dialysis report of a patient

Our individual dialysis record helps keep this process simple. It outlines all the important things that need to be noted at each dialysis treatment, such as starting and ending blood pressure, amount of fluid removed, starting and ending weights and basic patient information.

Full Answer

What are dialysis reports state and region profiles?

Dialysis Reports, State and Region Profiles. The Dialysis Facility Reports (DFRs) are provided as a resource for characterizing selected aspects of clinical experience at this facility relative to other caregivers in this state, End Stage Renal Disease (ESRD) Network, and across the United States.

What should I be informed about dialysis treatment?

Be informed about current dialysis treatments for kidney disease. Receive a complete review of any test results and treatment from your doctor or a member of the healthcare team. Be informed of any possible side effects of medications you are taking. Be treated with dignity, respect, and consideration. Suggest a change in the type of treatment.

What should I know about my rights as a dialysis patient?

If you have questions or concerns about the care you receive at your dialysis center, it is important to know your rights and your responsbilities as a dialysis patient. See below to learn more about your rights and responsibilities. Additionally, you should know that there is a process if you have concerns, complaints or grievances.

How do you monitor dialysis patients?

Monitoring Your Labs At least once every month, your dialysis team will draw your blood for a series of lab tests. Your doctor will compare the results to those of previous tests to monitor your dialysis treatment and determine if any adjustments are necessary. Know Your Kidney Function Numbers

What is dialysis summary?

Dialysis is a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly. It often involves diverting blood to a machine to be cleaned.

What should a dialysis patient monitor?

While you're receiving hemodialysis, you'll need to carefully monitor your intake of fluids, protein, sodium, potassium and phosphorus.

What is the normal BP for dialysis patient?

In patients undergoing dialysis; a normal blood pressure may be defined as the mean ambulatory blood pressure less than 135/85 mmHg during the day and less than 120/80 mmHg by night.

At what creatinine level should dialysis start?

National Kidney Foundation guidelines recommend you start dialysis when your kidney function drops to 15% or less — or if you have severe symptoms caused by your kidney disease, such as: shortness of breath, fatigue, muscle cramps, nausea or vomiting.

How do you know dialysis is working?

To see how well kidney dialysis is working, your care team can check your weight and blood pressure before and after each session. Regular blood tests, such as those measuring blood urea nitrogen and creatinine levels, and other specialized evaluations also help assess the effectiveness of treatment.

What happens after dialysis?

The dialysis treatment itself is painless. However, some patients may have a drop in their blood pressure. If this happens, you may feel sick to your stomach, vomit, have a headache or cramps. With frequent treatments, those problems usually go away.

Why is BP high after dialysis?

intradialytic hypertension is caused by an increase in stroke volume and/or vasoconstriction with an inappropriate elevation in PVR during hemodialysis; therefore, it appears plausible that stimulation of the sympathetic nervous system should contribute its development.

Does BP drop during dialysis?

A sudden drop in blood pressure while undergoing dialysis has long vexed many kidney patients. Side effects associated with this situation over the long term range from stroke to seizure to heart damage to death.

Why does BP drop during dialysis?

The dialysis machine keeps pushing, even if the water is not in your blood. And this is why you may feel awful. If your blood becomes too “dry,” your blood pressure drops. This happens if you go below your dry weight, or even if you are above your dry weight, but the extra fluid is not in your bloodstream.

What is the normal creatinine number?

Normal Results A normal result is 0.7 to 1.3 mg/dL (61.9 to 114.9 µmol/L) for men and 0.6 to 1.1 mg/dL (53 to 97.2 µmol/L) for women. Women often have a lower creatinine level than men.

What is creatinine level after dialysis?

The mean creatinine and BUN levels after cessation of dialysis were 2.85 ± 0.57 mg/dl and 29.62 ± 5.26 mg/dl, respectively, while the mean creatinine clearance calculated by 24-hour urine collection was 29.75 ± 4.78 ml/min.

What is normal creatinine for age?

Here are the normal values by age: 0.9 to 1.3 mg/dL for adult males. 0.6 to 1.1 mg/dL for adult females. 0.5 to 1.0 mg/dL for children ages 3 to 18 years.

September 20

I’ve just had my first dialysis session. I never thought it would come to this, even though I’ve had health issues ever since my heart attack back in 2006. I had treatment for obesity and hypertension and the doctors kept warning me my kidneys were failing. Months ago they told me they wanted to create a dialysis shunt in my arm, but I said no.

September 21

Today, I feel totally wiped-out. And tomorrow, I’ve got another treatment. I’m beginning to worry: How can I work when I have treatment one day and feel bad the next? Will this get any better? Why has God chosen this for me?

