WHAT IS PATIENT ORIENTED DIALYSİS
Why you need to receive customized dialysis?
If you’re too tired and exhausted when you got out of dialysis, this is a sign that your treatment should be reviewed. Because the purpose of the dialysis is to make the patient feel better.
Some residual renal function; allows a more comfortable dialysis treatment and more liquid consumption in the diet.Therefore the amount of urine shouldn’t decrease after dialysis. With proper adjustment of dry weight and proper treatment, urine production can be preserved for a long period of time. Each patient’s blood salt values that we call “electrolytes” are different from each other.The calcium, potassium levels in some patients are high and in some patients they are low.These differences cause different illnesses on patients. Fortunately we can easily adjust these by using dialysis solutions and keep them under control. If this control is not performed; the patient may feel tired and sick. After a dialysis treatment which is not customized for the patient, the patient can face complaints such as muscle spasms and tachycardia.
Between two dialysis sessions, dialysis patients shouldn’t take more than 5% of their dry weight. This weight gain might be due to lack of education, because of their increasing appetite or because they cannot control their thirst. During dialysis, if too much liquid is taken out from you and if dialysis is performed with high salt; it is quite natural for you to thrive for water after diaysis.
Liquid consumption of patients with congestive heart failure should be limited as their hearts has less pumping power. Such patients should receive longer dialysis; enabling slower liquid drawing and getting rid of factors harmful for the heart’s working.
In every dialysis session, the blood salts of patients with cardiac rhythm problems (irregular heart beat, tachycardia) should be adjusted.
Diabetic patients’ hourly blood sugar profiles should be performed during dialysis and their solutions and insulin treatment should be managed accordingly.
In patients with blood pressure problems, dry weight of patients should be adjusted precisely, and salt load should be reduced as far as possible during dialysis. The antihypertensive medicines thrown out during dialysis should be replaced.
To perform customized dialysis might change the course of many other illnesses in dialysis patients. In fact once again all these things have shown us that dialysis is not about getting in and out of dialysis.
Gürkan YURTERİ, MD