Dialysis

<Procedures>

<Index>

Definition

-

Features

- Choice HD vs PD

- Age: PD more popular in young as more independence, but requires more dexterity

- Co-morbidities

- Patient choice

- Ability to perform procedure (BMI, ADLs..)

Types

- Haemodialysis (HD)

- Most common

- Requires surgical AV fistula

- Peritoneal Dialysis (PD)

- Continuous Ambulatory PD (CAPD)

- Continuous Cyclic PD (CCPD)

Indications

- ESRD

- 45% DM

- 25% HTN

- GN, PKD, obstructive uropathy

- Mx of

- ARF or CRF

- Uraemic syndroe

- No repsponse to conservative Mx

- Increased ECF fluid volume

- Acidosis w no improvement on meds

- Bleeding diathesis

- CCr < 10 ml/min

Complications

-