Review of Hemodialysis for Nurses and Dialysis Personnel

Leonard, Martha F.; Gutch, C. F.; Stoner, Martha H.

doi:10.2307/3462596

Cited by 10 publications

(13 citation statements)

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“…One of the successes of hemodialysis is the attainment of adequacy, which is associated with the ability to clean toxins and waste from the body and has a major impact on the better condition of hemodialysis patients (Kallenbach, 2020). Hemodialysis adequacy can be measured using the calculation of Kt/V or urea reduction ratio (URR) as a standard for hemodialysis adequacy.…”

Section: Resultsmentioning

confidence: 99%

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Factors affecting hemodialysis adequacy in patients undergoing hemodialysis: a cross-sectional study

Wayunah

Saefulloh²,

Yanganto³

2023

J. Sci. n.a

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Hemodialysis is the most preferred renal replacement therapy for patients with chronic kidney failure worldwide. The indicator of the success of hemodialysis therapy is the fulfillment of the adequacy of the hemodialysis dose as measured by Kt/V. Many factors affect the adequacy of hemodialysis, including internal factors and external factors of the patient. This study aimed to analyze the factors that affect the adequacy of hemodialysis in patients undergoing hemodialysis at Indramayu Hospital. Research design using a cross-sectional approach. The sample in this study was 44 respondents who were taken based on purposive sampling. The result showed that the average Kt/V was 1.71 with the lowest Kt/V value being 0.76 and the highest Kt/V being 2.33. Of 44 respondents, 24 (54.5 %) found adequacy achieved, and 20 (45.5 %) respondents did not achieve adequacy. Factors related to hemodialysis adequacy are gender (p=0.000; OR=4.0), dry weight (p=0.006; OR=7.286), dialyzer reuse (p=0.005; OR=8.000), and quick of blood (p=0.38; OR=4.5). Suggestions for hemodialysis nurses to be able to evaluate, especially the use of dialyzer reuse no more than 4 times, and maintain a quick blood speed of at least 250 ml/minute to achieve adequacy.

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Section: Resultsmentioning

confidence: 99%

“…Dialyzer reuse or dialyzer reprocessing is dialyzer reuse on the same patient. "Reuse" refers to the clinical use of the reprocessed dialyzer (Kallenbach, 2020). Dialyzer reuse can be used up to 7/8 times (Himmelfarb & Sayegh, 2010in Asman et al, D., Bayhakki & Amir, 2021 Asman, Bayhakki & Amir, 2021).…”

Section: Resultsmentioning

confidence: 99%

Factors affecting hemodialysis adequacy in patients undergoing hemodialysis: a cross-sectional study

Wayunah

Saefulloh²,

Yanganto³

2023

J. Sci. n.a

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“…Nurses play many roles in the treatment of HD patients and are responsible for ensuring a high quality of care while maintaining a cost-effective environment and promoting patient and staff safety and satisfaction. 16,29 Maintaining appropriate Ca×P levels is one way to reduce mortality and morbidity in HD patients. 9 Since nurses play an important role in monitoring, detecting, and educating patients, they can greatly affect the rate of patients with normal Ca×P levels.…”

Section: Discussionmentioning

confidence: 99%

“…Nurses are responsible for administering appropriate medications, providing dietary education, and continuously monitoring the patient's blood levels to control their Ca×P levels. 16 If the nurse's work experience is short or their workload is excessive, identifying issues related to Ca×P levels and providing suitable interventions and education can be difficult. 17,18 The workload of nurses is an important factor that affects patient outcomes, such as mortality, and their overall condition.…”

Section: Introductionmentioning

confidence: 99%

Influence of the Workload and Years of Experience of Nurses on Hemodialysis Quality Using Korean National Hemodialysis Adequacy Evaluation Data

Kim

Lee

2022

INQUIRY

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The aim of this study is to examine the influence of nurses’ workload and years of experience on the rate of patients with normal calcium–phosphorus products levels and the adequacy evaluation grade of hemodialysis (HD) facilities using 2015 and 2018 national HD adequacy evaluation data. The data of 616 hospital-level outpatient HD facilities were analyzed using multiple linear regression and ordinal logistic regression. A higher rate of nurses with ≥2 years of HD experience was correlated with a higher rate of patients with normal calcium–phosphorus levels. As the average daily number of HD cases per nurse increased, the probability of HD facilities’ receiving the higher adequacy evaluation grade decreased by 83% (odds ratio (OR)=.17, 95% confidence interval (CI)=.14–.22), whereas it increased by 4% as the rate of nurses with ≥2 years of HD experience increased by 1%p (OR=1.04, 95% CI=1.03–1.05). Reducing the nursing workload by maintaining sufficient nurses and increasing the rate of nurses with ≥2 years of HD experience would improve the quality of HD and patient outcomes.

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“…Other than the regulation of excess water and salt, kidneys have many other functions concerned with the maintenance of the body function. These include the regulation of electrolytes, acidbase balance, blood pressure (BP), reabsorption of glucose and amino acids as well as the production of hormones (Thye 2002, Kallenbach et al 2005. Figure 1 shows a cross-sectional view of the kidney along with the direction of circulation of blood and urine 4 .…”

Section: Introductionmentioning

confidence: 99%

Recent advances in the monitoring and control of haemodynamic variables during haemodialysis: a review

et al. 2011

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The human body possesses a unique set of organs that are responsible for providing homeostatic balance to the body's fluids. Of these, the kidneys regulate fluid and electrolyte balance in order to maintain the intracellular and extracellular fluid volumes and ion composition within tight limits. When kidneys fail to function normally, fluid is retained and several ions and solutes accumulate. The consequences may be life threatening. Many kidney failure patients rely on haemodialysis (HD) as a life sustaining therapy to remove the waste products and excess fluid from the circulating blood. HD is based on the principle of diffusion of solutes and ultrafiltration of fluid across a semi-permeable membrane. Fluid removal during HD results in relative hypovolaemia during which the stability of a patient relies on compensatory mechanisms to maintain blood pressure (BP). The major compensatory mechanisms include sympathetic nervous system activation of peripheral vasoconstriction together with modest heart rate acceleration to ensure the haemodynamic stability of the patient. Over the years, many monitoring tools have been developed in the hope of predicting intra-dialytic hypotensive episodes. Similarly many methods have been utilized to prevent dialysis-induced complications: ultrafiltration and dialysate sodium profiling, varying ultrafiltration based on frequent BP measurements, etc. This paper provides a comprehensive review of those monitoring and control tools. It starts with a brief introduction to human kidneys and dialysis for non-specialized readers. The paper then reviews the monitoring tools that have been applied to assess the physiological response of patients during HD. This is followed by control techniques used to prevent dialysis-induced complications.

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Review of Hemodialysis for Nurses and Dialysis Personnel

Cited by 10 publications

References 0 publications

Factors affecting hemodialysis adequacy in patients undergoing hemodialysis: a cross-sectional study

Factors affecting hemodialysis adequacy in patients undergoing hemodialysis: a cross-sectional study

Influence of the Workload and Years of Experience of Nurses on Hemodialysis Quality Using Korean National Hemodialysis Adequacy Evaluation Data

Recent advances in the monitoring and control of haemodynamic variables during haemodialysis: a review

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