Handbook of Dialysis Therapy, 4e by Allen R. Nissenson MD FACP, Richard E. Fine MD

By Allen R. Nissenson MD FACP, Richard E. Fine MD

Here is an in-depth, quick-reference, problem-solving source for these fascinated by the care of dialysis sufferers. greater than a hundred and twenty world-class professionals talk about dialysis thoughts, mechanical concerns, and issues regarding a number of ailments for either pediatric and grownup sufferers. chosen annotated references and perfect cross-referencing among chapters assist you locate solutions quickly, and greater than a hundred images, drawings, charts, and tables, more often than not in colour, make clear complicated themes. offering sensible, instantly invaluable instructions that may be utilized on to sufferer care, this e-book is a "must-have" for all dialysis caregivers.

  • Presents the practice-proven event of most sensible specialists within the box of dialysis treatment.
  • Offers dialysis tips for either grownup and pediatric sufferers in a single handy source.
  • Features a readable hands-on method, permitting you to fast evaluation the advanced ideas of dialysis.
  • Includes valuable annotated bibliography lists in each one part for extra in-depth study on any subject.
  • Explains complicated dialysis strategies via considerable diagrams, pictures, line drawings, and tables.
  • Features a brand new 4-color layout, allowing you in finding the information you would like extra quickly.
  • Includes assurance of convective dialytic remedies and the result of contemporary scientific trials.
  • Ensures that you just continue present on pediatric dialysis matters prevention and therapy with new chapters together with prevention and therapy of bone ailment, administration of anemia, assessing caliber of existence in pediatric sufferers present process dialysis, and immunizations in childrens present process dialysis.
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Additional info for Handbook of Dialysis Therapy, 4e

Example text

Thrombosis/stenosis of the internal jugular vein is Temporary Vascular Access for Hemodialysis 27 less frequent than the subclavian vein (approximately 6% in one series) and does not generally compromise future access unless it extends to the superior vena cava. Temporary catheters placed in the subclavian or internal jugular vein should have their position checked by chest X-ray or fluoroscopy before commencing dialysis. The tips of temporary catheters should rest in the superior vena cava (subclavian) or inferior vena cava (internal jugular vein).

Catheters with early malfunction should be imaged to diagnose malposition. Late malfunction is more likely caused by thrombosis. Thrombosis can occur within the catheter lumen, at the catheter tip, or around the catheter (fibrin sheath); can involve the entire vein (mural thrombus); or can form in the right atrium. In a careful study of central venous catheters in oncology patients in whom all malfunctioning catheters were imaged, thrombosis was confirmed to be the cause in 64%. The incidence of the specific forms of thrombosis is poorly defined.

96 00 04 Demographics of the End-Stage Renal Disease Population 2,000 Patients age 60+: white & black Native American & Asian 7 Hispanic N Am: 70+ N Am: 60-69 1,500 Black: 70+ Black: 60-69 1,000 70+ 60-69 White: 70+ White: 60-69 500 Asian: 70+ Asian: 60-69 0 Rate per million population (three-month rolling average) 1,200 Patients age 40-59 900 N Am: 50-59 N Am: 40-49 Black: 50-59 Black: 40-49 600 Asian: 50-59 Asian: 40-49 White: 50-59 White: 40-49 300 50-59 40-49 0 100 Patients age 20-39 80 Black: 30-39 Black: 20-29 60 30-39 20-29 N Am: 30-39 N Am: 20-29 White: 30-39 White: 20-29 40 Asian: 30-39 Asian: 20-29 20 0 84 88 92 96 00 04 84 88 92 96 00 04 96 00 04 Figure 1–3 Adjusted incident rates of ESRD due to diabetes by age, race, and ethnicity.

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