The choice between hemo or peritoneal dialysis is influenced by a number of considerations such as availability, convenience, underlying medical problems home situation, and age.
This choice is best made by discussing the risks and benefits of each type of dialysis with your dialysis specialist in Delhi and his support staff.
When to start dialysis?
It is recommended by a nephrologist in Delhi that dialysis begin well before kidneys disease has advanced to the point where life-threatening complication affecting the brain, heart, and lungs occurs. If one starts dialysis very late, then the quality of life is not significantly improved even after receiving regular dialysis.
Emergency dialysis is usually given when
- Blood tests reveal very high BUN/Serum Creatinine
- A patient has severe shortness of breath due to –
- Fluid overload
- Severe metabolic acidosis
- Life-threatening hyperkalemia (high potassium levels in the blood)
- Bleeding diathesis due to uremia
- Pericarditis, i.e. fluid collection around the heart
- A patient is an altered mental state or has motor weakness due to the involvement of nerves.
However, a patient is advised to go for early dialysis electively and not to wait for an emergency, as the emergency dialysis has much higher mortality and morbidity risks.