Question

1.explain the pathophysiological conditions which necessitate the dialysis machine by patient
2. Explain the challenges involved in the use of the dialysis machine.

Answer 1

Ans :

1. When to use dialysis machine :

If your kidney disease becomes very severe and crosses a point where there’s not enough function to maintain the body, then you need either a transplant or dialysis.

You typically start dialysis when you have symptoms or your lab tests show toxic levels of waste in your blood. Symptoms of kidney failure include nausea, fatigue, swelling, and throwing up.

When you should start dialysis depends on your age, energy level, overall health, lab test results and how willing you are to commit to a treatment plan. Although it can make you feel better and live longer, it involves a lot of your time.

End-stage renal disease, also called end-stage kidney disease, occurs when chronic kidney disease — the gradual loss of kidney function — reaches an advanced state. In end-stage renal disease, your kidneys are no longer able to work as they should to meet your body's needs.

When your kidneys lose their filtering capabilities, dangerous levels of fluid, electrolytes and wastes can build up in your body.With end-stage renal disease, you need dialysis or a kidney transplant to stay alive.

2. Challenges faced by using dialysis machine :

Ever since dialysis therapy has proved to be lifesaving, we have been challenged to decrease the mortality and increase the safety of the procedure . Advances in technology have led to increasingly complex equipment, resulting in a steep learning curve for both clinicians and patients alike. Clinicians must evaluate whether the dialysis prescription is actually translating into adequate treatments, and constantly adjust the dose to meet the goals of the Kidney Disease OutcomeS Quality Initiative . In addition, we need to be assured that the assessment of dialysis outcomes is based on reliable data and adequate sampling of blood and solutions . Patients have to be proficient in certain basic skills for home therapies, both peritoneal dialysis (PD) and hemodialysis (HD), and they must be reassured that backup support is available around the clock at all times .

Despite efforts to minimize the risks and complications, we face many technical issues, some of which are difficult to overcome. Technical issues may be related first to patient characteristics and then, in short order, access problems, dialysis solutions, drug administration, equipment and operator problems, and other issues not yet well defined