Your kidneys are vital organs that remove waste products and excess fluids from your blood. Unfortunately, there are some medical conditions that can cause your kidneys to fail for various reasons.
Patients who experience kidney failure may have to undergo dialysis. Dialysis techniques perform the functions of healthy kidneys to help the patient survive and allow doctors to help the patient with their symptoms. Some forms of dialysis can be performed in outpatient settings, but severe cases may require inpatient dialysis.
Before Dialysis
Prior to dialysis, a doctor will diagnose a patient’s medical condition to determine if dialysis is necessary or recommended for their case.
Criteria for Inpatient Dialysis
Not all patients need dialysis — it’s typically a procedure for patients who are acutely ill. Generally, patients who need dialysis also need hospitalization for medical conditions resulting from or alongside kidney failure.
Other factors that would necessitate inpatient dialysis include:
- Severe fluid overload
- Electrolyte imbalances
- A need for close monitoring
Pre-Dialysis Assessment
Before starting dialysis, a comprehensive assessment, including blood tests, imaging, and a review of the patient’s medical history, is conducted. This helps customize the dialysis treatment to the patient’s specific needs.
Preparing for Dialysis
Patients might receive dietary guidelines or medication adjustments to minimize complications during dialysis. Adhering to these instructions is crucial for the effectiveness and safety of the treatment.
The Dialysis Process
The dialysis process itself involves several steps. There are also two types of dialysis; the kind a doctor uses will depend on the patient’s needs.
Types of Dialysis
The two primary types of dialysis are peritoneal dialysis and hemodialysis.
- Peritoneal Dialysis uses the patient’s abdomen to filter their blood. This type of dialysis can be performed by patients at home, but requires careful management to do so.
- Hemodialysis involves attaching a patient to a dialysis machine. The patient’s blood circulates out of them and into the machine, and the machine cleanses the blood.
Setting Up Inpatient Dialysis
A hemodialysis setup involves connecting the patient’s bloodstream to a dialyzer, which performs the functions of healthy kidneys. Conversely, in peritoneal dialysis, a kidney doctor will insert a catheter into the patient’s abdomen for the infusion and drainage of dialysis fluid.
What Happens During Dialysis?
During hemodialysis, blood is slowly drawn out, cleaned in the dialyzer, and returned to the body. This process usually takes about 3 to 4 hours and is done three times a week. In peritoneal dialysis, a dialysis solution is introduced into the abdomen, where it absorbs waste products before being drained.
In either procedure, a doctor or nurse will continuously monitor the patient’s vital signs and condition to ensure nothing goes wrong. Inpatient dialysis is typically for severe cases, making monitoring necessary.
After Dialysis
Inpatient dialysis and a hospital stay often mean that doctors and nurses will monitor patients for any changes in their condition. It typically also means the patient will receive additional care after the dialysis procedure.
Post-Dialysis Care
After dialysis, patients are monitored for any immediate side effects such as low blood pressure, muscle cramps, or fatigue. Vital signs are checked, and any discomfort is addressed.
Returning to the Inpatient Room
Patients usually return to their rooms to rest. Feeling tired after dialysis is common, so rest and recovery are important.
Long-Term Care Considerations
The frequency of inpatient dialysis depends on the patient’s overall health and kidney function. Some may transition to outpatient dialysis as their condition stabilizes.
Managing Side Effects and Complications
Common Side Effects: Some patients experience nausea, headaches, or dizziness during or after dialysis. These are typically temporary and can be managed with medications or adjustments to the dialysis process.
Potential Complications: More serious complications, such as infection or blood clots, are rare but require immediate medical attention. Awareness of symptoms and prompt reporting to healthcare professionals is vital.
Emotional and Psychological Support: Undergoing inpatient dialysis can be emotionally taxing. Hospitals often have resources like counseling services and support groups to help patients cope with the psychological impact of chronic illness and hospitalization.
Support and Resources
Family and Caregiver Support: The involvement of family and caregivers is essential. They can offer emotional support, assist with decision-making, and help in understanding the treatment process.
Educational Resources: Healthcare providers can offer resources for additional information about kidney disease and dialysis. Understanding the condition and treatment can empower patients and caregivers alike.
Support Groups and Counseling: Many hospitals and communities have support groups for dialysis patients. These groups provide a platform to share experiences and coping strategies, reducing the sense of isolation.
Inpatient Dialysis Near Me in Sherman, TX
Inpatient dialysis is a complex but often necessary treatment for those with severe kidney failure. Understanding each step of the process can alleviate anxiety and help patients and their families navigate this challenging time with confidence. With the right care and support, patients can manage their condition effectively and maintain their quality of life.
If you or someone you love needs inpatient dialysis, contact the Carrus Health Specialty Hospital. Our healthcare providers are experienced in several inpatient services, including dialysis and long-term acute care.
To find out more about our inpatient, outpatient, and partial hospitalization services, call us today at (903) 870-2600. If you wish to arrange a visit, fill out our secure online appointment request form. We will be honored to partner with you and your family.