October 5

Because dialysis and blood cleansing are only one part of treatment for my impaired kidneys, I have to change my diet. That means less fluid intake, only a little salt, and food that is low in potassium and phosphorus. There are so many things to think of. Janie is a great cook, but this transition has made me lose all my appetite.

October 17

Here in Boston I have enrolled in a program called RightStart offered by Fresenius Medical Care North America. RightStart means one nurse is assigned to me as my case manager and shares medical knowledge with me. A dietitian helps Janie and me find out about what food I should eat and a social worker takes care of my health insurance issues.

October 19

I met my case manager. Her name is Sheryl Fletcher and she has been a nurse for 25 years. She realized that I object to the dialysis machine, and she told me: “Buddy, this machine is keeping you alive!” She also informed me about other treatment options, for example home hemodialysis, peritoneal dialysis or a kidney transplant.

November 19

My wife tells me: “I think you are depressed!”, which I deny. But she insists on it. I do admit I have a lot in my head at the moment. But when you’re on dialysis three times a week for several hours, you have a lot of time to brood over things.

December 7

I am getting used to my ‘learning materials’ – or rather to Sheryl Fletcher’s format of presenting them to me. I can discuss my work obligations and my need to travel with her. Sometimes I reflect on the time spent with her and can say, that was a good session. Overall, I am starting to feel better.

When was the final rule for end stage renal disease published?

8. Conditions for Coverage for End-Stage Renal Disease Facilities; Final Rule published in the Federal Register on April 15, 2008

What is an interdisciplinary clinical review?

Interdisciplinary Clinical Care Review: 2-page summary used by surveyors to guide their review of sampled patients’ labs and other indicators, actions that address patients’ outcomes when they are not meeting goals, and the patient education which was provided (Version 1.2)

What is ESRD 1.1?

ESRD Program Interpretive Guidance Manual Version 1.1 (10/08) is formatted as a three column table: a computer identifier tag (“V tag”); the text of the regulation; and the guidance for interpreting the regulation. For ease of navigating the Interpretive Guidance, the Conditions are hyperlinked so you can click on the page number for the Condition in the Table of Contents to navigate to that page.

How often do you have to monitor your dialysis?

Monitoring Your Labs. At least once every month, your dialysis team will draw your blood for a series of lab tests. Your doctor will compare the results to those of previous tests to monitor your dialysis treatment and determine if any adjustments are necessary.

What is the Kt/V of a dialysis patient?

While there are several tests that monitor your kidney function and overall health, Kt/V and URR are key ways to monitor the effectiveness of your dialysis treatment: Kt/V should be at least 1.2 or above —Kt/V stands for clearance multiplied by time divided by volume.

What is the URR for dialysis?

It is a percentage based on how much blood urea nitrogen (BUN) was removed during a dialysis treatment. It indicates how effectively urea and other waste products have been removed from your blood.

What should be included in a dialysis report?

This should include information about your medical conditions, treatment choices, test results, and possible problems. If this information cannot be given to you directly, the doctor should speak to your family or the person acting on your behalf. Be informed about current dialysis treatments for kidney disease.

How to be informed of dialysis side effects?

Be informed of any possible side effects of medications you are taking. Be treated with dignity, respect, and consideration. Suggest a change in the type of treatment. Expect your kidney doctor and other members of your healthcare team to listen to you when you suggest changes in your dialysis treatment.

What is the role of a dialysis center?

Your dialysis center and healthcare team are responsible for providing you with optimal treatment. The Centers for Medicare and Medicaid (CMS) regulate how dialysis centers provide care in order to make sure that safety and quality standards are met.

What to do if you refuse to pay for kidney surgery?

Accept full responsibility for the medical outcomes of your refusal. Request consultation with another doctor for any kidney or non-kidney related medical problem. Know that payment for consultation may not be covered under Medicare or other healthcare coverage, and you may be responsible for payment.

What to expect at a dialysis facility?

Expect the dialysis facility to employ skilled staff and provide safe, clean, comfortable, and professional surroundings.

When do you pay for dialysis?

Pay the dialysis facility and doctor when you receive payments from your health insurance company or medical policies.

How to make decisions about your kidneys?

Make decisions about your healthcare based on information given to you by your kidney doctor. Complete an advance directive stating your wishes. Be informed by your kidney doctor of the possible results of refusing drugs, treatments, or procedures. Be informed of how the facility handles end-of-life needs.

Dialysis Facilities

If you have a concern about the quality of care you receive or you are unsatisfied with your care at your dialysis facility:

Insurance Assistance

If you have questions about insurance coverage, or Medicare or Medicaid eligibility or benefits, contact your state’s State Health Insurance Assistance Program (SHIP).

Hospitals and Doctors

If you have a concern about the quality of care you receive from your doctor or hospital, please contact your state’s Quality Improvement Organization (QIO). You can find their contact information on our State Resources page.