Renal Replacement Therapy (RRT) Flashcards
1
Q
What is Polycystic Kidney Disease?
A
Autosomal dominant (ADPKD)
Prevalence: 1/400 to 1/1000
Kidneys get damaged by development of cysts (can also develop in liver/spleen/pancreas)
Intracranial aneurysms are present in 5-15%
Progressive decline in renal function
50% will require RRT by the age of 60
2
Q
What are the options for someone with ESKD?
A
Haemodialysis Peritoneal Dialysis Transplantation Conservative/Palliative Care
3
Q
What are contraindications for Peritoneal Dialysis?
A
Environment
Complicated abdominal surgery
Incapacity to carry out exchanges
4
Q
What are contraindications for Haemodialysis
A
Vascular access issues
Severe haemodynamic instability
5
Q
What are 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
6
Q
What are 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
7
Q
What are disadvantages of Peritoneal Dialysis?
A
Larger patient responsibility Storage of equipment Membrane failure - finite lifespan Hyperglycaemia / glucose load Protein losses Complications: Hernias, peritonitis
8
Q
What are disadvantages of Haemodialysis?
A
Tied to a hospital Scheduled treatment Access problems Circulatory stress Bleeding risk ?unwell post dialysis Complications: Infections, hypotension
