2015年8月15日星期六

What Causes Weakness in Dialysis Patients

End-stage renal disease is a major public health problem. In the United States, more than 350,000 patients are being treated with either hemodialysis or continuous ambulatory peritoneal dialysis. Given the high burden of comorbidities in these patients, it is imperative that emergency physicians be aware of the complexities of caring for acute illnesses in this population. This article reviews the common medical problems that bring patients with end-stage renal disease to the emergency department, and their evaluation and management.

In HD, usually performed 3 times per week, blood is drawn out of and returned to the circulation through a variety of accesses. Uremic nitrogenous waste, potassium, phosphate, and magnesium move from blood into the dialysate down the concentration gradient, and calcium and bicarbonate (present in higher concentration in the dialysate) move into the circulation. HD also corrects the fluid overload in patients with ESRD by removing enough water and salt to achieve their estimated bdry weightQ (weight at which patient is euvolemic). In CAPD, the peritoneum is used as the semipermeable membrane separating the peritoneal capillary blood from dialysate instilled into the peritoneal cavity through an implanted catheter. This catheter enters the skin in the right or left lower abdominal quadrant and traverses a subcutaneous tunnel before entering the abdomen in the midline with its tip positioned in the pelvic peritoneal cavity .

If patients want to keep away from weak during dialysis, patients should try their best to get rid of dialysis. The natural treatments in Shijiazhuang Kidney Disease Hospital have been proved to be very effective in improving patients’ kidney function. The natural treatments are Micro-Chinese Medicine Osmotherapy, Medicated Bath, Hot Compress Therapy.

If you want to know more details about the natural treatments, please send email to kidneyfailuretreat@hotmail.com or leave a message below. We will try our best to help you.

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