Principles and Practice of Dialysis [NOOK Book]


This book is an evidence-based review of the practical challenges of dealing with patients receiving dialysis. The first section covers technical and procedural considerations such as choosing the hemodialysis membrane and choosing the best dialysis option. The second section covers clinical considerations such as infection and the treatment of specific renal disease complications. The book includes numerous illustrations and tables and drug charts for dialysis patients.
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Principles and Practice of Dialysis

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This book is an evidence-based review of the practical challenges of dealing with patients receiving dialysis. The first section covers technical and procedural considerations such as choosing the hemodialysis membrane and choosing the best dialysis option. The second section covers clinical considerations such as infection and the treatment of specific renal disease complications. The book includes numerous illustrations and tables and drug charts for dialysis patients.
This edition's current outcomes chapter has been expanded to include patient depression and improving quality of care. New chapters cover dialysis in the ICU, valvular heart disease, and pre-emptive renal transplantation.

The book contains black-and-white illustrations.

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Editorial Reviews

David J. Leehey
This is a new book covering technical and clinical aspects of the care of dialysis patients. It is intended to be a full-length yet practical book designed to answer questions arising in the care of dialysis patients. It is divided into two sections: technical aspects of dialysis therapy, and clinical evaluation of dialysis patients. Topic coverage is fairly inclusive, but there are several omissions. Specifically, there is little discussion of indications for dialysis, and no focused discussion of technical issues such as anticoagulation and reuse. Peritoneal dialysis, especially peritoneal access, is not covered in sufficient depth. Some clinical aspects (e.g., endocrine abnormalities) are not covered. This book is aimed at clinical nephrologists and fellows and other physicians with an interest in nephrology, and the contributors are generally well known in their fields. The illustrations and tables are very good. The references are in general good, although a bit outdated (1992 and before). This is a well-written and very attractive book that has information of interest to clinical nephrologists. There are many excellent chapters, but also some omissions that limit its usefulness as a comprehensive reference in the dialysis field.
A comprehensive reference-text, providing dialysis practitioners, trainees, and students with current information about the most pressing issues confronting the practice of dialysis today. The volume is divided into two main sections. The first is devoted to technical and procedural considerations in dialytic therapy, and the second provides an approach to many of the common clinical disturbances present in dialysis patients. The emphasis throughout is on providing practical information and a reasonable approach to the clinical problems dialysis practice routinely presents. Annotation c. Book News, Inc., Portland, OR (
Doody's Review Service
Reviewer: Mony Fraer, MD, FACP, FASN (University of Iowa Hospitals and Clinics)
Description: This is the fourth edition of a well-known, comprehensive update of the procedural, theoretical, and clinical aspects of dialysis therapy. Over the span of 40 chapters, with a total of 710 pages, the book covers most aspects related to the evaluation and management of dialysis patients. The information is clinically oriented and the book has kept the same format as the previous edition.
Purpose: As the title states, the intent is to cover the principles and practice of dialysis, while maintaining a balance between clarity, scholarship, and practicality. For example, out of the many good chapters, I liked in particular the ones on choosing the best dialysis options for patients with end-stage kidney disease (where peritoneal and hemodialysis are compared) or for patients with acute renal failure. This differentiates it from other books on dialysis. It is fairly inclusive, but not overly detailed compared to Clinical Dialysis, 4th edition, Nissenson and Fine (McGraw-Hill, 2005). Also, although the clinical decision making process is discussed, it's purpose is not to offer bedside, immediate answers, like Oxford Handbook of Dialysis, 3rd edition (Oxford University Press, 2009), or Handbook of Dialysis Therapy, 4th edition, Nissenson and Fine (Elsevier, 2008). Neither is it as technical as the Handbook of Dialysis, 4th edition (Lippincott Williams & Wilkins, 2007), Daugirdas et al.
Audience: This is a valuable educational tool and desk reference for nephrologists, nephrology trainees, and dialysis staff. It can be used both by academicians and practicing clinicians. Of the more than 70 international contributors, some who are well known experts in the field, there are also specialists in neurology, clinical nutrition, ethics, pediatrics, and infectious diseases, as well as pharmacists.
Features: The black-and-white diagrams, drug charts, and tables are well executed and easy to follow, although the book would have benefited from more figures. The 15-page subject index is comprehensive and the reference lists are updated. A few standalone chapters have been eliminated and those topics included in other chapters (beta-2-microglobulin-associated amyloidosis of end-stage renal disease and recirculation in the hemodialysis access). Another chapter that was eliminated was on acquired cystic kidney disease in dialysis patients. Some of the important topics that were preserved from the previous edition include outcomes, quality of life, rehabilitation, and preparation for transplantation. The care of acute and chronic patients, children (two chapters), and the elderly, as well as peritoneal dialysis (three chapters) and hemodialysis patients are highlighted.
Assessment: This is a well-written and easy to read evidence-based review. For future editions, the editor should consider changing the order of a few chapters that seem to be out of sequence: infections in peritoneal dialysis patients, dialytic therapy for renal failure in diabetics, oxidative stress, and inflammation and immune dysfunction. Also, it may be worthwhile to add a few topics like peritoneal membrane physiology and access devices as well as complications during dialysis.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781451148725
  • Publisher: Wolters Kluwer Health
  • Publication date: 2/3/2012
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 4
  • Pages: 752
  • File size: 22 MB
  • Note: This product may take a few minutes to download.

