Treatment FAQ

what is involved in dialysis treatment

by Dr. Alford Koch Published 2 years ago Updated 2 years ago
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With hemodialysis, a machine removes blood from your body, filters it through a dialyzer (artificial kidney
artificial kidney
Hemodialysis is a method for removing waste products such as creatinine and urea, as well as free water from the blood when the kidneys are in kidney failure. The mechanical device used to clean the patients blood is called a dialyser, also known as an artificial kidney.
https://en.wikipedia.org › wiki › Artificial_kidney
) and returns the cleaned blood to your body
. This 3- to 5-hour process may take place in a hospital or a dialysis center three times a week. You can also do hemodialysis at home.
Aug 18, 2021

What are the reasons that people go for dialysis treatment?

When your kidneys fail, dialysis keeps your body in balance by:

  • removing waste, salt and extra water to prevent them from building up in the body
  • keeping a safe level of certain chemicals in your blood, such as potassium, sodium and bicarbonate
  • helping to control blood pressure

What to do in an emergency if you need dialysis?

  • Pack an emergency kit, and make sure to include: Contact numbers for your doctor, your regular dialysis center, and another dialysis center near you. ...
  • Follow the 3-Day Emergency Diet pdf icon [PDF – 188 KB] external icon . ...
  • If you need to go to a shelter, tell someone in charge about your medical needs.

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What are the signs that you need dialysis?

  • Diabetes with poor blood sugar control
  • Kidney disease that affects the glomeruli, the structures in the kidneys that filter wastes from the blood
  • Polycystic kidney disease
  • High blood pressure
  • Tobacco use
  • Black, Hispanic, Asian, Pacific Islander or American Indian heritage
  • Family history of kidney failure
  • Older age

More items...

How long can one live on dialysis?

Someone who starts dialysis in their late 20s can expect to live for up to 20 years or longer, but adults over 75 may only survive for 2 to 3 years. But survival rates of people on dialysis have improved over the past decade and are expected to continue improving in the future.

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How long does a dialysis treatment take?

Often, you'll visit a special center for dialysis about three times a week. Each session lasts three to four hours. Or, you may be able to do dialysis right at home three times a week or even daily. Home sessions are shorter, about 2 to 3 hours, and they're easier for your body to tolerate.

What happens during dialysis?

The membranes filter waste products from your blood, which are passed into the dialysate fluid. The used dialysate fluid is pumped out of the dialyser, and the filtered blood is passed back into your body through the second needle. During your dialysis sessions, you'll sit or lie on a couch, recliner or bed.

Is dialysis a painful procedure?

Is dialysis painful? Dialysis is pain-free treatment, but you may experience certain discomfort when the needles are being put into your fistula or graft or during the process, some patients may have a low blood pressure which may lead to temporary sicknesses like vomit, dizziness, headache or cramps.

How long does dialysis take per day?

Hemodialysis is usually done three times a week, for 3 to 4 hours a day, depending on how well the kidneys work, and how much fluid weight they have gained between treatments.

What is the average life expectancy of someone on dialysis?

Life expectancy on dialysis can vary depending on your other medical conditions and how well you follow your treatment plan. Average life expectancy on dialysis is 5-10 years, however, many patients have lived well on dialysis for 20 or even 30 years.

Do dialysis patients still urinate?

Each person and each kidney disease is unique. Most patients still make some urine on dialysis but the longer you are on dialysis the less urine that you make.

Can kidneys start working again after dialysis?

Acute kidney failure requires immediate treatment. The good news is that acute kidney failure can often be reversed. The kidneys usually start working again within several weeks to months after the underlying cause has been treated. Dialysis is needed until then.

Why does dialysis take 4 hours?

Four hours enable adequate delivery of dialysis through the removal of toxins. More important, together with a sensible dietary sodium intake, 4 hours of dialysis allow an adequate time over which excess fluid volume can be removed without provoking uncomfortable dialysis symptoms.

What are the side effects after dialysis?

The most common side effects of hemodialysis include low blood pressure, access site infection, muscle cramps, itchy skin, and blood clots. The most common side effects of peritoneal dialysis include peritonitis, hernia, blood sugar changes, potassium imbalances, and weight gain.

