Renal replacement therapy Flashcards
1
Q
What is the mean GFR at the start of dialysis?
A
8.7
2
Q
What is the 10 year survival rate on dialysis at 60?
A
15%
3
Q
What are the advantages of haemodialysis?
A
- Less protein loss
- ? Less individual responsibility
- Shorter treatment times
- Social network at dialysis centre
- Highly efficient small solute clearances
- No lag time to commence
4
Q
What are the advantages of peritoneal dialysis?
A
- Home based
- Increased flexibility
- Preservation of residual renal function
- No need for vascular access
- Less fluid restriction
- Better mobility
- Less biochemical perturbation
- No anti-coagulation
5
Q
What are the disadvantages of haemodialysis?
A
- Tied to a hospital
- Scheduled treatment
- Access problems
- Circulatory stress
- Bleeding risk
- ?unwell post dialysis
- Complications: Infections, hypotension
6
Q
What are the disadvantages of peritoneal dialysis?
A
- Larger patient responsibility
- Storage of equipment
- Membrane failure - finite lifespan
- Hyperglycaemia / glucose load
- Protein losses
- Complications: Hernias, peritonitis
