New Patient Dialysis Program

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New Patient Dialysis Program

• Anthony Wallace, CALA, ND
• P.C.D.I. Healthcare and Consultants of Texas
  L.L.C.

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Introduction

• This power point presentation will educate
  patients and caregivers on the importance of
  proper eating habits to prevent dialysis. There
  are factors that can not prevent a patient from
  becoming a dialysis patient.
• I caution any consumer or medical personnel using
  this information to educate themselves must
  consult their licensed MD (Medical Doctor) or
  licensed (ND) Naturopathic Doctor when adding the
  information used to developed this power point
  presentation.
• It is always a good standard of practice to
  inform your doctor or practitioner of any
  alternative practices used. This will ensure
  that the two practices will not contradict one
  another.
• Most alternative methods may interfere with
  conventional medical techniques and may result in
  set back in care or death.

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Terms of Dialysis

• Dialysis - To extract urea from urine
• Dialystate The water used for dialysis
  (bicarbonate and acid) mixed together and pulled
  through a line in the walls and hooked to the
  dialysis machine to filtrate the patients blood.
• Dry weight is the assumed weight before the
  patient was placed on dialysis or before dialysis
  procedure.
• Urea is the substance (toxins) that has not
  been filtered by the kidneys.
• Kilos refers to the water or excess toxins that
  has accumulated in the patients system. This is
  cause weight gain and also determines how much
  time the patient will need to be on the machine.
  This can be corrected by diet.
• To dry this means that the patient has had to
  much kilos taken off and will need IV saline to
  hydrate the patient.
• To wet this means that the patient will need
  extra time on the dialysis machine to pull excess
  water from the body.
• ESRD End stage renal disease

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Terms of Dialysis

• Urine is the finished product of the kidney
  process and is expelled out of the body.
• Renin is a proteolytic enzyme secreted by the
  kidneys
• Creatine is the by product of kidney function.
  It is the breakdown of muscle.
• HBV - High Biological Value (eggs, milk,
  chicken, and fish)
• nephrons - Kidney cells
• Glomerulus is a cluster of capillaries in a
  capsule.
• Uric acid the natural breakdown of cells in the
  body
• Brill is the what the practitioner may hear
  with a stethoscope
• Thrill is what the practitioner may feel to
  make sure the access is working.
• Access point it is the shut either in the arm
  or the neck.

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History of Dialysis

• Dialysis was first discovered by Thomas Gram
• In 1913, the first artificial kidney was
  constructs. This picture is an example of the
  kidney.
• 1943, William Kolff constructed the first working
  dialyzer.
• In 1946, Niles Alwal produced the first
  dialyzer.
• In 1948, the parallel plates dialyzer was
  developed
• 1960, kiil developed a simpler countercurrent
  flow method with parallel flow (red to blue)

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Peritoneal Dialysis

• Peritoneal dialysis is a form of dialysis that is
  done in the patients home.
• This blood filtering procedure requires at least
  one other person to be at home with the patient
  in case of an emergency.
• The patient infuses Dialystate into there bodies
  through an artificial surgical port.
• The solution then sits in the body for an hour
  then is excreted through the same port into the
  sterile bag.
• Complications may include weight gain and
  infections.

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Hemodialysis

• Hemodialysis is a procedure that most patient
  will be placed on because of ESRD (end stage
  renal disease).
• Hemodialysis is a form of therapy that pulls
  blood from the patients body and artificially
  filters it as the human kidney would do.
• Most patients that are on dialysis regularly
  visit the dialysis center 3 times a week and are
  placed on strict diets to prevent complications.
• Most patients that are on dialysis are on it as a
  result of diabetes, hypertension (high blood
  pressure), or acute renal failure recreational
  drug use.

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Complications of Dialysis

• The common complication for dialysis patient are
  aneurysm under the skin.
• Aneurysm mainly come from practitioners error.
  Sometime the patient may want to be dialyzed in
  the same spots because of the pain associated
  with inserting new spots. It is when the
  practitioner is inserting the needles into the
  same spots over a period. The practitioner must
  rotate sites.
• Sometimes the patient may be extremely fatigued
  (no energy) that may be due to the loss of blood
  protein

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Complications of Dialysis

• The most complication in dialysis is cramping,
  nausea and vomiting, loss of consciousness,
  anorexia, clotted access ports, lost of blood
  pressure, aneurysm, and death.
• If you experience any of these symptoms please
  call 911 or the dialysis center for guidance.

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Dietary Preventions

• Dialysis patients are placed on strict diets
  regarding liquid and the types of food that they
  can eat.
• Water is essential to health and may be
  restricted because of the impaired kidney
  function. Fluid permitted varies with each
  patient.
• It is recommended that the patient consumes 5-6
  small meals daily
• The acid ash diet lower phosphorus levels in
  the body and is issued for those that are having
  issues with kidney stones.
• Acid ash diet can be used ad a preventive also
  such as oranges, lima beans, olives, bananas,

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Resources

• National kidney foundation, www.kidney.org
• World Health Organization, www.who.int
• American kidney Fund, www.kidneyfund.org
• National Kidney and Urological Disease
  Information Clearinghouse
• http//kidney.niddk.nih.gov

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References

• Health wise, uric acid in the blood, 2010
• Ed Ren, www.renux dmed.ed.ac.uk , 2011
• Mayo clinic, peritoneal dialysis, 2011