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Ch.9 Solutions
McMurry - Fundamentals of GOB 8th Edition
McMurry8th EditionFundamentals of GOBISBN: 9780134015187Not the one you use?Change textbook
Chapter 9, Problem 101a

Research information related to dialysis and answer the following questions:
a. What is the difference between hemodialysis and peritoneal dialysis?

Verified step by step guidance
1
Understand the concept of dialysis: Dialysis is a medical process used to remove waste products and excess fluids from the blood when the kidneys are not functioning properly. It relies on the principles of diffusion and osmosis across a semipermeable membrane.
Define hemodialysis: Hemodialysis involves the use of a machine and an artificial semipermeable membrane (dialyzer) to filter the blood. Blood is drawn from the patient, passed through the dialyzer where waste products and excess fluids are removed, and then returned to the body.
Define peritoneal dialysis: Peritoneal dialysis uses the peritoneum, a natural semipermeable membrane lining the abdominal cavity, as the filter. A dialysis solution is introduced into the abdominal cavity, where it absorbs waste products and excess fluids from the blood through the peritoneal membrane. The solution is then drained and replaced.
Compare the processes: Hemodialysis requires access to the bloodstream (via a fistula, graft, or catheter) and is typically performed in a clinical setting, while peritoneal dialysis can be done at home and involves the abdominal cavity rather than direct blood access.
Summarize the key differences: Hemodialysis uses an external machine and artificial membrane, is often performed in a clinic, and requires regular visits. Peritoneal dialysis uses the body's peritoneal membrane, can be done at home, and involves a more continuous process of waste removal.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Hemodialysis

Hemodialysis is a medical procedure that uses a machine to filter waste and excess fluids from the blood when the kidneys are unable to perform this function. During the process, blood is drawn from the body, passed through a dialyzer (artificial kidney), and then returned to the body. This treatment typically occurs in a clinic or hospital setting and usually requires sessions lasting several hours, several times a week.

Peritoneal Dialysis

Peritoneal dialysis is a type of dialysis that uses the lining of the abdomen, known as the peritoneum, as a natural filter to remove waste and excess fluids. A sterile solution is introduced into the abdominal cavity through a catheter, allowing waste products to diffuse into the solution. This method can be performed at home and offers more flexibility, as it can be done continuously throughout the day or overnight.

Key Differences

The primary differences between hemodialysis and peritoneal dialysis lie in their methods and settings. Hemodialysis requires a machine and is typically performed in a clinical environment, while peritoneal dialysis is a more flexible, home-based treatment that utilizes the body's own peritoneal membrane. Additionally, hemodialysis generally requires fewer sessions per week but can be more time-consuming per session, whereas peritoneal dialysis allows for continuous treatment but may require daily management.
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