By Roger Gabriel (auth.)

ISBN-10: 085200981X

ISBN-13: 9780852009819

ISBN-10: 9401705909

ISBN-13: 9789401705905

In some ways this publication is a workforce attempt. many of us have helped me in writing it. first of all, I thank my spouse who learn the manuscript two times correcting grammatical blunders and spelling and clarifying many sentences. Secondly, I thank neighbors and co-workers at St. Mary's health facility, together with Mrs Jean Emerson, Renal Unit Social employee and Mrs June Morgan, Senior Dietician, either one of whom contributed technical details; Sisters Christine Holmes and Malinie Polpitiye who learn and criticized a few chapters; omit Mary Williams, Mr Robert Minor and Mr Richard Viner who as sufferers learn a few sections and made precious feedback. My thank you are because of pass over Veronica Adams who typed many of the manuscript and in addition to Mrs June Marshall and omit Joyce Meadows who helped with typing and masses photocopying. i have to thank Travenol Laboratories restricted whose beneficiant monetary help enabled this publication to be released. The editorial employees of MTP Press were very useful, quick and effective in publishing the textual content. If any reader desires to comprehend extra approximately renal sickness, there 7 PREFACE are a number of strong introductory books on renal drugs on hand. i'm yes that the neighborhood public library might be happy to assist. Any elements of this publication which are fallacious or deceptive are my accountability. If a person has the power to indicate error to me i'll attempt to right them in any next edition.

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Extra resources for A Patient’s Guide to Dialysis and Transplantation

Example text

2) The next step is to clip the artificial kidney (dialyser) to a stand and to connect the lines carrying dialysate to and from the machine to the dialyser. Dialysate is then allowed to flow through the dialyser. (3) Next the blood lines need to be unwrapped from their packets (a fresh sterile set is used at each dialysis) and connected to the 'arterial' and 'venous' ports (entrances) of the dialyser. (4) A I litre plastic bag of salt solution (normal saline) is then attached to the arterial line and the blood pump switched on.

Clotted blood will not flow and cannot be returned to the patient. Heparin is a liquid drug which stops blood from clotting. The effect wears off quite quickly so it has to be used continuously during haemodialysis. The rest of this chapter covers the main points of haemodialysis technique. (I) Before the patient arrives the machine will have been selfsterilized. It is then rinsed through with fresh softened water. (2) The next step is to clip the artificial kidney (dialyser) to a stand and to connect the lines carrying dialysate to and from the machine to the dialyser.

Drugs Dialysis patients do not require many drugs when they are well and dialysis is progressing satisfactorily. Almost all substances in the blood are controlled by dialysis so that concentrations do not become too high. The major exception is phosphate. Phosphate is one of the constituents of all foods. It is rapidly excreted by normal kidneys. In kidney failure, phosphate, like urea, builds up in the blood. If there is a persistent high blood concentration of phosphate it can combine with calcium in the blood.

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A Patient’s Guide to Dialysis and Transplantation by Roger Gabriel (auth.)


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