Hemodialysis: Causes, Symptoms, Treatment and Cost
Last Updated: Jul 04, 2023
What is Hemodialysis?
Hemodialysis is a medical treatment used to filter and cleanse the blood of people with kidney failure. It is also known as renal replacement therapy, as it replaces some of the functions of the kidneys. Hemodialysis uses a dialysis machine and a special dialyzer filter to remove waste products and bodily fluids when the kidneys can no longer do so.
Types of Hemodialysis
There are two main types of hemodialysis: Intermittent hemodialysis and continuous Ambulatory peritoneal dialysis (CAPD).
- Intermittent Hemodialysis: This type of hemodialysis is performed at a hospital or clinic several times a week for several hours. During this procedure, the patient’s blood is connected to an artificial kidney machine (dialyzer) that removes waste and extra fluid from their blood.
- Continuous Ambulatory Peritoneal Dialysis (CAPD): This type of dialysis does not require the patient to be hospitalised for treatment. Instead, the patient performs it at home using special equipment, including a catheter placed in the abdomen, which connects to an external device filled with dialysate solution. The solution is cycled into and out of the abdominal cavity several times during each treatment session.
Benefits of Hemodialysis
The following are some of the benefits of hemodialysis:
- Improved quality of life: Hemodialysis helps remove wastes, toxins, and excess fluid from the body, allowing for improved quality of life for those who need it.
- Prevents complications: Hemodialysis helps to prevent many of the complications associated with kidney failures, such as high blood pressure, anaemia, bone disease, and electrolyte imbalance.
- Maintains balance in body fluids: Dialysis helps to maintain the balance in body fluids by regulating the levels of sodium, potassium, and other electrolytes in the bloodstream.
- Restores energy levels: With regular dialysis treatments, patients can experience improved energy levels as their bodies become healthier due to increased levels of nutrients filtered out during hemodialysis treatments.
- Increases lifespan: Studies have found that people on dialysis live longer than those without it due to decreased risks associated with kidney failure or other organ failures associated with untreated kidney diseases.
Why is Hemodialysis done?
- Hemodialysis removes waste and extra bodily fluid, restoring normal balance and chemical levels. This is important for individuals suffering from renal failure because their kidneys can no longer perform these functions.
- Hemodialysis can help improve the quality of life for those with kidney failure by allowing them to live more comfortably and normally without experiencing the symptoms of renal failures, such as fatigue, nausea, and swelling.
- Additionally, Hemodialysis can help extend life expectancy by providing vital filtration for individuals who would otherwise be in danger of poisoning due to retained toxins in their bodies.
What are the risks of Hemodialysis?
Hemodialysis can be life-saving for those with kidney failure, there are certain risks associated with the procedure. These include:
- Infection: The access site used for hemodialysis, such as a fistula or graft, is at risk of becoming infected by bacteria or viruses.
- Hypotension: Hemodialysis can cause low blood pressure due to the rapid removal of fluid from the body. This can lead to dizziness, fainting, and even cardiac arrest in extreme cases.
- Electrolyte Imbalance: The process of hemodialysis removes electrolytes from the body which can lead to an electrolyte imbalance if not properly monitored and managed during treatment.
- Muscle Cramps: Rapid changes in fluid levels during hemodialysis can cause cramping in the legs and feet due to electrolyte imbalances or dehydration caused by excessive fluid removal from the body during treatment.
- Cardiac Complications: Hemodialysis may increase the risk of heart attack or stroke due to changes in blood volume and pressure during treatment as well as increased calcium levels in the bloodstream caused by dialysate used during treatment.
How do I prepare for Hemodialysis?
- Talk to your doctor: Before starting hemodialysis, it’s important to talk to your doctor about what you can expect during the process and how it will affect your daily life.
- Get tested: Your doctor will likely want to check your kidney function through a series of tests in order to determine if hemodialysis is right for you.
- Learn about diet restrictions: Hemodialysis may require some dietary changes depending on the condition of your kidneys and other medical factors. It’s important to learn about these restrictions so you can plan ahead for meals and snacks accordingly.
- Educate yourself: Understanding all aspects of hemodialysis can help make the process easier for you and those caring for you. Ask questions about any topics that make you feel uncertain or anxious so that you have a better understanding of what’s going on around you during treatment sessions.
- Prepare emotionally: Dialysis can be a difficult experience both physically and emotionally, so it’s important to prepare yourself mentally as well as physically before beginning dialysis treatments. Consider talking with a therapist or joining a support group in order to cope with any anxiety or emotions associated with hemodialysis treatments.
How is Hemodialysis done?
Hemodialysis is a medical procedure that uses a machine to filter and clean the blood of toxins and other waste products. The process involves removing blood from the body, filtering it through a dialyzer (artificial kidney) to remove toxins, and then returning it back into the body.
During hemodialysis, a patient is connected to the dialysis machine with two tubes: one for taking blood out of the body, and one for returning filtered blood back into the body. The entire procedure usually takes around three to four hours.
Before the procedure
- Before a hemodialysis procedure, several steps need to be taken to ensure a safe and successful outcome.
- Gather all the necessary supplies and equipment needed for the procedure.
- Prepare the patient’s access site by cleaning it with antiseptic solution and applying a tourniquet.
- Connect the dialyzer to the blood tubing and make sure all connections are secure.
- Set up the dialysis machine according to manufacturer instructions and check that all settings are correct.
- Prime the dialyzer with heparinized saline solution, following manufacturer instructions, to prevent clotting of blood during treatment.
