Summary

This document discusses renal replacement therapy, including treatment options for end-stage kidney disease (ESKD). It covers topics such as haemodialysis, peritoneal dialysis, transplantation, and supportive care. The document also explains when dialysis is necessary and the physiological principles of dialysis.

Full Transcript

Renal replacement therapy Treatment options for ESKD - Renal replacement therapy (RRT) – haemodialysis / peritoneal dialysis. - Transplantation - Supportive care. Determining when dialysis is needed. - Acidosis refractory to medication. - Electrolyte abnormality (particu...

Renal replacement therapy Treatment options for ESKD - Renal replacement therapy (RRT) – haemodialysis / peritoneal dialysis. - Transplantation - Supportive care. Determining when dialysis is needed. - Acidosis refractory to medication. - Electrolyte abnormality (particularly hyperkalaemia) - Intoxicants that are removed through dialysis. - Overload (or volume overload) refractory to diuretics) - Uraemia (which causes the symptoms of kidney failure) à prep work at G4 and start treatment (dialysis) at G5. Comprehending the physiology of dialysis - Two basic concepts of solute transport and ultrafiltration. o DiLusion o Convection. Di

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