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By Roger Gabriel (auth.)

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Additional info for A Patient’s Guide to Dialysis and Transplantation

Sample text

After needling, the needles and the tubes connected to them are secured to the patient's arm with sticky tape. 43 PRINCIPLES OF DIALYSIS 'Arterial' needle and li n e I 'Venous ' . 7 An arm fistula with both needles inserted Principles of Haemodialysis There are many different types of kidney machine but all have essential features in common. 8. The tubes through which the blood passes are called 'lines'. Blood flows from the arm to the dialyser by the arterial line and from the dialyser back to the arm via the venous line.

Technique of Dialysis The technique of dialysis varies in detail from unit to unit. In this section an outline of the procedure is given. Details have to be learnt in each unit. Foul' new definitions are needed. It mayaIso be necessary to look at the previous chapter or the glossary (page 11) for the meaning of other technical terms. Saline This is a mixture of water and sah. 'Normal' saline contains sah in about the same amounts as is found in human blood. Saline is delivered to hospitals in sterile plastic containers or plastic bags.

Two tablespoons full of cooking salt are put in the left-hand side of the beaker. At first there will be no salt in the right side of the beaker. After a few hours the amowlt of cooking salt in both halves of the beaker will be equal. This is because the molecules of the salt will diffuse across the semipermeable membrane. It is the diffusion characteristic of the semipermeable membrane which makes haemodialysis possible. 4 shows another beaker. The left-hand side is filled with blood taken from a person with chronic renal failure.

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