CHAKRADHAR HOSPITALS

ICU NURSING

DR.CH PAVAN KUMAR MBBS

CHAKRADHAR HOSPITALS.

DIALYSIS

• Dialysis is the procedure to remove waste materials and toxic substances and to restore normal volume and composition of body fluid in severe renal failure.

• It is also called hemodialysis.

ARTIFICIAL KIDNEY

To treat the patients suffering from:1. Acute renal failure

Slow Low-efficiency Dialysis (SLED)

2. Chronic or permanent renal failure.Continuous Renal Replacement Therapies (CRRTs

principle

diffusion of solutes from an area of

higher concentration to the area of

lower concentration, through a

semipermeable membrane

Parts of dialysis

• Dialyzer Hemofilter

• Cellophane Membranes

• Dialysate

• Blood Delivery System

• Dialysis Access

• Creation of A V FISTULA

FREQUENCY AND DURATION OF DIALYSIS

• Dialysis is done usually thrice a week in severe uremia. Each time,

• the artificialkidney is used for about 6 hours.

PERITONEAL DIALYSIS

Criteria for initiating patients • Uremic symptoms, • Unresponsive hyperkalemia • Persistent extracellular volume expansion

despite diuretic therapy, • Acidosis refractory to medical therapy, • A bleeding diathesis,• And A creatinine clearance or estimated

glomerular filtration rate

ESRD• Continuous Ambulatory Peritoneal Dialysis

(CAPD) • Continuous Cyclic Peritoneal Dialysis (CCPD); • Transplantation

COMPLICATIONS OF DIALYSISHypotension

Muscle crampsCardiovascular diseases

Sleep disordersAnxiety

Depression.

PROVIDING BEST ICU CARE