals running through the nerve system? Who cares if all this pain, humiliation and everything else ends in the person's brain if no one sees a person anyway and the organic machine works perfectly?

[gedankenfussel]

Über die Jahre hinweg hattest du Schmerzen, keine Kraft mehr, musstest 3 mal die Woche zur Dialyse und immer wieder aus gesundheitlichen Gründen stationär im Krankenhaus aufgenommen werden. Du hast immer wieder gesagt dass du so nicht mehr weiterleben willst. Du warst immer für uns alle da und wolltest das es uns gut geht. Dann kamst du wieder ins Krankenhaus und wurdest vor 1 Woche notoperiert. Die Ärzte waren sich unsicher, ob du die OP überlebst, da du körperlich schon instabil und Dialyse Patientin warst. Aber du hast es geschafft. Da sich dein Zustand aber verschlechtert hat und die Ärzte dadurch beschlossen haben die Dialyse einzustellen, stand fest dass du nur noch wenige Tage zu Leben haben wirst. Die Schmerzen, die du hattest, wurden immer unerträglicher und hast in Abständen eine der stärksten Schmerzmittel bekommen. Auch wenn es dein Wunsch war, nicht mehr weiterzuleben, haben wir dir trotzdem zugesprochen dass es dir bald wieder besser geht und du wieder nachhause kannst. Es tat weh dich da benommen liegen zu sehen und zu wissen dass du in den nächsten Stunden von uns gehen wirst. Nachdem wir aber alle nochmal da waren und dir gesagt haben dass du jetzt gehen darfst, haben wir wenige Stunden später den Anruf bekommen dass du nun von uns gegangen bist. Du bist ohne Schmerzen friedlich eingeschlafen und passt jetzt von oben auf uns auf. Du wirst immer in unserem Herzen bleiben.

In Liebe, deine (wie du mich immer gerne genannt hast) kleine große.

✞10.06.2023

[fighting-naturalist]

So I've been rewatching house, and why didn't they hook Amber up to a pig is dialyse wouldn't work for the overdose and only real kidneys would? They did it in earlier seasons.

if i remember correctly the issue was that she was in multi-system organ failure, so the iconique use-a-live-pig-as-an-ex-mobster's-liver method wouldn't have helped. because they did put her on dialysis but alas the damage had already been done

[campcrow2]

Waiting for a delivery………wish it was something fun but it’s literally boxes of prescription dialysate

[idereahellyeah]

Quand tu as oublié que tu étais d'astreinte de dialyse et que l'appel téléphonique en réveil est violent.

[1revnet]

"Jeg ventet på en av en million kamp": Alabama-kvinnen er tredje pasient som får svinenyre

Forrige måned ble en kvinne den tredje levende personen som fikk en svinenyre. Nå er nyrefunksjonen hans helt normal og han trenger ikke lenger dialyse. Transplantasjonsmottakeren, Towana Looney, 53, fra Alabama, hadde donert en nyre til moren sin i 1999. Men noen år senere utviklet hun høyt blodtrykk assosiert med svangerskapsforgiftning under svangerskapet. Tilstanden førte til at hun utviklet…

[lisabaxter]

Blood gas analyzer FM-BGA-A100

Fison Blood Gas Analyzer offers rapid results in under 90 seconds, requiring just 120 µL for whole blood or 50 µL for capillary samples. It supports multiple barcode types, tests various parameters across whole blood, serum, plasma, CSF and dialysate and operates at 15 to 30 degrees Celsius. Features include an infrared human detector, seamless data input and a built-in thermal printer.

[mitraindustries]

Home Dialysis Machines: Cost and Availability Provided by Mitra Industries

Home dialysis is becoming increasingly popular in India as it offers kidney patients the flexibility to manage their treatment from the comfort of their own homes. Home dialysis machines, which include hemodialysis machines and peritoneal dialysis systems, allow patients to receive regular dialysis without needing to visit a clinic multiple times a week.

One of the biggest hurdles for patients seeking home dialysis in India is the cost of these machines. The initial purchase cost, along with ongoing maintenance and consumables, can make home dialysis seem financially out of reach for many families. However, Mitra Industries has emerged as a game-changer by offering affordable home dialysis machines to Indian patients.

The Cost of Home Dialysis Machines in India

The cost of a home dialysis machine in India can vary depending on the type of system, brand, and additional features. Traditional hemodialysis machines can cost anywhere between ₹1,50,000 to ₹3,00,000 or more. Peritoneal dialysis machines generally have a lower initial cost but still require ongoing costs for consumables like dialysate and catheters.

Mitra Industries has recognized the financial strain that home dialysis can place on patients and their families and has developed cost-effective solutions that help make home dialysis more accessible. By offering affordable dialysis machines , Mitra Industries has reduced the financial barrier for kidney patients, allowing them to access high-quality treatments at home.

Impact on Healthcare in India

The availability of affordable home dialysis machines from Mitra Industries has had a profound effect on the treatment options available to kidney patients in India. By enabling patients to manage their dialysis treatment at home, Mitra Industries has improved patient outcomes, enhanced the quality of life, and reduced the financial burden on families.

In rural areas where access to healthcare facilities is limited, Mitra Industries' affordable home dialysis solutions provide a lifeline for many kidney patients. The company’s dedication to making dialysis more accessible has earned it recognition as a leader in the field of affordable kidney care.

Conclusion

Both esophageal stents and home dialysis machines are vital healthcare solutions that have a significant impact on patients' lives in India. Mitra Industries has demonstrated a commitment to providing affordable, high-quality medical devices, making these essential treatments more accessible to those who need them most. Whether it's helping patients with swallowing disorders or providing kidney failure patients with a chance to undergo dialysis at home, Mitra Industries is making a positive difference in the healthcare landscape of India.

