Clinical training 7

Dialysis ward
Dialyysiosasto

Tays Sisätautien vastuualue, Dialyysiosasto (MUND)

Dialysis treatment
● Dialysis is a treatment for people whose kidneys
are failing. When you have kidney failure, your
kidneys don’t filter blood the way they should.
As a result, wastes and toxins build up in your
bloodstream. Dialysis does the work of your
kidneys, removing waste products and excess
fluid from the blood.
INITIAL MEASUREMENTS

1. Blood pressure

2. Patient’s weight
BASIC MACHINE SETTINGS
Patient's
Height Age Gender
weight
 Other settings
• Dry weight: patient's weight after the last
dialysis treatment.
• Ultrafiltration (UF): total amount of liquid
removed from the patient's body during the
treatment.
• Blood flow: amount of blood taken out from the
patient per minute (ml/min).
• ART: arterial venous pressure.
• VEN: venous pressure.
After the last patient treatment,
his weight was 78 kg.
Before today's treatment his
weight was 80kg.
It means that around 2 liters of
liquid should be removed and
considered when setting the
blood flow.
 Treatment
Ultrafiltration (UF) duration
Blood flow
Arterial
pressure

Venous
pressure
 PATIENT
MONITORING
Patient’s
Blood symptoms:
Blood glucose
pressure difficulty to
breath, nausea

• Blood pressure and blood glucose may fall during the treatment causing
the patient to feel ill, nauseous, shortness of breath.
• If glucose gets low, "siiripiri" tabs or glucobuster may be given
• If blood pressure gets low, the blood flow rate may be lowered
 Life expectancy

Average life expectancy on dialysis is 5-10 years, however, many

patients have lived well on dialysis for 20 or even 30 years.
 SANASTO

Dry weight: kuivapaino

Ultrafiltration (UF): ultrafiltraatio UF
Blood flow: verenvirtaus
Total blood volume (TBV): verivolyymi
References
www.kidney.org