Hemodialysis
Hemodialysis is a renal replacement therapy used to treat individuals with end-stage renal disease (ESRD) or severe kidney dysfunction.
Here are key aspects of service:
Patient Assessment:
- Evaluate patients with ESRD to determine their suitability for hemodialysis, considering factors such as medical history, comorbidities, vascular access options, and patient preferences.
Dialysis Prescription:
- Prescribe an appropriate hemodialysis prescription based on the patient's clinical condition, residual kidney function, and nutritional status.
- Adjust dialysis parameters, such as treatment duration, dialysate composition, and blood flow rates, as needed.
Fluid Management:
- Monitor and adjust fluid removal during hemodialysis sessions based on the patient's clinical status, blood pressure, and ultrafiltration goals.
Blood Pressure Control:
- Monitor and manage blood pressure during hemodialysis sessions, considering the impact on cardiovascular health.
- Adjust antihypertensive medications as needed.
Medication Management:
- Adjust medication dosages based on the patient's renal function and the pharmacokinetics of drugs during hemodialysis.
- Monitor for potential drug interactions and modify medications as needed.
Nutritional Support:
- Collaborate with dietitians to ensure that patients receive appropriate nutritional support during hemodialysis, considering dietary restrictions and the need for adequate protein intake.
Monitoring and Follow-Up:
- Schedule regular follow-up appointments to assess adequacy of dialysis, monitor vascular access function, and address any emerging issues.