The treatment of one patient with acute kidney failure (acute kidney injury) needs strict attention to body fluids, acid/base, and electrolytes
Peritoneal dialysis in treatment of acute kidney failure.
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).