- Connect the patient’s arterial line to one side of the dialyzer and connect their venous line to the other side of it, ensuring that all connections are secure in order to facilitate proper flow of blood through the machine during the treatment process.
- Test for air bubbles in lines before starting the procedure by checking pressure gauges on both sides of dialyzer for any sudden drops or spikes in pressure readings.
- Monitor vital signs such as heart rate, blood pressure, temperature etc., before starting hemodialysis procedure.
During the procedure
- During a hemodialysis session, a patient’s blood is removed from the body using a needle connected to tubing attached to an artificial kidney machine called a dialyzer.
- The blood passes through one side of the dialyzer. In contrast, chemicals known as dialysate pass through another side of it which helps extract leftover water and waste products from it as it cycles back into the body after being filtered by the machine’s membranes.
- Throughout this process, electrolytes such as calcium and magnesium may also be added back into the bloodstream depending on what is needed by each individual patient depending on their specific needs at any given time during treatment sessions which typically last several hours at least three times per week depending on how much fluid needs to removed from their body at any given time due to kidney failure or other issues affecting kidney function over time as well as dietary restrictions which must also be followed throughout all stages of treatment for best results.
- At certain points during treatment sessions, vital signs such as weight and blood pressure levels may also need to be monitored closely by the medical staff present during these sessions. At the same time, fluids are injected into various parts of the patient’s body if necessary to maintain correct balance throughout the entire treatment process until finished each day.
After the procedure
- Once the hemodialysis procedure is complete, patients should follow their healthcare provider's instructions for what to do after the procedure.
- Additionally, patients should be sure to report any unusual symptoms or changes in their health status to their healthcare provider immediately.
- They may also need to return for regular follow-up appointments with their healthcare provider for continuing care.
How much does Hemodialysis cost?
The cost of hemodialysis can vary greatly depending on the individual's health needs and insurance coverage. Generally speaking, the total cost for a single session of hemodialysis can range from 2000 Rs to 5000 Rs, with additional costs for medications and other services. Insurance coverage can significantly reduce or even cover the entire cost of treatment.
What to eat after Hemodialysis?
- Eating a healthy, balanced diet is important after Hemodialysis.
- Eating foods rich in protein and low in sodium, phosphorus, and potassium can help your body rebuild muscle and recover from treatments.
- Foods to include in your diet after Hemodialysis include lean proteins such as fish, chicken, turkey, eggs, tofu, and beans; fruits; vegetables; whole grains such as quinoa and brown rice; low-fat dairy products like milk and yoghourt; nuts; seeds; healthy fats such as olive oil or avocados; and plenty of water.
- Avoid processed foods high in sodium and limit your intake of foods high in phosphorus or potassium. Your healthcare provider may also recommend taking dietary supplements to get enough vitamins and minerals.
Is Hemodialysis safe?
- Yes, Hemodialysis is generally considered to be a safe procedure. Hemodialysis has been used for many years and has become increasingly safer due to technological advances.
- The risk of infection is fairly low, and most complications can be quickly managed by medical professionals.
- However, some risks are still associated with Hemodialysis. It's important to follow your doctor's instructions carefully and attend all follow-up appointments to minimise them.
Is Hemodialysis painful?
- While it can be uncomfortable, Hemodialysis is generally not considered painful.
- Some patients may experience pain or discomfort during or after the procedure due to needle insertion, but this can be managed with medication.
How long does it take to recover from Hemodialysis?
- The time it takes to recover from hemodialysis depends on the individual's overall health and the severity of their condition.
- Generally, most people who undergo hemodialysis will start to feel better within a few days to a week after their treatment. However, some may take longer to fully recover.
- It is important for people undergoing hemodialysis to follow their healthcare team's instructions for aftercare and lifestyle modifications in order to ensure a full recovery.
What are the side effects of Hemodialysis?
- Common side effects of hemodialysis include fatigue, low blood pressure, muscle cramps, nausea and vomiting, headache, itching, and trouble sleeping.
- Other less common side effects may include infection at the dialysis access site, anemia (low red blood cell count), fluid overload (too much fluid in the body), and electrolyte imbalances.
Hemodialysis Aftercare
Aftercare is an important part of recovering from hemodialysis and ensuring that it is successful.
- Follow your doctor’s instructions: It is important to follow your doctor’s instructions closely, including when to return for follow-up visits, and any changes in medication or diet that may be necessary.
- Monitor your fluid intake: It is important to monitor your fluid intake carefully during hemodialysis sessions so that you do not become dehydrated or experience electrolyte imbalances.
- Eat a balanced diet: Eating a balanced diet can help ensure that your body has the nutrients it needs for optimal hemodialysis functioning, and can also help reduce the risk of complications such as malnutrition or other medical problems related to poor nutrition.
- Exercise regularly: Regular exercise can help improve circulation, reduce stress, and increase overall energy levels during recovery from hemodialysis treatments. Exercise should be discussed with a physician first to ensure safety and effectiveness of any program undertaken by the patient.
- Avoid smoking: Smoking should be avoided due to its potential negative effects on kidney function and overall health in general during recovery from hemodialysis treatments.
Conclusion
Hemodialysis is an effective treatment for patients with kidney failure. It can help to improve quality of life and reduce the risk of complications associated with kidney failure. However, it is important to understand the risks and benefits associated with hemodialysis before starting treatment. Additionally, it is important to work closely with a healthcare team in order to ensure the best outcomes possible.
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