2.  HEMO and PERITONEAL DIALYSIS  HEMO DIALYSIS  2-3 times per week  3-4 times per week  2-3 hours per day  A hemo dialysis is need a machine called DIALYZER with contain a drug called heparin which an anti coagulant drug.  It connects the tube to forearm, femural, and jugular/subclavian vein.

3.  Artery carries blood away to you. The blood is dirty while Vein it carries blood towards to you because it uses a machine to clean your blood. AV Shunt Fistula to check the patency palpate by your hands and auscultate using a stethoscope, an instrument use in blood pressure.. ARM PRECAUTION NO BLOOD PRESSURE NO INTRAMUSCULAR NO TRAUMA NO VENIPUNCTURE BY IV CANNULA THE DISEASE THAT CCAUSE IN THIS DIALYSIS IS SESPIS OR INFECTION. SEPTESEMIA -FEVER AND CHILLS

4.  PERITONEAL DIALYSIS  There is no machine here, Drug use only called DIALYZATE. A catheter named is Tro car Catheter. The procedure is done below the umbilicus, But before doing this procedure, First empty the bladder to fell the comfortable of the patient.  There are the three stages of peritoneal dialysis: = Inflow- thru trocar catheter - dialyzate(liquid) - the drug that insert to your body is 1-2 liter. - it takes 10-20 minutes. = Dwell - the drug is in the body. It takes 30-45 minutes. = Outflow- Drainage The color of urine should be clear/pale yellow which is normal.

5.  If it is abnormal the color of urine is cloudy which have an peritonitis, then it will become board like abdomen, abdominal gravuty and last abdominal pain.  The disease the cause in Peritoneal Dialysis is called PERITONITIS.

7.  KIDNEY TRANSPLANT  Two types:  DONOR and RECEPIENT  Two types of Donor:  Living and Cadaver  Two types of living:  Relative and Stranger while Cadaver there are two types: brain death and circulatory death but commonly the best cadaver that you get a kidney is the brain death.  Nephrectomy- flank approach removal of kidneys.

8. Induction of Potent Immuno suppresants to prevent organ rejection. Maintenance drug for life is Cyclosporine Baxiliximab: immunosuppresants Managements: Avoid Contact Sports like basketball Diet Prevent Infecton Prevent Bleeding

9. Kidney transplant

10. PREPARED BY: CRISTIAN SELZO