PURPOSE Hemodialysis in patients with chronic liver disease and ascites may be complicated by intradialytic hypotension, limiting the amount of ultrafiltration and resulting in massive ascites. Successful maintenance peritoneal dialysis (PD) has not been previously reported as an alternative to hemodialysis in this population. PATIENTS AND METHODS Nine patients with chronic renal failure, chr...

Potassium is abundant in the ICF compartment in the body and its excretion primarily depends on renal (about 90%), and to a lesser extent (about 10%) on colonic excretion. Total body potassium approximated to 50mmol/kg body weight and 2% of total body potassium is in the ECF compartment and 98% of it in the intracellular compartment.Dyskalemia is a frequent electrolyte imbalance observed among ...

Objective: To elicit quality of life chronic kidney disease (CKD) patients with routine hemodialysis receiving erythropoietin from clinical and humanistic outcome, to analysis characteristic factors Hb, fatique the (QOL) CKD hemodialysis, explore change in QOL over one month for managed hospitals. Methods: A prospective study was conducted among adult Haji Adam Malik Hospital Medan. measured us...

Patients on hemodialysis have a high incidence of cardiac morbidity and mortality, and echocardiographic evidence of hemodialysis-related myocardial stunning supports a potential link between the hemodialysis treatment itself and cardiac sequelae. Fluid removal rates exceeding 13 mL/kg/hour during hemodialysis have been implicated in the development of myocardial stunning. Providers caring for ...

Chronic renal failure is a clinical condition characterized by an irreversible decline in function requiring hemodialysis therapy or kidney transplantation. Routine for CRF patients at risk of negatively affecting self-concept. Bibliotherapy the Prophet Ayub story to increase patient's understanding himself, broaden his cultural horizons, and provide various emotional experiences expected more ...

Background: Cardiovascular alterations include atherosclerosis, calcification, heart failure, diastolic and systolic dysfunction, stroke are a primary cause of mortality in people with CKD ESRD. Individuals have been demonstrated to increased serum levels visfatin. A new study suggests that high visfatin individuals chronic kidney disease accurately predict cardiovascular abnormalities. Chronic...

Delayed onset low molecular weight heparin induced skin necrosis is a rare adverse event. It usually occurs at the site of injection, and typically develops within 2 weeks starting therapy. However, in our case, we presented 62-year-old woman who on Hemodialysis twice week. Her hemodialysis prescription included Enoxaparine 0.2 cc IV as anticoagulant. On her third month regular hemodialysis, sh...