discovering dialysis

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  • 1.Discovering Dialysis a manual for kidney and dialysis patientsProvided By:Kidney Foundation of the Greater Chattanooga Area423.265.4397http://www.kidneyfoundation.com Revised 2004

2. printing for this publication has been provided by: 3. A Manual for Kidney & Dialysis Patientscourtesy of THE KIDNEY FOUNDATION OF THE GREATER CHATTANOOGA AREA423.265.4397 http://www.kidneyfoundation.comprinting for this publication has been provided by: 4. Table of ContentsPart 1 Clinic Information General Introduction ..................................................................................................................2 A Typical Day On Dialysis ........................................................................................................ 3Part 2 Kidney DiseaseThe Normal Kidney ................................................................................................................... 7Part 3 Renal Failure and DialysisCauses of Kidney Failure ........................................................................................................... 11Problems of Kidney Failure........................................................................................................ 13Common Questions Asked About Complications ....................................................................... 15Part 3 Medical NeedsMedications .............................................................................................................................. 19Lab Tests ...................................................................................................................................24Blood Chemistries......................................................................................................................26The Renal Diet ........................................................................................................................... 29Helpful Hints to Stay on your Diet ............................................................................................. 30Hepatitis..................................................................................................................................... 32Hepatitis Vaccine .......................................................................................................................34Vascular Access .........................................................................................................................35Common Questions About Vascular Access...............................................................................37Part 4 Treatment OptionsTreatment Options......................................................................................................................41Common Questions About Hemodialysis ...................................................................................42High Flux Dialysis and High Efficiency Dialysis .......................................................................45Home Hemodialysis ...................................................................................................................46Continuous Ambulatory Peritoneal Dialysis (CAPD) ................................................................. 50Continuous Cycling Peritoneal Dialysis (CCPD)........................................................................53Transplantation .......................................................................................................................... 55Part 5 Social ServicesSocial Work Services ................................................................................................................. 63Common Questions About Social Work Services....................................................................... 63Other Facilities and Organizations of Interest to Kidney Patients................................................ 70Part 6 DefinitionsGlossary..................................................................................................................................... 75 5. EMERGENCY CONTACT INFORMATIONUNIT NAME: _____________________________________________________________________UNIT ADDRESS:___________________________________________________________________________________________________________________________________________________UNIT PHONE NUMBER: ___________________________________________________________HOSPITAL: ______________________________________________________________________HOSPITAL PHONE NUMBER: ______________________________________________________DIALYSIS DAYS: _________________________________________________________________DIALYSIS TIME: _________________________________________________________________DOCTOR: ________________________________________________________________________DOCTOR PHONE NUMBER:________________________________________________________PRIMARY NURSE: ________________________________________________________________PRIMARY NURSE PHONE NUMBER:________________________________________________SOCIAL WORKER:________________________________________________________________SOCIAL WORKER PHONE NUMBER: _______________________________________________DIETITIAN: ______________________________________________________________________DIETITIAN PHONE NUMBER: ______________________________________________________24-HOUR CALL NUMBER: ________________________________________________________ OTHER INFORMATION AND INSTRUCTIONS: 6. PART I CLINIC INFORMATIONpage 1 7. General Information about the Dialysis ClinicYour dialysis treatments should not be skipped. Try not to schedule other appointments on the days you have dialysis. If you are not able to come for your appointment, call the Dialysis Clinic and talk to the nurse in charge. Bradley DialysisCleveland, TN423-476-6166Chattanooga Kidney Center Chattanooga, TN423-648-4900Dialysis Clinic, Inc. Third Street, Chattanooga, TN423-698-0927Dialysis Clinic, Inc. Lyerly St. (Glenwood), Chattanooga, TN 423-698-6422Dialysis Clinic, Inc. East Ridge, TN 423-894-8134Dialysis Clinic, Inc. Hixson, TN 423-870-0020Dialysis Clinic, Inc. Broad Street, Chattanooga, TN423-756-8808Dialysis Clinic, Inc. Dayton, TN 423-775-3386Dialysis Clinic, Inc. Ft. Oglethorpe, GA 706-861-6668Dialysis Clinic, Inc. Lafayette, GA706-638-6553Dialysis Clinic, Inc. Jasper, TN 423-942-9977FMC Dialysis Clinic Athens, TN 423-507-9712Woods Memorial Dialysis Etowah, TN 423-263-3666 Report for all your treatments ON TIME. Call if you will be more than one hour late. If you come late, you may not receive all of your prescribed treatment. If you are late on a regular basis, you will be scheduled for a conference with your doctor. Please leave children at home. They are not allowed in the treatment area. There is no place for them to stay while you are receiving dialysis. Dress in comfortable clothes. You will sit in a reclining chair for your treatment. You may bring a blanket, an extra pillow, and something to do (a book, handiwork, etc.) while you are here. Unless you have problems with nausea and vomiting, its a good idea to eat something before coming to dialysis. You are not allowed to bring food or drinks into the clinic. No drugs are given out at the Dialysis Clinic. If you run out of a medicine, tell your nurse. He or she will have your doctor prescribe a refill. Only take medicines prescribed by your kidney doctor, even if they are over-the-counter drugs. Aspirin, milk of magnesia, and other common medicines can have harmful effects on kidney patients. The clinic will give you Medical ID tags or order them if you ask. Please make sure that the clinic has your correct address and telephone numbers. Let the clinic know immediately of any changes. This allows your doctor or nurse to contact you if any significant problems come up. When you come for your first dialysis treatment, bring ALL your medicines, including any medicines that you received when you were discharged from the hospital. These will be reviewed. If necessary, changes might be made. Your nurse will check your medicines every month, so bring ALL your medicines to the clinic the FIRST week of each month. Please do not bring expensive items to the clinic. If they become lost or stolen, the clinic is not responsible for them. page 2 8. A Typical Day on DialysisYou will receive detailed instructions during your first dialysis treatment. There are general steps to follow for each time you receive dialysis. We have listed the things you need to do each dialysis to familiarize you with the procedures of the clinic. You may want to come a little early on your first day to sign forms and meet the staff. 1. When you arrive at the clinic, wait in the lobby until the nurse calls you.2. When you are called into the dialysis area, first go to the scales. The nurse or a technician willcheck and note your weight.3. Find your name on the board and the number of the chair you are to sit in.4. Get all necessary items (magazines) that you may need during dialysis.5. When you get to your chair, make sure your name is correct on your artificial kidney.6. If you have a graft, wash your arm or thigh with the Betadine scrub provided on the table next toyour chair.7. Several procedures will be carried out throughout the dialysis including: blood pressure reading pulse rate blood flow rates (how fast your blood is moving through the artificial kidney) machine adjustments8. A nurse will take your blood pressure (sitting and standing), your pulse, and temperature andnote them on your chart.9. The nurse will place a cleansing solution on your graft or fistula and let it set for three minutes.10. If you have a graft or a fistula, the nurse will insert two special needles into your arm. Amedicine to numb your skin can be used, if you want.11. Once the needles are inserted, the nurse will connect the blood lines to the needles and turn on apump. The pump pulls blood from your body, sends it through the art