Table of Contents

Contributing Authors
1 Choice of the Hemodialysis Membrane 1
2 Reuse of Hemodialysis Membranes in Chronic Dialysis Therapy 16
3 Dialysate Composition in Hemodialysis and Peritoneal Dialysis 28
4 Hemodialysis Vascular Access 45
5 Recirculation in the Hemodialysis Access 64
6 Anticoagulation Strategies During Hemodialysis Procedures 73
7 Approach to Hemodialysis Kinetic Modeling 82
8 Choosing the Best Dialysis Options in the Patient with Chronic Renal Failure 103
9 Hemodialysis Adequacy and the Timing of Dialysis Initiation 111
10 High-flux, High-efficiency Procedures 128
11 Longer Time Dialysis-Nocturnal Dialysis 137
12 Prescribing Drugs for Dialysis Patients 147
13 Continuous Dialysis Therapeutic Techniques 162
14 Adequacy of Peritoneal Dialysis 181
15 Causes, Diagnosis, and Treatment of Peritoneal Membrane Failure 206
16 Hypertension in Dialysis Patients 227
17 Left Ventricular Dysfunction in Dialysis Patients 257
18 Coronary Artery Disease in End-Stage Renal Disease Patients 268
19 Autonomic Neuropathy and Hemodynamic Stability in End-stage Renal Disease Patients 282
20 Oxidant Stress in End-stage Renal Disease 296
21 Infection and Immunity in End-stage Renal Disease 307
22 Hepatitis and Human Immunodeficiency Virus Infections in End-stage Renal Disease Patients 323
23 [beta][subscript 2]-Microglobulin-associated Amyloidosis of End-stage Renal Disease 352
24 Endocrine Disorders in Dialysis Patients 362
25 Gastrointestinal Complications in End-stage Renal Disease 374
26 Renal Osteodystrophy 381
27 Acid-base Considerations in End-stage Renal Disease 393
28 Dyslipidemia in Dialysis Patients 408
29 Dialysis Considerations in the Patient with Acute Renal Failure: ICU Dialysis 420
30 Malnutrition and Intradialytic Parenteral Nutrition in End-stage Renal Disease Patients 441
31 Disorders of Hemostasis in Dialysis Patients 453
32 Treatment of Anemia in Dialysis Patients 464
33 Neurologic Complications Associated with Dialysis and Chronic Renal Insufficiency 502
34 Acquired Cystic Kidney Disease in Dialysis Patients 513
35 The Geriatric Dialysis Patient 524
36 Diabetic Dialysis Patients 543
37 Quality of Life nd Rehabilitation in Dialysis Patients 556
38 Extracorporeal Methods in the Treatment of Poisoning 570
39 Chronic Dialysis in Children 592
40 Acute Dialysis in Children 617
41 Infections in Patients on Peritoneal Dialysis 629
42 Preparing Dialysis Patients for Renal Transplantation 648
43 Current Outcomes for Dialysis Patients 662
Subject Index 673
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