NOCTURNAL DIALYSIS

LEARNED SOMETHING NEW TODAY...

.....For patients who perform nocturnal dialysis at home five to six nights per week, there appears to be less of a problem with anemia and blood pressure is often found to be easier to control, which has been attributed to longer dialysis sessions.....

http://www.davita.com/treatment-options/in-center-nocturnal-dialysis/what-is-nocturnal-dialysis/in-center-nocturnal-dialysis-and-your-kidney-diet/t/5607

 

So much to digest.  I was wondering if I should do HD or PD.  Still deciding.  Too much to consider.  But, I am trudging through this information.  So glad I found this site now that when the time is here.  I think the more I know the more accepting I will be of dialysis.

 

Did not know a person can do dialysis at night at a center.
In-center nocturnal dialysis is hemodialysis done in a dialysis center during the night while patients with chronic kidney disease (CKD) sleep. Generally, people on in-center nocturnal dialysis arrive at the dialysis center in the evening and receive approximately eight hours of dialysis treatment. They sleep at the clinic three nights a week while they dialyze on the dialysis machine......

 

WOW!

 

Main components of the in-center nocturnal dialysis diet

http://www.davita.com/treatment-options/in-center-nocturnal-dialysis/what-is-nocturnal-dialysis/in-center-nocturnal-dialysis-and-your-kidney-diet/t/5607

Although everyone is unique and dialysis diets vary, there are some main components that most dialysis patients should consider.

• Protein - Protein intake is important for dialysis patients to keep their albumin levels up. Albumin is a protein that helps the body stay healthy, and it's used as a measure of nutrition for dialysis patients. People on in-center nocturnal dialysis generally have healthy albumin levels and less difficulty maintaining normal albumin. Your dietitian will work with you to determine how much protein you need.

• Sodium - High sodium intake can cause thirst and fluid retention. The result of this may be shortness of breath and congestive heart failure. In addition, dialysis treatments for patients with too much fluid retention can be difficult due to drops in blood pressure and cramping as the extra fluid is removed. Yet those who choose the in-center nocturnal dialysis can be gentler, because fluid is removed more slowly with little chance of a dialysis patient feeling exhausted after treatment.

  People on in-center nocturnal dialysis may be able to have more sodium than people on traditional hemodialysis. Your renal dietitian will consider your residual kidney function and any other conditions such as water gain between treatments, signs of water retention, hypertension and cardiovascular disease when determining how much sodium you should have.

• Fluid - Because people on in-center nocturnal dialysis have longer treatment periods, they may be able to have more fluid than people on traditional hemodialysis. Your nurse and dietitian will work with you to determine how much fluid is safe for you to consume on a daily basis. They will let you know the amount of water weight you should gain between dialysis treatments.

• Calories - When you are at a healthy weight, you often feel your best. That's why it's important to get the right amount of calories to maintain a healthy weight. People on nocturnal dialysis generally have healthier appetites than in-center hemodialysis patients and, therefore, more frequently meet daily calorie requirements. In fact, some may have such a healthy appetite that it causes them to eat more calories than their bodies need. As a result, they may gain extra body fat, which can be unhealthy. These patients must still work to eat a healthy diet, avoid over eating and include exercise to maintain a healthy body weight.

• Potassium - High levels of potassium can be life threatening for dialysis patients. Therefore, it's important for all dialysis patients to follow their dietitian's guidelines for potassium consumption. Nocturnal dialysis patients may not have to limit potassium as much as someone on traditional hemodialysis. Lab results for potassium will determine how liberal the diet can be with nocturnal dialysis.

• Phosphorus - Phosphorus is one of the biggest dietary challenges most dialysis patients face because dialysis does not remove large amounts of phosphorus. Medicines called phosphorus binders must be taken with food to bind phosphorus that dialysis cannot remove. Phosphorus binders are prescribed by your doctor and you should take it as instructed. A low phosphorus diet is 800 to 1,000 mg. People on in-center nocturnal dialysis will generally be advised to limit foods containing the most phosphorus. For some people phosphorus control is easier on nocturnal dialysis. The number of phosphorus binders may be reduced.

• Renal vitamins - Water soluble vitamins are lost from the blood during the dialysis treatment. It's important to continue taking a renal vitamin each day, after dialysis on treatment days.