The treatment of one patient with acute kidney failure (acute kidney injury) needs strict attention to body fluids, acid/base, and electrolytes
The treatment of one patient with acute kidney failure (called also acute kidney injury) needs strict attention to body fluids, acid/base, and electrolyte (sodium, potassium, etc..), in addition to removing the accumulated uremic toxins. Despite this type of dialysis has been overlooked in the management of patients in need for dialytic support, acute peritoneal dialysis remains a vital choice dedicated for management of acute kidney failure. Examples of cases that peritoneal dialysis is preferred may include:
1) Patients with unstable hemodynamic states (low blood pressure with weak heart power and poor circulation).
2) Abnormal blood coagulation profile (bleeding tendency).
3) Lack of other dialysis options (difficulty in hemodialysis).
In comparison to other dialysis modalities, peritoneal dialysis owns many advantages as renal replacement therapy (modality that replace the kidney function). These advantage may include the following:
1) It is widely available,
2) Easily performed.
3) Easy access placement.
4) The possibility of removal of large amounts of fluids that is particularly beneficial in hemodynamically unstable (low blood pressure and poor circulation) cases.
5) Smooth and very gradual normalization of acid-base and electrolyte disturbances.
6) Administration of anticoagulating medications is not required, and
7) It is highly biocompatible (in accordance with the normal body physiology).