Kidney Disease: Treatment


>WE WANT TO GET INTOT OPTIONS. MANY OF OUR VIEWERS MAY HAVE HEARD THE WORD “DIALYSIS” FOR TREATING KIDNEY DISEASE, SO LET’S START THERE. FIRST OF ALL WHAT IS DIALYSIS?>DIALYSIS IS A MACHINE THAT PURIFIES AND GETS A READ OF TOXINS IN YOUR BLOOD, USING A FILTER. ONE SIDE OF THE FILTER IS YOUR BLOOD. THE OTHER SIDE OF THE FILTER, IT EXCHANGES DIFFERENT FILTRATIONS. THE BLOOD GETS BACK TO THE PATIENT CLEAN. THEY HAVE REMOVED THE EXTRA FLUID AND EXTRA ELECTROLYTES.>SO IT IS A WAY OF CLEANING THE BLOOD. WE CAN LOOK AT IT THAT WAY. -YES.>WE SHOP WE SAW PHOTOS OF THE CHAIRS WHERE PEOPLE ARE SITTING WHEN THAT IS HAPPENING. AT WHAT STAGE OF KIDNEY DISEASE MIGHT SOMEONE ACTUALLY NEED DIALYSIS? I IMAGINE IT MIGHT NOT BE THEVERY BEGINNING. I COULD BE WRONG. WHEN MIGHT SOMEONE LOOK AT STARTING DIALYSIS AS A FORM OF TREATMENT?> IT DEPENDS. SOME PATIENTS, WHEN YOU GET TO STAGE FIVE KIDNEY DISEASE, THE KIDNEY STAGE FIVE, IT IS WHEN THE PATIENT IS BEING EVALUATED ON A MONTHLY BASIS TO DECIDE WHETHER OR NOT THEY NEED DIALYSIS. THE THINGS WE LOOK FOR A PATIENT TO START DIALYSIS FIRST, THEY NEED TO HAVE A KIDNEY FUNCTION GLOMERULAR FILTRATION RATE BELOW A CERTAIN PERCENT. THEY NEED SYMPTOMS SUCH AS NAUSEA, VOMITING, INSOMNIA, HEADACHE, CHEST PAIN. THEY START BUILDING UP FLUID. YOU SEE SWELLING ON THE LEGS. ALL OF THE PATIENTS YOU CAN SEE IN THE BLOOD TESTS HAVING HIGH POTASSIUM, BECAUSE KIDNEYS GET RID OF POTASSIUM. ALSO, POTASSIUM COMES THROUGH THE DIET. IF THEY CANNOT GET CONTROL FOR MEDICATIONS, THEY ARE GOING TO BE A PATIENT FOR DIALYSIS. THAT IS HOME TO START DIALYSIS FOR KIDNEY DISEASE. WE SEE PATIENTS IN THE HOSPITAL. A PATIENT MAY NEED DIALYSIS FOR OTHER REASONS. IN AN OUTPATIENT CENTER.

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