Discover and read the best of Twitter Threads about #dialysisdirector

Most recents (10)

Infographic and FAQ sheet with Information for Screening and Management of COVID-19 in the Outpatient Dialysis Facility from @ASNKidney
#nCoV2019 #COVID19 #COVID2019 #DialysisDirector
πŸ‘‰πŸΌ Infographic asn-online.org/g/blast/files/…
πŸ‘‰πŸΌ FAQ asn-online.org/g/blast/files/… ImageImageImageImage
The Novel Coronavirus 2019 Epidemic and Kidneys ca. 2020 from @Kidney_Int @vjha126

β€œPostulated” mechanisms:
πŸ‘‰πŸΌ Sepsis leading to cytokine storm syndrome
πŸ‘‰πŸΌ Direct cellular injury due to the virus

#nCoV19 #nCoV2019 #COVID2019 #COVID19 #Nephpearls
πŸ‘‰πŸΌ kidney-international.org/article/S0085-… ImageImage
Read 4 tweets
Therapeutic Apheresis 101
πŸ“Œ Extracorporeal procedures whereby blood separation technology is used to remove abnormal blood cells and/or plasma constituents
πŸ”² Plasmamapheresis
πŸ”² Leukapheresis
πŸ”² Erythrocytapheresis
πŸ”² Thrombocytapheresis
#Nephpearls #DialysisDirector Image
In plasmapheresis, or therapeutic plasma exchange (TPE), large quantities of plasma are removed from a patient and replaced with
πŸ‘‰πŸΌ Fresh frozen plasma (FFP), or
πŸ‘‰πŸΌ Albumin solutions in normal saline
#Nephpearls #DialysisDirector Image
Comparison of Membrane Plasma Separation and Centrifugal Apheresis #Nephpearls #DialysisDirector Image
Read 17 tweets
CVVHD
πŸ“Œ Dialysate is passed through the dialysate compartment of the filter continuously and at a slow rate
πŸ“Œ Diffusion is the primary method of solute removal
πŸ“Œ Fluid removal: Usually about 3–6 L per day
#Nephpearls #DialysisDirector ImageImage
Read 8 tweets
Hemodialysis 101: Anticoagulation
πŸ“Œ Factors favoring clotting of the extracorporeal circuit
#Nephpearls #DialysisDirector Image
Hemodialysis 101: Anticoagulation
πŸ“Œ Signs of clotting in the extracorporeal circuit
#Nephpearls #DialysisDirector Image
Anticoagulation options for intermittent hemodialysis ca. 2011 from @NatRevNeph #Nephpearls #DialysisDirector
πŸ‘‰πŸΌ nature.com/articles/nrnep… ImageImage
Read 11 tweets
Hemodialysis 101: Complications
πŸ“Œ Intradialytic Hypotension
πŸ“Œ Muscle Cramps
πŸ“Œ Nausea and Vomiting
πŸ“Œ Pruritus
πŸ“Œ Dysequilibrium Syndrome
πŸ“Œ Dialyzer Reactions
πŸ“Œ Hemolysis
πŸ“Œ Air Embolism
#Nephpearls #DialysisDirector Image
Intradialytic Hypotension (IDH): Nadir SBP < 90 πŸ‘‰πŸΌ strongest association with ⬆️ mortality
πŸ“Œ Poor long-term Outcomes
πŸ“Œ ⬆️ mortality
πŸ“Œ Myocardial stunning
πŸ“Œ Incidence is highest in those with low pre-HD BP
πŸ“Œ ⬆️ risk of access thrombosis
#Nephpearls #DialysisDirector ImageImage
Intradialytic Hypotension (IDH): Strategies to help prevent Hypotension during dialysis #Nephpearls #DialysisDirector Image
Read 16 tweets
Hemodialysis 101: Venous Catheter Access #Nephpearls #DialysisDirector
HD Catheters: Nominal flow > 400 mL/min (actual flow 350 mL/min) can rarely be obtained and usually flow is limited to a range closer to 300 mL/min
#Nephpearls #DialysisDirector
HD Catheters: Order of preference for various sites of insertion
πŸ“Œ Optimal site is R IJ since venous pathway to the RA is relatively short and straight
πŸ“Œ Avoid SC Vein due to ⬆️ rate of insertion related complications
πŸ“Œ L IJ is not optimal
#Nephpearls #DialysisDirector
Read 12 tweets
Hemodialysis 101: AVF/ AVG
#Nephpearls #DialysisDirector
Sites for AVF creation in the upper extremity #Nephpearls #NephJC
Various configurations and sites for AVG placement #Nephpearls #DialysisDirector
Read 14 tweets
Urgent Start PD: Defining what it is and why it matters ca. 2018 from @CJASN #Nephpearls
πŸ‘‰πŸΌ cjasn.asnjournals.org/content/clinja… Image
Despite the adverse scenario for initiating dialysis, early start PD had similar outcomes in comparison to planned-start PD in long-term follow-up ca. 2018 #Nephpearls
πŸ‘‰πŸΌ karger.com/Article/FullTe… ImageImage
Urgent start PD: Modality of choice - manual or automated ca. 2019 from @CKJsocial #Nephpearls
πŸ‘‰πŸΌ academic.oup.com/ckj/article/12… ImageImage
Read 18 tweets
Hemodialysis 101: Water and Dialysate
πŸ“Œ During HD, patients are exposed to 120-200 L of dialysis solution during each dialysis treatment
#Nephpearls #DialysisDirector Image
Water contaminants that are toxic to patients on dialysis
#Nephpearls #DialysisDirector
πŸ‘‰πŸΌ cjasn.asnjournals.org/content/clinja… ImageImage
Methods of purifying water for hemodialysis
#Nephpearls #DialysisDirector
πŸ‘‰πŸΌ cjasn.asnjournals.org/content/clinja… ImageImage
Read 6 tweets
Hemodialysis 101: Apparatus
πŸ“Œ From the patient, blood is pumped via the vascular access thru an ARTERIAL blood line (INFLOW) to the dialyzer
πŸ“Œ Blood is returned to the patient from the dialyzer via a VENOUS blood line (OUTFLOW)
#Nephpearls #DialysisDirector
Redsense sensor is used to detect blood leakage at the site of potential line separation
πŸ“Œ For those who are at high risk for line separation
#Nephpearls #DialysisDirector
πŸ‘‰πŸΌ redsensemedical.com/index.php/cont…
The VENOUS PRESSURE can be used to monitor the state of coagulation.
It is a function of:
πŸ“Œ BFR
πŸ“Œ Blood viscosity
πŸ“Œ Downstream access (needle or catheter) resistance
#Nephpearls #DialysisDirector
Read 8 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!