[bacteriostaticwaterau]

The essential role of sterile water in dialysis: Safety and patient care

Dialysis can be a life-saving treatment when the kidneys cannot filter the waste out of the blood. Sterile water is essential to achieving the goal of making dialysis as effective and safe as possible. Sterile water plays a vital role in the dialysis process, from preventing infection to maintaining fluid balance. The article discusses the benefits of using sterile dialysis water, as well as the protocols followed by healthcare professionals to ensure patient safety.

Understand Dialysis and Sterile Water

A machine filters and cleans the blood to mimic the action of the kidneys. There are two main types of dialysis: Hemodialysis, and Peritoneal Dialysis. Hemodialysis involves drawing blood from the patient, passing it through the dialysis device, then returning the filtered blood to the patient. In peritoneal dialysis, a solution is injected into the abdomen where it absorbs excess fluid and waste.

In dialysis, sterile water is part of the Dialysate Solution. This mixture contains water, electrolytes and other compounds to help maintain the chemical balance of blood and remove waste. The quality of water is crucial in both hemodialysis as well as peritoneal dialysate, since any contamination could pose serious risks to patients. Different sterile solutions can be used to support the treatment of patients when certain electrolytes are required or precise volume is needed.

What is the importance of sterile water in dialysis?

Sterilized water refers to water that's been sterilized thoroughly, removing all microorganisms including bacteria, virus, and fungi. It is important to have this purity in dialysis because of several factors:

Prevention of Infections

Water contaminated with harmful pathogens can be introduced directly into the bloodstream and cause serious infections. Dialysis patients are vulnerable because of their weak immune system and kidneys. Bacteriostatic Injection contains bacteriostatic substances like Benzyl Alcohol. This helps to ensure no microorganisms enter the system during dialysis, minimizing infection risk.

Maintaining electrolyte balance

Dialysate is made up of water, minerals, and electrolytes. Sterile water is a good base to use for the dialysate solution. This allows for precise electrolyte concentrations that stabilize blood chemistry. The balance of electrolytes is important, because an incorrect mix could lead to arrhythmias or muscular weakness.

Ensuring Patient Safety

Water is used extensively in dialysis. This is especially true in the case of hemodialysis where 120 liters can be consumed in one session. Patients are exposed to the risk of contamination by blood if water isn't sterile. This can cause life-threatening complications. Injection Sodium chloride and other sterile alternatives are necessary to adjust or dilute the dialysate, helping eliminate any risk.

Chemical Contaminants

The standards for dialysis water are strict because contaminants such as fluoride or chlorine can enter the bloodstream. The sterile water that is used for dialysis undergoes a multiple-stage purification to remove harmful chemicals and protect patient's health.

Supporting Efficient Waste Removal

Dialysis' main goal is to eliminate wastes from blood. Dialysate made from sterile water helps to remove toxins, metabolic waste and other toxins, allowing the body to achieve homeostasis. Purity of water is important to ensure the efficiency of this process, which gives patients the best results from dialysis.

How is sterile water processed and ensured safe for dialysis?

To meet the standards of healthcare, sterile water is purified to meet certain requirements. This process involves:

Water Filtration : The water is filtered in order to remove impurities and large particles. It is usually the first step in ensuring the purity of water.

RO This is an advanced filtering technique that removes the majority of contaminants, minerals and bacteria from water. The RO process is crucial to ensuring the dialysis water has been purified.

Ultraviolet Sterilization : UV light is used in order to destroy any bacteria or viruses that may still be present. The UV sterilization provides an additional layer of protection for those with compromised immune systems.

Chemical disinfection In certain cases, chemicals are used to further disinfect water. The final water is sterile only if this step has been carefully controlled to avoid chemical residue.

This is necessary in order to make sure that water used for dialysis does not contain any harmful substances. Water quality is monitored by healthcare facilities to ensure it meets standards of medical grade water for dialysis.

Dialysis Water Contamination

Water that is not sterile, or water that has been contaminated can cause serious complications. Some of the potential complications are:

Blood Infections and Sepsis: When bacteria or pathogens infect the bloodstream they can lead to severe infections such as sepsis. This can be fatal.

Imbalance of Electrolytes Contaminants can cause an imbalance in electrolyte levels, causing severe effects such as cardiac arrhythmias and neurological problems.

Toxic reactions: The presence of heavy metals in water or chemical impurities can cause toxic reactions that harm organs, and worsen the condition of the patient.

Inflammation : Water that is not sterile can contain foreign substances which cause inflammatory reactions, causing pain, swelling and other complications for dialysis patients.

It is essential to the safety of patients that they use only sterile dialysis water.

Advice for Dialysis Patients

Patients can take action to make sure their dialysis treatment is safe.

Don't be afraid to ask about water quality.

Monitor symptoms After every session, watch for unusual symptoms such as pain, fever or chills. This could indicate an infection or complications.

Stay informed Understanding the importance and benefits of sterile drinking water will empower patients in order to take an active role in their health care.

Bacteriostatic Water Australia: A Review

In dialysis, sterile water is essential to achieving safe and efficient treatment results for the patients. The importance of sterile water in dialysis cannot be understated. It prevents infections, maintains electrolyte balance and ensures patient safety. Bacteriostatic water Australia offers high-quality sterile products that ensure dialysis treatments are performed to the highest standard of care. Bacteriostatic water Australia, a trusted supplier of sterile solutions for healthcare providers in Australia, provides essential solutions.