Top of the Line System and Support

The artificial process by which wastes & unwanted water are eliminated from our body when our kidneys are unable to do so naturally. Our Kidneys help maintain normal salt & water balance in our body by removing the liquid waste from the blood. Therefore, normal functioning of the kidneys is critical.

Dialysis process at MEDICA includes facilities like:

  • Online HDF
  • High Flux Dialysis with Bibag
  • Low Flux Dialysis
  • Single-use Low & High Flux Dialysis
  • Plasmapheresis
  • Haemodialysis
  • 4008 SC Dialysis Machines
  • SLED in ITU/ICU
  • Peritoneal Dialysis
  • Ultra-pure Water
  • Non-invasive Monitors with Each Bed Individual TV
  • Single Needle Heamodialysis

Dialysis Checklist

dialysis-checklist

Haemodialysis Procedure

1. Predialysis Assessment

  • Identification of patient
  • Measure: Blood pressure, Pulse, Temperature & Weight
  • Blood glucose, if diabetic
  • Observe/assess patient for any other problems or needs

2. Rinsing and Priming

  • Done to ensure that all air is eliminated from the circuit and rinse out residual sterilant
  • Use the sterile ‘nontouch technique’
  • Connect dialysis solution
  • Priming of blood lines

3. Testing of Alarms

  • Blood circuit, Arterial pressure, Venous pressure, Air detector, Dialysis solution circuit, Conductivity, Temperature & Blood leak

4. Vascular Access

  • AV fistula is preferred
  • Fistula assessment-examine for bruit, signs of infections, bruising.
  • Identify the needle site
  • Under aseptic precautions, clean the fistula using chlorhexidine.
  • Apply tourniquet
  • Stabilise the vessel with dressing.

5. Initiating Dialysis

  • Insert the fistula needle bevel up
  • Remove tourniquet
  • Connect the limbs of needle to the dialysis circuit and start the blood pump at 100 mL/min.
  • Observe for pain or swelling
  • Increase the blood flow rate to desired level after the circuit filled with blood.
  • Initiate dialysis solution flow and adjust transmembrane pressure.

6. Monitoring during Dialysis

  • Monitor Pulse rate & BP every 30 to 60 minutes in chronic dialysis & every 15 minutes in acute dialysis
  • Food and fluid intake
  • Complications

7. Terminating Dialysis

  • Pump sterile normal saline into the arterial side until blood is displaced.
  • Cleaning and disinfection of equipment

8. Monitoring Post-dialysis

  • Assess & document: Weight, Pulse Rate, BP supine and sitting, Temperature, Blood investigations & Vascular access patency

Peritoneal Dialysis

peritoneal-dialysis

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