Anticoagulation

Mar 12, 2018 by in NEPHROLOGY Comments Off on Anticoagulation

Fig. 7.1 Targets of anticoagulants within the coagulation cascade Application of heparin during hemodialysis requires an initial loading dose and followed by a maintenance dose. Although the heparin dosage has…

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Peritoneal Access

Mar 12, 2018 by in NEPHROLOGY Comments Off on Peritoneal Access

Confirmation of the past of the abdominal surgery (standard laparotomy/laparoscopic surgery, decision of the insertion part) Decision of exit site position (standard abdominal position/previous fort/lower fort/upper abdominal wall/other special exit)…

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Kinetic Modeling and Adequacy in PD

Mar 12, 2018 by in NEPHROLOGY Comments Off on Kinetic Modeling and Adequacy in PD

Fig. 15.1 A schematic concept of Kt/V urea and creatinine clearance . D dialysate, P plasma, V urea volume of distribution of urea, CrCl creatinine clearance, Cr creatinine, BSA body…

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Peritoneal Physiology and Peritoneal Membrane

Mar 12, 2018 by in NEPHROLOGY Comments Off on Peritoneal Physiology and Peritoneal Membrane

Fig. 11.1 A sagittal section through the abdomen. Visceral and parietal peritoneum is shown, respectively From the viewpoint of the insertion of a peritoneal dialysis catheter (PDC) from the anterior…

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Hemodiafiltration

Mar 12, 2018 by in NEPHROLOGY Comments Off on Hemodiafiltration

Fig. 10.1 characteristics of diffusion (left) and convection (right). Diffusion is a function of KoA (mass transfer area coefficient) of the dialyzer , Qb (blood flow), and Qd (dialysate flow);…

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Complications of Hemodialysis

Mar 12, 2018 by in NEPHROLOGY Comments Off on Complications of Hemodialysis

Fig. 9.1 The step of physiological compensation for hypotension and the related pathologic conditions in each step There are a number of factors that interfere with these compensation mechanisms. Patient…

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Complication of PD (Except Infection)

Mar 12, 2018 by in NEPHROLOGY Comments Off on Complication of PD (Except Infection)

Fig. 17.1 Hemoperitoneum , probably due to anticoagulant therapy with warfarin in a patient undergoing PD Hemoperitoneum has a wide differential diagnosis (Table 17.1). Menstruation is a common and benign…

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Peritonitis and Exit-Site Infection

Mar 12, 2018 by in NEPHROLOGY Comments Off on Peritonitis and Exit-Site Infection

Fig. 16.1 Purulent dialysate (Courtesy Yong-Lim Kim, Korea) PD patients presenting with cloudy effluent is presumed to have peritonitis and treated as such until the diagnosis can be confirmed or…

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Modality Selection

Mar 12, 2018 by in NEPHROLOGY Comments Off on Modality Selection

  In-center HD or home HD PD  CHD (mainly in-center) SDHD NHD CAPD APD Location At a hospital/satellite dialysis unit At a hospital/satellite dialysis unit or home At a hospital/satellite…

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