Wednesday, May 8, 2013

Indications for Dialysis Therapy

Patients who are diagnosed with kidney disease are interested in whether they will receive dialysis one day. In this passage, we will introduce the indications for dialysis therapy. They can go as follows:
The first one is when patients are suffering from acute renal failure. The indications go as follows:
1. Patients suffer from anuria for two days or suffer from oliguria for three days should receive dialysis.
2. Kidney disease patients whose body weight increases more than 2 kg every day also should consider dialysis therapy.
3. Kidney disease patients who are accompanied by edema, pulmonary edema and hydrothorax should do dialysis as well so as to prevent the toxins from damaging in patients’ body.
4. Patients who have had symptoms of uremia such as nausea, vomiting, bleeding tendency, and nerve symptoms and mental symptoms should take measures to take dialysis at once.
5. Serum creatinine is more than 450umol/L, or serum BUN is more than 21.42m·mol/L. The serum BUN increases 10.7mmol/L per day, and the serum potassium increase 1.0mmol/L. The serum HCO3 is less than 15mmol/L.
If patients with acute renal failure have had one of the above mentioned symptoms, it is necessary to take dialysis. And what’s more, early dialysis can prevent kinds of complications, which is also the key whether the treatment is successful or not.
Secondly, as for patients with chronic kidney disease should also take dialysis when the following indicates take place.
1. Chronic Kidney Disease patients who can not correct the electrolyte and abnormal acid-base balance should take dialysis.
2. Chronic Kidney Disease patients who have damage in central nerves or nerve ending, and mental barrier should also take dialysis.
3. Chronic Kidney Disease patients who suffer from edema in the whole body, or have pulmonary should take dialysis at once.
From the above –mentioned, we can make a conclusion that those who have one of the above mentioned indications should receive dialysis. In addition, they should also consider their primary disease, clinical symptoms, the degree of anemia, the condition of heart function, and the amount of urine, etc. What’s more, during dialysis, patients should also take some medicine, which assists the dialysis.
However, patients with kidney disease also are confused about one question: what’s the side effect of dialysis? Can dialysis make patients with kidney disease get rid of disease from root? Actually, dialysis can just clear the toxins in the body for kidney is nearly out of work. To treat kidney disease, we must apply medicine which can repair the damaged intrinsic cells and in this way, the renal function can be recovered.

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