Can you go to the bathroom during dialysis?

If your treatment time is interrupted, the risk of clotting in the dialyzer may be increased and it will delay your off time. You will need to be re-cannulated or central venous catheter re-accessed. To avoid the need to use the restroom during dialysis, please do not use laxatives before coming to dialysis.

Can you sleep during dialysis?

Nocturnal dialysis is a slower, longer hemodialysis treatment that takes place at night while you sleep. This longer treatment is for six to eight hours, three times or more a week. You can do nocturnal dialysis at home or at a dialysis center that has a nocturnal dialysis program.

What are the signs that you need dialysis?

National Kidney Foundation guidelines recommend you start dialysis when your kidney function drops to 15% or less — or if you have severe symptoms caused by your kidney disease, such as: shortness of breath, fatigue, muscle cramps, nausea or vomiting.

Is Kidney Failure Permanent?

Usually, but not always. Some kinds of acute kidney failure get better after treatment. In some cases of acute kidney failure, dialysis may only be...

How Long Do Hemodialysis Treatments Last?

The time needed for your dialysis depends on: 1. how well your kidneys work 2. how much fluid weight you gain between treatments 3. how much waste...

What Is Peritoneal Dialysis and How Does It Work?

In this type of dialysis, your blood is cleaned inside your body. The doctor will do surgery to place a plastic tube called a catheter into your ab...

What Are The Different Kinds of Peritoneal Dialysis and How Do They Work?

There are several kinds of peritoneal dialysis but two major ones are:Continuous Ambulatory Peritoneal Dialysis (CAPD) and Automated Peritoneal Dia...

Will Dialysis Help Cure The Kidney Disease?

No. Dialysis does some of the work of healthy kidneys, but it does not cure your kidney disease. You will need to have dialysis treatments for your...

Is Dialysis uncomfortable?

You may have some discomfort when the needles are put into your fistula or graft, but most patients have no other problems. The dialysis treatment...

How Long Has Dialysis been available?

Hemodialysis and peritoneal dialysis have been done since the mid 1940's. Dialysis, as a regular treatment, was begun in 1960 and is now a standard...

How Long Can You Live on Dialysis?

If your kidneys have failed, you will need to have dialysis treatments for your whole life unless you are able to get a kidney transplant. Life exp...

Do Dialysis Patients Feel Normal?

Many patients live normal lives except for the time needed for treatments. Dialysis usually makes you feel better because it helps many of the prob...

Do Dialysis Patients Have to Control Their Diets?

Yes. You may be on a special diet. You may not be able to eat everything you like, and you may need to limit how much you drink. Your diet may vary...

What is dialysis?

Dialysis is a treatment for kidney failure that rids your body of unwanted toxins, waste products and excess fluids by filtering your blood. When k...

Why do people need dialysis?

If your chronic kidney disease , CKD, reaches end stage renal disease, ESRD, also known as kidney failure or stage 5 CKD, your kidneys are no longe...

How does the dialysis process work?

Dialysis acts as an artificial kidney by filtering toxins, waste, and fluid from your blood through a semipermeable membrane—a material that allows...

What peritoneal dialysis?

Peritoneal dialysis uses the blood vessels in the lining of your abdomen—the body’s natural filter—along with a solution called dialysate to filter...

What is Hemodialysis?

Hemodialysis filters your blood using a dialysis machine or through a dialyzer. Once you are connected to the machine via your hemodialysis access,...

How long does dialysis take?

With hemodialysis, your treatment length and frequency depends on your doctor’s prescription and where you receive your treatment. Home hemodialysi...

How long does dialysis last?

In most cases, treatments last about four hours and are done three times a week. You will also follow a special diet.

What is the treatment for kidney failure?

When the kidneys do not work, the blood must be filtered another way. This is done using a treatment called dialysis. Dialysis does what the kidneys are no longer able to do. There are different types of dialysis. They differ in the way the filtering is done.

Why is peritoneal dialysis different from other dialysis?

Peritoneal dialysis is different because the blood is filtered inside the body, but not through the kidneys. Peritoneal dialysis enables you to have more freedom because you do not have to go to a dialysis center. You can do this yourself at home and even at work.

