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  • Dr. Haresh Dodeja

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.