By Roger Gabriel (auth.)

In some ways this publication is a workforce attempt. many of us have helped me in writing it. to begin with, I thank my spouse who learn the manuscript two times correcting grammatical error and spelling and clarifying many sentences. Secondly, I thank acquaintances and co-workers at St. Mary's health facility, together with Mrs Jean Emerson, Renal Unit Social employee and Mrs June Morgan, Senior Dietician, either one of whom contributed technical details; Sisters Christine Holmes and Malinie Polpitiye who learn and criticized a few chapters; pass over Mary Williams, Mr Robert Minor and Mr Richard Viner who as sufferers learn a few sections and made helpful feedback. My thank you are because of leave out Veronica Adams who typed lots of the manuscript and in addition to Mrs June Marshall and omit Joyce Meadows who helped with typing and masses photocopying. i have to thank Travenol Laboratories constrained whose beneficiant monetary help enabled this publication to be released. The editorial employees of MTP Press were very worthy, quick and effective in publishing the textual content. If any reader desires to recognize extra approximately renal ailment, there 7 PREFACE are numerous stable introductory books on renal drugs on hand. i'm convinced that the neighborhood public library should be happy to assist. Any components of this ebook which are fallacious or deceptive are my accountability. If an individual has the power to indicate error to me i'm going to try and right them in any next edition.

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Extra resources for A Patient’s Guide to Dialysis and Transplantation

Example text

The shunt For the person who requires urgent dialysis there is not the time to develop a fistula. 6). A shunt is an artificial connection between an artery and vein. It is in two halves which can be separated for dialysis. The end attached to the artery is used to lead blood to the machine. Blood returns from the machine to the patient through the tube connected to the vein. The two ends of the shunt are joined together when dialysis is not taking place. A shunt can be used for dialysis within minutes of its being made.

After needling, the needles and the tubes connected to them are secured to the patient's arm with sticky tape. Single needle dialysis is used in some units. A different type of needle is used which allows blood to flow in two directions at the same time. The principal advantage of this system is that only a single needle has to be inserted. 50 PRINCIPLES OF DIALYSIS 'Arterial' needle and line I 'Venous' needle and line \ .... 7 An arm fistula with both needles inserted Principles of Haemodialysis There are many different types of kidney machine but all have essential features in common.

58 PREPARATION FOR DIALYSIS Diet At some stage during the gradual loss of kidney function patients will be advised to change some of the foods they eat. Diet in this sense is nothing to do with dieting to lose weight. A diet for a renal patient is to help him avoid some of the symptoms of chronic renal failure (see page 39). 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.

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