Why do kidneys break down?

This is most often caused by conditions such as diabetes, high blood pressure, and obesity. These conditions make the kidneys work extra hard, and they start to break down. Most often, damage to the kidneys happens slowly over a period of time. When the kidneys do not work, the blood must be filtered another way.

Why do kidneys lose their ability to filter blood?

This is where the filtering takes place. Sometimes the nephrons start to lose their ability to filter blood. This is most often caused by conditions such as diabetes, high blood pressure, and obesity.

Does dialysis make you feel sad?

The dialysis treatment itself is painless, but you might feel a bit of discomfort when the needles are inserted. You might also feel dizzy or get a headache, stomachache or cramps. These usually go away after the first few treatments. Some people feel sad or depressed due to the change in lifestyle.

Where does the blood flow to in a dialyzer?

The blood flows from the body into the dialyzer where the filtering takes place , and then the clean blood returns to the body. The blood leaves and returns through a small opening called access. The access is made by your doctor during a minor procedure and stays in place between treatments.

How does dialysis work?

Dialysis works by filtering toxins, waste and fluid from your blood through a semipermeable membrane. The 2 types of dialysis, hemodialysis and peritoneal dialysis, use different methods to filter blood. With hemodialysis, the filtering membrane is called a dialyzer and is inside a dialysis machine. Your blood is circulated through the dialysis ...

What to do if you decide to go on dialysis?

If you decide to go on dialysis, your doctor will prescribe your treatment time and frequency based on your unique health needs. It's important to complete your dialysis treatment exactly as prescribed to feel your best. LEARN MORE ABOUT KIDNEY FAILURE TREATMENT OPTIONS.

What is the term for kidney failure?

When a person with chronic kidney disease (CKD) reaches end stage renal disease (ESRD), also known as kidney failure or stage 5 kidney disease, the kidneys are no longer functioning to filter and clean the blood the way healthy kidneys normally would. Without treatment, life-threatening waste and toxins will build up in the body.

What happens when your kidneys fail?

When kidneys fail, your body may have difficulty cleaning your blood and keeping your system chemically balanced. Dialysis can take the place of some kidney function and, along with medication and proper care, help people live longer.

Why do people choose home dialysis?

More and more people are choosing home dialysis, which can offer greater flexibility and better outcomes. The best dialysis option for you is the one that best fits your lifestyle and health needs. Many people switch dialysis types to fit a changing lifestyle at some point during long-term treatment.

Does blood leave the body after dialysis?

With peritoneal dialysis, the filtering membrane is the natural lining of your peritoneum or abdomen and blood never leaves your body.

Can you do hemodialysis at home?

At-home hemodialysis can be performed in the comfort of your own home, either with the help of a care partner or on your own. See how hemodialysis machines work.

What is the purpose of dialysis?

Dialysis is a treatment that filters and purifies the blood using a machine. This helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. Dialysis has been used since the 1940s to treat people with kidney problems.

What to do if you are considering stopping dialysis?

If you’re considering stopping your dialysis, ask your doctor to check your weight and blood pressure. These measurements can help determine whether the dialysis is effective. Before stopping treatment, mention any concerns to your doctor.

What is PD in peritoneal dialysis?

Peritoneal dialysis. Peritoneal dialysis involves surgery to implant a peritoneal dialysis (PD) catheter into your abdomen. The catheter helps filter your blood through the peritoneum, a membrane in your abdomen. During treatment, a special fluid called dialysate flows into the peritoneum. The dialysate absorbs waste.

What is the function of kidneys when they fail?

This waste is sent to the bladder to be eliminated when you urinate. Dialysis performs the function of the kidneys if they’ve failed. According to the National Kidney Foundation, end-stage kidney failure occurs when the kidneys are performing at only 10 to 15 percent of their normal function. Dialysis is a treatment that filters and purifies ...

How does an artificial kidney work?

This process uses an artificial kidney (hemodialyzer) to remove waste and extra fluid from the blood. The blood is removed from the body and filtered through the artificial kidney. The filtered blood is then returned to the body with the help of a dialysis machine. To get the blood to flow to the artificial kidney, ...

