PHRM3011 Lecture Notes - Lecture 16: Fibrin, Ureter, Calcineurin
Document Summary
High solute clearance technique generally not an issue. Often fatigued afterwards long time to adjust to dialysis. Patients own peritoneal membrane acts as semi permeable membrane. 1 during day intermittent peritoneal dialysis in hospital 2-3 times/week for 24hrs. Plus glucose to encourage fluid removal through osmosis. Bacterial or fungal infection causing inflammation of membrane. Around catheter sx skin redness, purulent drainage fluid. Greater stability less fatigue less blood loss. Disadvantages low solute clearance loss of proteins and amino acids. Haemodialysis and peritoneal dialysis have the same effectiveness. Used as short-term tx in acute renal failure. Used at end stage renal failure from living or cadaveric donor. Pt will live on avg 10-15 yrs longer with t"plant living donors are less common but more optimal due to removed under better cond. And if a relative there is better matching. Leave old kidney in and place new one lower on ureter.
