Renal failure and dialysis

Everything you really should know, but were never taught in EMT School Paul A. Peirce, EMT-B I/C 1/16/2011

History ,[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Interesting Note: ,[object Object],He gave a set of blueprints for his hemodialysis machine to George Thorn at the Peter Bent Brigham Hospital in Boston (Brigham and Women's Hospital) . This led to the manufacture of the next generation of Kolff’s dialyzer, a stainless steel Kolff-Brigham dialysis machine. The Kolff Artificial Kidney Machine with sheep intestines wrapped around a wood-slat rotating cylinder. Paul A. Peirce, EMT-B I/C 1/16/2011

Dr. Nills Alwell ,[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Dr. Belding H. Scribner ,[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Dr. Belding H. Scribner (cont.) ,[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Just what do they do? Paul A. Peirce, EMT-B I/C 1/16/2011

Kidneys – Facts and Function ,[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

What does it mean? Paul A. Peirce, EMT-B I/C 1/16/2011

Kidney Failure ,[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Acute renal failure - Definition ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Acute renal failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Chronic Renal Failure - Definition ,[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Chronic Renal Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

What is it, and how does it work? Paul A. Peirce, EMT-B I/C 1/16/2011

Dialysis - Definition ,[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Principle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Semipermeable Membrane - Definition ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Dialysate - Definition ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Types of Dialysis ,[object Object],[object Object],Each removes wastes and excess water from the blood in different ways. Paul A. Peirce, EMT-B I/C 1/16/2011

Hemodialysis - Definition ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Hemodialysis – Definition (cont.) ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Hemodialysis Access ,[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Hemodialysis Access (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Catheter Access - Definition ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Catheter Types ,[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Catheter Types (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Catheter Problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Catheter Problems (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

OMG…! Why a Catheter? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

OMG…! Why a Catheter? (Cont.) ,[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

AV Fistula - Definition ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

AV Fistula - Locations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

AV Fistula – Locations (Cont.) ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

AV Fistula - Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

AV Fistula - Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

AV Fistula - Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

AV Graft ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

AV - Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

AV Graft - Complications ,[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Dialysis Shunt ,[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Peritoneal Dialysis ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Peritoneal Dialysis (Cont.) ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

… for Dialysis Patients Paul A. Peirce, EMT-B I/C 1/16/2011

Problems at Dialysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Taking Blood Pressure ,[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

… that may occur at Dialysis Paul A. Peirce, EMT-B I/C 1/16/2011

Bleeding from AV Shunt ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Peritoneal Dialysis Emergencies ,[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Dialysis Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Emergency Medical Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

Summary (Cont.) ,[object Object],[object Object],[object Object],[object Object],Paul A. Peirce, EMT-B I/C 1/16/2011

… thank you for your time and attention. Paul A. Peirce, EMT-B I/C 1/16/2011

Renal failure and dialysis

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Renal failure and dialysis