By Allen R. Nissenson MD FACP, Richard N. Fine MD
This is an in-depth, quick-reference, problem-solving source for these excited about the care of dialysis sufferers. greater than one hundred twenty world-class specialists speak about dialysis recommendations, mechanical issues, and issues regarding numerous illnesses for either pediatric and grownup sufferers. chosen annotated references and ideal cross-referencing among chapters assist you locate solutions speedy, and greater than a hundred photographs, drawings, charts, and tables, in most cases in colour, make clear advanced issues. offering sensible, instantly beneficial instructions that may be utilized on to sufferer care, this ebook is a "must-have" for all dialysis caregivers.Presents the practice-proven event of best 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 procedure, permitting you to quick overview the complex recommendations of dialysis.Includes worthwhile annotated bibliography lists in every one part for additional in-depth examine on any subject.Explains advanced dialysis ideas via plentiful diagrams, pictures, line drawings, and tables.
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Additional info for Handbook of Dialysis Therapy, 4th Edition
4). 4 bacteremias per 1000 catheter days. Exit sites should be inspected at each dialysis treatment, and dressings should be changed weekly (or more often if warranted). There is mounting evidence to suggest that either citrate or antibiotic catheter locks (gentamicin with or without cefazolin) are more effective than heparin alone. A cost analysis is justiﬁed before widespread use. g. , minocycline plus rifampin or gentamicin). Several studies 34 Temporary Vascular Access for Hemodialysis have been performed involving acute and long-term catheters, both tunneled and non-tunneled.
1). The exact deﬁnition of these infectious outcomes varies by source (see ”Recommended Reading” for Centers for Disease Control deﬁnitions). ” Redness, swelling, crusting, and pain may accompany this discharge—but these ﬁndings are more subjective than purulent drainage. Tunnel infections occur if inﬂammation extends 5 cm beyond the exit site or beyond the Dacron cuff. Bacteremia is deﬁned by positive peripheral blood cultures in a patient with signs and symptoms of infection such as fever, chills, nausea, headache, hypotension, and elevated white blood cell count.
20 Demographics of the End-Stage Renal Disease Population Recommended Reading United States Renal Data System. USRDS 2006 Annual Data Report: Atlas of End-Stage Renal Disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases 2006. C H A P T E R 2 Temporary Vascular Access for Hemodialysis John J. White, MD; Matthew J. Oliver, MD; and Steve J. Schwab, MD When immediate hemodialysis is necessary, rapid access to the circulation is essential.