Presentation
CRBSI Clinical Presentation Varies by Causative Pathogen Patients with Staphylococcus aureus catheter-related bloodstream infections are the most likely to present with fever, rigor, or both, a study found. [renalandurologynews.com]
The aim of this study is to present a case of true brachial artery aneurysm in end-stage renal disease patient after arteriovenous fistula creation. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
Hemodialysis Complications Most of the following complications are due to the repetition of hemodialysis sessions and the continual need to remove fluid that builds up between treatments: Back pain (5 percent) Chest pain (5 percent) Fever, chills (rare [healthcommunities.com]
Two of patients presented with left flank or abdominal pain after termination of HD therapy, while the third patient presented with left abdominal pain during the dialysis session. [ncbi.nlm.nih.gov]
- Swelling
Many people report that they feel better after starting dialysis, because swelling is reduced, appetite improves, and energy level increases. [netwellness.org]
We presented a 73-year-old man on maintenance hemodialysis complaining of swelling of the right arm and face for 20 days. [ncbi.nlm.nih.gov]
Sometimes there is swelling or redness in the area where the graft is placed. The swelling will usually go away if you prop your arm on 1 or 2 pillows and keep your elbow straight and relaxed. [texasheart.org]
- Fatigue
Data collected by using brief fatigue inventory, before and after the intervention. [ncbi.nlm.nih.gov]
Hemodialysis Fatigue: Just “Simple†Fatigue or a Syndrome on Its Own Right? Frontiers in Physiology. 2012; 3: 1-4. Ali HH and Taha NM. Fatigue, Depression and Sleep Disturbance among Hemodialysis Patients. [jkb.ub.ac.id]
- Fever
Familial Mediterranean Fever (FMF) is usually an autosomal recessive autoinflammatory disease characterized by recurrent attacks of fever and serositis. FMF develops before the age of 20 years in 90% of patients. [ncbi.nlm.nih.gov]
CRBSI Clinical Presentation Varies by Causative Pathogen Patients with Staphylococcus aureus catheter-related bloodstream infections are the most likely to present with fever, rigor, or both, a study found. [renalandurologynews.com]
- Falling
Here we describe a case of 72-year-old man on chronic hemodialysis via permanent Central venous catheter (CVC) who was admitted for evaluation after unwitnessed fall. [scholars.northwestern.edu]
Further knowledge regarding the risk of falls could lead to better risk prevention strategies. [read.qxmd.com]
A state in which kidney function is gradually lost during several months or years, then function falls to less than 60% of normal, and this situation continues for three months or more is called chronic kidney disease. [nikkiso.com]
When analysed for change in ss(2) microglobulin, a fall was only noted with high-flux membranes. [ncbi.nlm.nih.gov]
When analysed for change in ß 2 microglobulin, a fall was only noted with high-flux membranes. [cochrane.org]
Respiratoric
- Common Cold
PubMed Google Scholar McElroy BH, Miller SP: An open-label, single-center, phase IV clinical study of the effectiveness of zinc gluconate glycine lozenges (Cold-Eeze) in reducing the duration and symptoms of the common cold in school-aged subjects. [bmcmedicine.biomedcentral.com]
Cardiovascular
- Hypotension
OBJECTIVE: Hypotension during hemodialysis (HD) is the most common complication that negatively affects the quality of life of patients. [ncbi.nlm.nih.gov]
The most common complication of dialysis is Hypotension Hypotension has multiple causes, including too-rapid water removal, osmotic fluid shifts across cell membranes, acetate in the dialysate, heat-related vasodilation, allergic reactions, sepsis, and [merckmanuals.com]
Filtration rates are typically low, especially in hypotensive patients. (See Arteriovenous Fistula.) [msdmanuals.com]
- Thrombosis
Graft vessel thrombosis resulting in graft loss occurred in 9 PD (6.7%) and 4 HD (3%) patients (P > .05). [ncbi.nlm.nih.gov]
Treatment of stenosis, thrombosis, pseudoaneurysm, or aneurysm may involve angioplasty, stenting, or surgery. [merckmanuals.com]
Catheter thrombosis may cause block blood flow is another aspect of catheter care. Instilling alteplase in the affected catheter lumen for 30 to 120 minutes is the preferred treatment. [wikidoc.org]
Musculoskeletal
- Muscle Cramp
Severe hypocalcemia with muscle cramps occurred postoperatively. Around 1 year after PTX, anemia and features of SHPT have improved but the patient still has intermittent hypocalcemia with suspected postoperative hypoparathyroidism. [ncbi.nlm.nih.gov]
