BONENT Exam 2025 | Frequently Most
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In center hemo must be done
3x a week for about 4 hours
Cons of in center HD
Most limitation on Diet, fluid than other modalities
Requires the most medication
Most symptoms
Patients who run 4 hour tx
Are 30% less likely to die than pts who run shorter times
Each 30 mins extra of tx increase life by 7%
Patients are 50% more likely to die after
2 day no treatment weekend, the last 12 hours of the 2 days the risk of death triples
diastolic blood pressure
When the heart is at rest.
Benefits of nocturnal in center
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You get 2x as many txs as standard because it is longer and more gentle with fluid
removal
Rarely cramp
Easy on heart
Fewer limitations on food and drink
Free days
72% better survival rate than standard in center
You check blood pressure with
Stethoscope and sphygmomanometer
Nocturnal in center hemo must be done
3x a weeks about 8 hours per tx
If BP site is below the heart....
The reading will be to high
Benefits of nocturnal home hemo
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Better protein level
Don't need binders
No fluid limits
Fewer symptoms
Less heart damage
Live as long as people who get a deceased kidney transplant
If BP site is above the heart....
The reading will be to low
Home hemo must be done
3x a week 4-6 hours per tx
Benefits of PD
Can do alone at home or work
Only need 1-2weeks of training
Allows for a more normal diet
Allows pt to feel more normal
peritonitis
inflammation of the peritoneum, this can scar the peritoneum and make PD no longer
possible, can be avoided by doing a sterile exchange
2 types of PD
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