Where is hemodialysis performed?

Most hemodialysis treatments are performed at a hospital, doctor’s office, or dialysis center . The length of treatment depends on your body size, the amount of waste in your body, and the current state of your health.

What happens if you have long term dialysis?

This disease can occur when amyloid proteins produced in bone marrow build up in organs such as the kidneys, liver, and heart. This usually causes joint pain, stiffness, and swelling.

What is dialysis treatment?

It’s a treatment that takes over your kidney functions if those organs stop doing their job. There are two types of dialysis: Hemodialysis: Your blood is put through a filter outside your body, cleaned, and then returned to you. This is done either at a dialysis facility or at home.

How does hemodialysis work?

This works like a kidney and filters out extra salt, waste, and fluid. Your cleaned blood is sent back into your body through the second needle in your arm. Or, if there’s a catheter, blood comes out of one port and then is returned via a second port. You can have hemodialysis in a hospital, a dialysis treatment center, or at home.

How many needles are placed in a hemodialysis machine?

It’s only meant to be used for a short time. During hemodialysis, you’ll sit or lie back in a chair. A tech will place two needles in your arm where the fistula or graft is located. A pump in the hemodialysis machine slowly draws out your blood, then sends it through another machine called a dialyzer.

What is peritoneal dialysis?

Peritoneal dialysis: Your blood is cleaned inside your body. A special fluid is put into your abdomen to absorb waste from the blood that passes through small vessels in your abdominal cavity. The fluid is then drained away. This type of dialysis is typically done at home.

How long does hemodialysis treatment last?

If you have hemodialysis at home, you’ll need treatments 6 or 7 days for 2 to 3 hours each time. Some people read or watch TV during treatment.

Where to put catheter for hemodialysis?

A flexible tube (catheter) is put into a vein in your neck, below your collarbone, or next to your groin. It’s only meant to be used for a short time. During hemodialysis, you’ll sit or lie back in a chair.

What are the kidneys?

Your kidneys are two bean-shaped organs that lie just below your rib cage, on each side of your spine. They remove waste and fluid from your body, level out your blood pressure, and keep your bones strong. They also ensure that you have the right amount of minerals, like potassium and sodium (salt), in your blood.

What is dialysis?

Dialysis is a treatment to clean your blood when your kidneys are not able to. It helps your body remove waste and extra fluids in your blood. It does some of the work that your kidneys did when they were healthy. A healthy, working kidney can remove fluid and waste 24 hours a day. Dialysis can only do 10-15% of what a normal kidney does.

When is dialysis needed?

You will need dialysis when you have kidney failure, also called end stage renal disease (ESRD). Kidney failure means your own kidneys no longer take care of your body's needs to remove waste or extra fluids from your blood. The waste and extra fluids can build up to make you feel sick.

How is dialysis done?

There are 2 types of dialysis: hemodialysis and peritoneal dialysis (PD). As you think about your options with your loved ones, use this table to help you compare them:

How long can I live without dialysis if I have ESRD?

It varies. People who decide not to start dialysis at all or to stop dialysis may live from a few weeks to a few months. It depends on their overall health and other chronic health conditions they have. Managing kidney failure without doing dialysis is called medical management.

Can dialysis be temporary?

If you have ESRD, you will need to have dialysis treatments for the rest of your life, unless you are able to get a kidney transplant.

Is dialysis painful?

You may have some discomfort when needles go into your body, but the dialysis treatment itself is painless. Many patients feel tired and weak before and after treatments. Some patients may have a drop in their blood pressure. This can make you feel sick to your stomach, throw up, have a headache, or cramps.

How will I pay for dialysis?

Medicare, Medicaid, and many private insurance plans cover most of the costs of dialysis. Most people on dialysis are able to get Medicare coverage at any age. Depending on the type of treatment you choose, you may have to wait a few months before your insurance coverage begins.

What are the benefits of dialysis?

Dialysis will help remove waste, toxins, and excess fluid from your body, and over time, you’ll start to notice the benefits—including improved mobility and flexibility, more energy, and being able to keep up with the activities you love.

How often do you go to the dialysis center?

