Please respond to my peer discussion, thank
Please respond to my peer discussion, thank you Explain the different types of dialysis and how they are used. Types of dialysis: hemodialysis and peritoneal, which both work to filter the blood to rid of harmful wastes, extra salt, and water (U.S. National Library, 2018). There are two types of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis. The difference is that CAPD does not use a machine, while automated peritoneal dialysis uses a machine. Peritoneal dialysis works by using the lining of the abdomen or belly to filter the blood inside the body; after starting the process, a surgeon places a soft tube in your belly called a catheter. The dialysis solution comprises a salt, water, and other additives and flows from the bag through the catheter into the belly. Once the bag is empty, you may disconnect it and place a cap on the catheter to move around and go on to normal activities. After a few hours, the solution/waste is drained out of the belly into the empty bag and can be disposed of in the toilet or tub. On the other hand, automated peritoneal dialysis uses a machine called a cycler that fills and empties the belly 3-5 times at night, and the next day you begin it with a new solution. In hemodialysis, the blood goes through a dialyzer filter called an “artificial kidney.” A dialysis nurse or technician places two needles in the arm, each attached to a soft tube connected to the dialysis machine. The dialysis machine pumps blood through the filter and returns the blood to the body. Through this filter, blood enters through fragile hollow fibers, and the dialysis solution passes in the opposite direction on the outside of the fibers, resulting In waste products from the blood moving into the dialysis solution. During sepsis, vasodilation occurs, leading to hypotension, resulting in a decrease in blood perfusion to the kidneys, leading to Mr. Fallbrook’s pre-renal acute injury. References U.S. Department of Health and Human Services. (2018, January). Peritoneal Dialysis. National Institute of Diabetes and Digestive and U.S. National Library of Medicine. (2021, May 20). Dialysis | Hemodialysis | Peritoneal dialysis. MedlinePlus. Research the medication Enalapril. Explain its uses, dosage, and side effects. As said in Episode 6, Enalapril is an angiotensin-converting enzyme (ACE) inhibitor. ACE inhibitors assist with relaxing the veins and arteries to lower blood pressure. Nurse Sara mentions in his medical history that Mr. Fallbrook had heart failure ten years ago, hypertension for 14 years, and osteoarthritis for five years. Enalapril is most known and widely used to treat hypertension and heart failure and is available in the following dosage forms: tablet and solution. Oral dosages for high blood pressure (for adults) at first is 5 milligrams once a day; for children, one month of age and older, dosage depends on body weight and from the doctor, and for children younger than one month of age, is not recommended to take it (Mayoclinic, 2021). Hypertension adds to the workload of the heart and arteries; if it persists, the heart and arteries may not function properly (Mayoclinic, 2021). Therefore, he is given Enalapril to treat hypertension. Enalapril comes with a list of side effects. The more common ones include blurred vision, confusion, dizziness, faintness, lightheadedness when suddenly getting up from a lying or sitting position, sweating, and unusual tiredness or weakness. The less common side effect includes chest pain, cough-producing mucus, diarrhea, difficult or labored breathing, fainting, fever or chills, nausea, sneezing, sore throat, tightness in the chest, and vomiting (Mayoclinic, 2021).
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