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 concern doctors and his support staff.
When to start dialysis?
It is recommended that dialysis begin well before kidneys disease has advance to the point where life threatening complication effecting the brain, heart and lungs occur. 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
- Patient has severe shortness of breath due to –
- Fluid overload
- Sever metabolic acidosis
- Life threatening hyperkalemia (high potassium levels in blood)
- Bleeding diathesis due to uremia
- Pericarditis, i.e. fluid collection around the heart
- Patient is in altered mental state or has motor weakness due to 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.