Nephrology Book

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Hemodialysis

Aka: Hemodialysis, Dialysis
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  1. Indications
    1. Chronic Renal Failure
    2. Unstable overdose patient of Unknown Ingestion
  2. Adverse Effects: Patient preference
    1. CRF Patients prefer peritoneal Dialysis
      1. Rubin (2004) JAMA 291:697-703
  3. Indications: Toxins and overdose substances cleared by Hemodialysis
    1. General
      1. Low protein binding
      2. Small volumes of distribution
      3. Water solubility
      4. Low Molecular weight
    2. Specific (Mnemonic: I STUMBLED)
      1. Isopropanol
      2. Salicylates
      3. Theophylline, Tenormin (Atenolol)
      4. Uremia
      5. Methanol
      6. Barbiturates (e.g. Phenobarbital)
      7. Lithium
      8. Ethylene Glycol
      9. Depakote (esp. if level >500)
  4. Complications
    1. Calciphylaxis
      1. Vascular calcification secondary to abnormal metabolism of calcium and phosphorus
      2. Exclusive to Dialysis patients (may require cessation of Dialysis)
      3. Severe generalized pain
      4. Skin ischemia may progress to skin necrosis

Hemodialysis (C0019004)

Definition (CSP) therapy for the insufficient cleansing of the blood by the kidneys based on dialysis.
Definition (MSH) Removal of certain elements from the blood based on the difference in their rates of diffusion through a semipermeable membrane.
Definition (NIC) Management of extracorporeal passage of the patient's blood through a dialyzer
Concepts Therapeutic or Preventive Procedure (T061)
MSH D006435
ICD9 39.95
ICD10 1059, 13100-00, E71.43
SnomedCT 309432002, 27392003, 302497006, 151048001, 266809003
English Hemodialyses, Hemodialysis, Hemodialysis, NOS, Kidney dialysis, NOS, Extracorporeal hemodialysis, NOS, Artificial kidney dialysis, NOS, HEMODIALYSIS, Extracorporeal Dialysis, Renal Dialysis, Artificial Kidney Dialysis, Kidney Dialysis, Hemodialysis Therapy, Hemodialysis Procedures, hemodialysis (treatment), hemodialysis, Haemodialysis procedure (procedure), Haemodialysed, DIALYSIS HEMODIALYSIS, hemodialysis procedure, hemodialyses, Hemodialysed, HD - Haemodialysis, HD - Hemodialysis, Haemodialysis, Haemodialysis procedure, Hemodialysis procedure, Extracorporeal haemodialysis, Extracorporeal hemodialysis, Hemodialysis (procedure), dialysis; renal, kidney; dialysis, Hemodialysis (procedure) [Ambiguous], haemodialysis
Dutch hemo-gedialyseerd, dialyse; nier, nier; dialyse, hemodialyse, Hemodialyse
French Hémodyalisé(e), Sous hémodialyse, Hémodialyse
German einer Haemodialyse unterzogen, Hämodialyse, Haemodialyse
Italian Emodializzato, Emodialisi
Portuguese Hemodialisado, Hemodiálise
Spanish Hemodialisado, Hemodializado, Hemodialysis procedure, Haemodialysis procedure, Hemodialysis, Haemodialysis, Hemodiálisis, Hemodialisis, hemodiálisis (concepto no activo), hemodiálisis (procedimiento), hemodiálisis extracorporal, hemodiálisis extracorpórea, hemodiálisis, procedimiento de hemodiálisis
Japanese 血液透析, ｹﾂｴｷﾄｳｾｷ
Czech Hemodialýza, Hemodialyzovaný
Hungarian Haemodialyzált, Hemodialysis, Haemodialysis, Hemodialyzált
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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