Chapter
44.
Treatment of renal failure with dialysis
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Keypoints
- End stage renal disease is usually treated with hemodialysis, peritoneal
dialysis or renal transplantation
- Hemodialysis machines and peritoneal dialysis employ both dialysis and
hemofiltration
- Dialysis describes the equilibration of substances across a semipermeable
membrane
- Hemofiltration describes the bulk flow of water and soluble substances
with it, across a membrane, under the influence of hydrostatic or osmotic
pressure differences across the membrane
- Hemodialysis requires blood access
- Acute complications include hypotension, hypoxemia, cramps, headache
and initially dialysis disequilibrium
- Chronic complications include infection, access problems and dialysis
amyloid (containing beta 2 microglobulin )
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