By Roger Gabriel (auth.)
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Extra info for A Patient’s Guide to Dialysis and Transplantation
This goes after a fcw treatments and the appetite returns. After a few weeks of intermittent dialysis treatment the amount of urine formed often diminishes to about two cupfuls per day (approximately 400 ml, two-thirds of a pint). There is, therefore, no need to pass urine at night. This advantage is exchanged for the restriction in fluid that i3 allowed. Generally the daily fluid intake has to be about 3-4 cups (600-800 ml). The symptoms related to anaemia - tiredness and shortness of breath - tend to improve after some months of regular dialysis because the anaemia is likely to improve in part.
Diet At some stage during the gradualloss ofkidney function patients will be advised to change some of the foods they eat. Diet in this 52 PREPARATION FOR DIALYSIS sense is nothing to do with dieting to lose weight. A diet for a renal patient is to help hirn avoid some of the symptoms of chronic renal failure (see page 86). The most common and troublesome symptoms controlled in this way are nausea and vomiting. The main change required is reduction in the protein content of the diet. Many of us eat more meat or fish than is actually necessary for a healthy life.
The tubes through which the blood passes are called 'lines'. Blood flows from the arm to the dialyser by the arterial line and from the dialyser back to the arm via the venous line. A pump (the blood pump) is nearly always needed to obtain a sufficiently high blood ßow rate. Just after the dialyser is an expanded portion of the venous line called the bubble trap. This is a safety device to collect any air that may leak into the circuit. Dialysate comes from the machine and passes through the dialyser in an opposite direction to that of the blood.
A Patient’s Guide to Dialysis and Transplantation by Roger Gabriel (auth.)