Because nocturnal dialysis is performed over a longer period of time and at a slower blood flow rate, patients do not usually experience complications such as low blood pressure and muscle cramping. [dciinc.org]
During or after your treatment, you may experience one or more of the following symptoms: Muscle cramps Headache, nausea, or dizziness Confusion Low blood pressure High blood pressure Itching Trouble sleeping Anemia (low red blood cell count) Bone diseases [everydayhealth.com]
Side Effects of Hemodialysis Because of the removal of fluid and waste products during dialysis, some side effects may occur, including: Drop in blood pressure Lightheadedness or headaches Nausea Muscle cramps Feeling tired and “washed out” afterwards [netwellness.org]
Occasionally nausea, muscle cramps or dizziness can occur due to the fast removal of extra water from your body, which may cause your blood pressure to drop. [web.archive.org]
- Osteoporosis
The patients were divided into three groups: a normal bone mass group, an osteopenia group, and an osteoporosis group. An ELISA was performed to measure serum FGF-23, Klotho protein, and 1,25(OH) 2 VitD 3 levels. [ncbi.nlm.nih.gov]
METHODS: Six hemodialysis patients (mean age, 80.5 years) with osteoporosis who had received intravenous alendronate prior to the study were enrolled. [read.qxmd.com]
Skin
- Pruritus
CONCLUSION: Uremic pruritus is one of the predictor of 24-month cardiovascular mortality in MHD patients. © 2018 The Author(s). Published by S. Karger AG, Basel. [ncbi.nlm.nih.gov]
Data were collected using individual characteristics questionnaire, pruritus characteristics, and Visual Analog Scale (VAS) for pruritus. The data analysis used was a dependent t-test. [knepublishing.com]
Uremic pruritus: a review Initial Brazilian experience with short-duration in-center daily hemodialysis Effects of citrate-enriched bicarbonate based dialysate on anticoagulation and dialyzer reuse in maintenance hemodialysis patients Effects of citrate-enriched [pesquisadores.uff.br]
Other frequent complications include Cramps Pruritus Nausea and vomiting Headache Chest and back pain In most cases, these complications occur for unknown reasons, but some may be part of a first-use syndrome (when the patient’s blood is exposed to cuprophane [merckmanuals.com]
- Ulcer
Furthermore, in patients with oral amyloidosis, lesions in areas of trauma may ulcerate and cause pain and dysphagia becoming necessary periodic surgical removal and regular follow-up of these patients. [ncbi.nlm.nih.gov]
An ulcer over an AVF or AVG is a serious condition with the potential for life-threatening hemorrhage. OBJECTIVES: This study aims to present our experience with surgical management of ulcers over AVFs or AVGs. [read.qxmd.com]
Venous Bloodpressure as Influenced by the Drugs Employed in Cardio 490 Disseminated Miliary Tuberculosis of Lungs and Skin By W 117 The Etiology Symptomatology Diagnosis and Treatment of Acquired 136 On the Value of Aray Examinations in the Dignosis of Ulcer [books.google.com]
Urogenital
- Kidney Failure
However, when the loss of kidney function is permanent, as in end-stage kidney failure, dialysis is required on a regular basis (chronic). The only other treatment for kidney failure is a kidney transplant. [toltec.biz]
Kidney failure information: Kidney Failure – Understanding End Stage Renal Disease (ESRD) Peritoneal Dialysis Kidney Transplantation Organ Donation and Transplantation Learn more about the kidneys: Basic Information About the Kidneys Kidney Pain Kidney [netwellness.org]
However, when the loss of kidney function is permanent (as in end-stage kidney failure), you must continue to have dialysis on a regular basis. The only other treatment for kidney failure is a kidney transplant. [web.archive.org]
Jun 4, 2015 (Started May 15, 2015) Effectiveness Moderate (for kidney failure) Burden Not at all hard to take Dosage: Three times daily 0 helpful marks Mar 20, 2015 (Started Feb 15, 1983) Effectiveness Major (for kidney failure) Side effects Moderate [patientslikeme.com]
The apnea may be related to the effects of advanced kidney failure on the control of breathing. [medicinenet.com]
- Renal Insufficiency
We describe a 68-year-old woman with a metastatic small bowel neuroendocrine tumor who developed renal insufficiency requiring hemodialysis. [ncbi.nlm.nih.gov]
