lithium, salicylates) Overload (fluid overload, pulmonary edema) Uremia (encephalopathy, pericarditis) Principle Blood flows through a semipermeable membrane Exchange occurs by: Diffusion solute removal Ultrafiltration fluid removal Vascular access Arteriovenous fistula (AVF) best (lowest infection risk) Arteriovenous graft Central venous catheter (temporary) Procedure Usually 3 sessions per week Each session lasts 35 hours Anticoagulation (heparin) often used Complications Acute Hypotension (most common) Muscle cramps Headache, nausea Dialysis disequilibrium syndrome Chronic Infection (especially catheters) Thrombosis of access Anemia Bone disease (renal osteodystrophy) Advantages Rapid solute and fluid removal Effective in emergencies Disadvantages Requires hospital or dialysis center Vascular access complications Less continuous than peritoneal dialysis AV fistula = best long-term access AEIOU = emergency dialysis indications Sudden headache + confusion post-dialysis dialysis disequllibrium To view or add a comment, sign in Oral Manifestations of Diabetes 1

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