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Hemodialysis: Treatment and Complications

Author: Noah Carpenter, MD and Dana Bartlett, RN, BSN, MSN, MA, CSPI

CE: 2.5 hours Pharmacology: 0.5 hour
Rated 4.7 out of 5.0 based on 3940 reviews

Course Summary

The kidneys regulate blood pressure, maintain blood pH levels, excrete metabolic by-products, produce erythropoietin, and support bone health. When this function fails, dialysis may be used as treatment following an assessment of the patient’s clinical presentation. Vascular access for hemodialysis can be achieved through arteriovenous fistula, arteriovenous graft, and central venous catheter. Complications of hemodialysis treatment include hypotension, cramps, nausea and vomiting, headache, chest pain, back pain, itching, fever and chills.

Course Format


Course Syllabus

I.       Introduction
II.      Renal Disease and Replacement Therapy
1.      Biomarkers
2.      Acute Renal Failure
3.      Chronic Kidney Disease
III.      Preparing the Patient for Hemodialysis
1.      Vascular Access Devices
2.      Hemodialysis Catheter
3.      Arteriovenous Fistula (AVF) Procedure
4.      Arteriovenous Graft (AV graft) Procedure
5.      Vascular Access Selection
6.      Dialysate
7.      Dialysis Machine
IV.      Process of Hemodialysis
1.      Dialysis Duration and Frequency
2.      TIME Trial
3.      Home Hemodialysis
4.      Nocturnal Hemodialysis
V.        Hemodialysis Complications
1.      Hypotension
2.      Chest Pain
3.      Dialysis Disequilibrium
4.      Hemolysis
VI.       Vascular Access Device Complications
1.      Venous Needle Dislodgement
2.      Infection
VII.      Case Study: End-stage Renal Dialysis and Rural Health
VIII.    Summary


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