‘For patients with renal insufficiency who are undergoing hemodialysis, administration of all medications should occur after dialysis to avoid premature removal of drugs such as pyrazinamide and cycloserine.’ [en.oxforddictionaries.com]
Innovative, efficient treatment and therapy systems for chronic dialysis patients Hemodialysis is an extracorporeal blood purification technique used for patients suffering from chronic renal insufficiency who are not able to receive a kidney transplant [bbraun.com]
[…] failure before and after initiation of hemodialysis View more Six years of experience with nightly home hemodialysis access View more Correction of an anemia in patients with a terminal stage chronic renal insufficiency on haemodialysis View more Association [countryofpapers.com]
- Renal Function Impairment
Google Scholar Schiffl HH, Binswanger U: Human urinary fluoride excretion as influenced by renal functional impairment. Nephron. 1980, 26: 69-72. 10.1159/000181954. [bmcmedicine.biomedcentral.com]
Treatment
In-center treatments are done at pre-scheduled times. Home Hemodialysis Some adults have begun doing hemodialysis treatments in the comfort of their own home. [nephcure.org]
This treatment cleans the blood and removes wastes and excess fluid from the body, which are normally removed by healthy kidneys. Sometimes dialysis is a temporary treatment (acute). [toltec.biz]
Each hemodialysis treatment normally takes four to five hours, and usually three treatments a week are needed. More frequent, shorter treatments or longer treatments may be indicated for certain patients. [web.archive.org]
Extracorporeal treatments such as hemodialysis and plasma exchange are lifesaving measures in the treatment of drug poisoning. This treatment method generally is not used for severe cutaneous and systemic drug reactions. [ncbi.nlm.nih.gov]
If your kidney disease has progressed quickly, you may not have time to get a permanent vascular access before you start hemodialysis treatments. [nationalkidneycenter.org]
Prognosis
Prognosis is variable, but can be potentially fatal depending on the severity of adhesion, and sequelae of complications. [ncbi.nlm.nih.gov]
Fresenius Medical Care strives continuously to develop and implement innovative therapies and products to improve the cardiovascular prognosis of dialysis patients. [freseniusmedicalcare.asia]
Etiology
Further studies are needed to more clearly elucidate the etiology. . [ncbi.nlm.nih.gov]
Scarlet Fever By John McCrae M D 194 Cultural Results in Hodgkins Disease By C H Bunting M D 226 Multiple Congenital Osteochondromas with Degeneration of Cranial 248 The Treatment of Syphilitic Affections of the Central Nervous System 258 Concerning the Etiology [books.google.com]
Epidemiology
We review the available literature on the epidemiology, risk factors, long-term sequelae, and known management strategies of adherent catheters. [ncbi.nlm.nih.gov]
Clark, Thomas, et al. in Infection Control & Hospital Epidemiology 27.11 (2006): 1164-1170. [cdc.gov]
Pathophysiology
This review highlights current knowledge on the epidemiology, pathophysiology, and risk factors for sudden cardiac death among hemodialysis patients. [ncbi.nlm.nih.gov]
Recent results showed the multifactorial nature of the pathophysiology, and therapeutic trials were only successful in certain subsets of patients. [read.qxmd.com]
Pathophysiological Aspects of Coagulation. In: Hakim NS, Calero R. Hemostasis in Surgery. Imperial College Press. London:1-90 Perry DJ, Pasi KJ. 2013. Methods in Molecular Medicine: Hemostasis and Thrombosis Protocoals. Humana press Inc. Vol 31. [indonesianjournalofclinicalpathology.org]
Prevention
To prevent or limit the loss of diffusible substances required by the body, such as sugars, amino acids, and necessary amounts of salts, those compounds are added to the sterile solution; thus their diffusion from the blood is offset by equal movement [britannica.com]
We then examine strategies for prevention, including the use of specific cardiac medications and device-based therapies such as implantable defibrillators. [ncbi.nlm.nih.gov]
Central Dialysate Delivery Systems Hemodialysis Machines AV Fistula Needles Safety AV Fistula Needles (Accidental Needlestick Prevention Systems) AV Fistula Needles (Accidental Needlestick Prevention Systems) Hemodialysis Blood Tubing Sets Dialyzer Prefilled [jms.cc]
The aim of this study is to investigate whether intermittent heparin is as effective as continuous heparin to prevent thrombus formation as well as to prevent bleeding and predict the survival outcome. [indonesianjournalofclinicalpathology.org]