By Roger Gabriel (auth.)
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Additional resources for A Patient’s Guide to Dialysis and Transplantation
M. m. This is because normal kidneys have the ability to reduce the l]uantity of urine produced during thc hours of sleep. Damaged kidneys lose this ability and produce urine at an increased rate in an effort to remove some of the persistently raised quantities of waste products in the blood. The extra amount of urine being made continues throughout the night hours and the person is wakened with a full bladder two or three times. (5) Sickness. The last stages of renal failure are often very unpleasant because of the development of a feeling of sickness.
The patient also measures and reeords his blood pressure lying down and standing up. (6) A sterile tray is prepared eontammg items that will be required for 'needling'. These are gauze swabs and a few small dishes in which are plaeed a skin antiseptie solution and a dilute solution of heparin. This is ealled heparin-saline. A few syringes and needles are plaeed on the tray together with the 'arterial' and 'venous' needles (see page 43). Loeal anaesthetie is sueked into one syringe and two others are filled with heparin-saline solution.
Thus they will have time to get used to the prospect of dia lysis and gain some idea of the restriction that it will place on their life. However advanced chronic renal failure may creep on unknown, so that dia lysis may be necessary shortly after the diagnosis is made. For people in this group the sudden change in the way of life may be a major shock. Over aperiod of a few weeks a person has to change from independent life to one of frequent visits to hospital and treatment by a dia lysis machine.
A Patient’s Guide to Dialysis and Transplantation by Roger Gabriel (auth.)