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Peresonal development and life long learning - Essay Example

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Patients with chronic renal failure present a grave condition which has to be continuously monitored in an advanced medical facility and haemodialysis is an oft repeated procedure which has to be carried out with meticulous care and expertise. Cuffed, tunnelled dual lumen…
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Peresonal development and life long learning
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Download file to see previous pages Minimization of infection due to catheters, improvement of flow rate and the prevention of thrombo-embolism are some of the factors which have determined research activities in this area (Lok, 2006). As the intensity of catheterization has doubled since their initial use the risk of occurrence of complications arising due to such procedures has also increased which can put tremendous stress on the patients’ health as well as finances. Catheterization has a significant effect on the clinical outcome in such patients due to the high incidence of morbidity and mortality (Tal & Ni, 2008).
A variety of anticoagulants have been used in the CVCs to prevent thrombo-embolism and anticoagulant management in haemodialysis in itself is a vital area of therapeutic intervention per se in dialysis patients (Lo et al, 2005). Dialysis patients are prone to venous thromboembolism as well as atrial fibrillation and warfarin and low-molecular weight heparins are frequently used in such cases (Lo et al, 2005). Patients with end stage renal disease (ESRD) are more prone to a hypercoagulable state due to the development of a biochemical milieu in which there is elevation of particular prothrombin fragments and thrombin-antithrombin complexes (Lo et al, 2005). This necessitates effective control measures in such patients for the control of embolus formation all along the course of haemodialysis. Sodium citrate and heparin in various forms are the preferred agents for prevention of embolus formation in patients undergoing haemodialysis due to renal impairment. Continuous renal replacement therapy (CRRT) is frequently used as a preventive measure in high risk kidney patients (Bagshaw et al, 2005).
When CVCs are used in patients undergoing haemodialysis, thrombosis at the catheter surface itself poses a big problem which affects dialysis quality as well as catheter survival (Grudzinski et al, 2006). A study by these authors has attempted to weigh the pros ...Download file to see next pagesRead More
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