In-center hemodialysis. With in-center hemodialysis (HD), you’ll typically go to the dialysis center 3 times per week for about 3-5 hours per session to have your blood filtered, depending on the schedule your doctor prescribes. During treatment, you’ll be connected to an artificial kidney (dialyzer) via a needle in your access site.

How long does it take to get dialysis at home?

Training for home dialysis is broken into sections, so you can go at your own pace. Training for home peritoneal dialysis takes about 2 weeks; training for home hemodialysis lasts 4-6 weeks. You’ll learn to complete treatment safely—with or without a care partner.

What to bring to home dialysis training?

During training, you’ll prepare your home for treatment with the help of your care team. This includes learning how to organize and store home dialysis supplies. When you come to training, you’ll bring all of your medications in their bottles. You’ll also bring your glucometer, if applicable.

What is the best treatment for kidney failure?

A successful kidney transplant is closest to natural kidney function and considered the best treatment for kidney failure. Your doctor can help you determine whether you’re a good candidate. Your eligibility for a transplant depends on your overall health, a good kidney donor match, and the right timing.

What to expect before starting dialysis?

When you’re preparing for dialysis, knowing what to expect can help you get comfortable with your new treatment routine. Before starting dialysis, your doctor will help you understand your treatment options, and together you can choose the one that best fits your lifestyle.

Why do you have to be at home for hemodialysis?

Because you’re treating at home, you can choose to time your prescribed treatments around the activities in your life . Because you won’t be traveling to the center for treatment, you’ll also save travel time and transportation costs. Learn More About Starting Home Hemodialysis.

What are the two main forms of dialysis?

For kidney dialysis treatment, the two major forms are haemodialysis and peritoneal dialysis . Under haemodialysis , there is the option of in-centre Haemodialysis and Home Haemodialysis. Under peritoneal dialysis , patients have the option of Continuous Ambulatory Peritoneal Dialysis or Automated Peritoneal Dialysis.

What are the two main treatments for kidney failure?

There are 2 treatment options for kidney failure: kidney dialysis and transplantation. Of course, there is a third option: the “do nothing” approach. We hope that you will never ever choose this approach. For kidney dialysis treatment, the two major forms are haemodialysis and peritoneal dialysis.

What is a kidney transplant?

Kidney transplant. Kidney transplant is a major operation wherein a patient’s kidney is replaced with a healthy one. This is done in such a way that the new organ replaces the work of the two kidneys that failed, making it possible to live without having to undergo dialysis anymore.

What is the most effective type of dialysis access?

Fistula – A type of vascular access that is created by connecting one of the arteries to one of the veins in the lower arm. A fistula is the most effective type of dialysis access.

What happens when you go on dialysis?

If you go on dialysis there are various types of dialysis you can do, depending on your lifestyle and overall health: In hemodialysis, your blood flows through a special filter that removes wastes and extra fluids. The clean blood is then returned to your body.

What to do after kidney transplant?

After receiving a transplant you will still need to take care of yourself and take medications for life. You receive a kidney either from a deceased donor from the list, or from a person who is willing to donate to you. Ask your doctor if you are a candidate for a kidney transplant. Learn more:

What happens if your kidneys fail?

When your kidneys fail, you will mostly likely be over flooded with information from doctors, social workers, nurses and people in general who want to help. Try not to let it overwhelm you, take it in a little bit at a time, and don’t be too hard on yourself if you can’t remember everything.

What is CCPD in nursing?

CCPD – Continuous Cycling Peritoneal Dialysis, is a an automated method of Dialysis which runs while you are sleeping. 8-12 liters of fluid will be exchanged during the course of a 8-10 hours sleep. You will also need to be monitored frequently by nurses and clinics due to the strict rules and guidelines which need to be met.

Where is a hemodialysis catheter placed?

In this case, a catheter is placed in a vein in the neck (jugular vein), chest (subclavian vein), or leg (femoral vein).

Where is a catheter placed for dialysis?

In this case, a catheter is placed in a vein in the neck (jugular vein), chest (subclavian vein), or leg (femoral vein). Dialysis catheters are also used for patients needing dialysis while their permanent access develops. Learn more about dialysis access options:

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