Dialysis Preparations on the Day

Preparing for a dialysis session is crucial for a smooth and effective treatment. Here's a comprehensive checklist for dialysis patients on the day of their appointment:

I. Pre-Dialysis Preparations (Before Leaving Home):

• Medication Management:
  • Take prescribed medications as directed by the nephrologist, unless instructed otherwise for the day of dialysis. Be aware that some medications, such as certain blood pressure medications, may need to be held before dialysis.
  • Pack any medications you need to take during or after dialysis.
  • Create a list of all medications, including dosages, in case of emergencies.
• Nutritional Considerations:
  • Eat a light, dialysis-friendly meal or snack a few hours before the session. This helps prevent nausea and maintains blood sugar levels. Follow dietary guidelines provided by your dietitian.
  • Avoid excessive fluid intake before dialysis to minimize fluid removal during the session.
• Hygiene and Access Site Care:
  • Ensure the access site (fistula, graft, or catheter) is clean. Wash the access arm with soap and water.
  • Check the access site for signs of infection (redness, swelling, warmth, pain) or bleeding. Report any abnormalities to the dialysis staff immediately.
  • If you have a catheter, ensure the exit site dressing is clean and intact.
• Personal Comfort and Supplies:
  • Wear comfortable, loose-fitting clothing.
  • Bring a sweater or blanket, as dialysis centers can be cold.
  • Pack entertainment: books, magazines, music, or a tablet.
  • Bring necessary personal items: glasses, hearing aids, etc.
  • Pack a small snack or drink for after dialysis, if allowed.
  • Bring any required documentation, such as insurance cards or relevant medical records.
• Transportation and Timing:
  • Arrange reliable transportation to and from the dialysis center.
  • Arrive at the dialysis center on time. Punctuality ensures you receive your full treatment.
  • Allow extra travel time for traffic, or unexpected delays.
• Mental Preparation:
  • Try to relax and reduce stress before the session.
  • If you experience anxiety, consider relaxation techniques or talking to a counselor.

II. At the Dialysis Center:

• Arrival and Check-in:
  • Check in with the dialysis staff.
  • Inform the staff of any changes in your health or medications since your last session.
• Pre-Dialysis Assessment:
  • Allow the dialysis staff to weigh you and check your vital signs (blood pressure, temperature, pulse).
  • Inform the staff of any discomfort or concerns.
  • Allow the nurses to examine your access site.
• During Dialysis:
  • Remain calm and relaxed during the treatment.
  • Inform the staff immediately if you experience any discomfort or adverse reactions.
  • Follow the staff's instructions.
• Post-Dialysis:
  • Allow the dialysis staff to weigh you again and check your vital signs.
  • Follow post-dialysis instructions, including any dietary or medication adjustments.
  • Ensure the access site is properly bandaged or dressed.
  • Before leaving, confirm your next appointment time.

III. Post-Dialysis Considerations (After Returning Home):

• Rest and Recovery:
  • Rest for a few hours after dialysis, as you may feel tired.
  • Avoid strenuous activities for the rest of the day.
• Nutrition and Hydration:
  • Follow your dietitian's recommendations for post-dialysis meals and fluid intake.
  • Replenish any lost electrolytes, as advised by your healthcare team.
• Access Site Monitoring:
  • Monitor the access site for any signs of bleeding, infection, or complications.
  • Report any concerns to your dialysis center or nephrologist.
• Medication Adherence:
  • Take any prescribed medications as directed.
• Record Keeping:
  • Keep a record of your weight, blood pressure, and any symptoms you experience.
  • Document any concerns or questions to discuss with your healthcare team.

Important Notes:

• This checklist is a general guideline. Individual needs and protocols may vary.
• Always follow the specific instructions provided by your nephrologist and dialysis team.
• Communicate openly with your healthcare providers about any concerns or questions.
• Regularly attend all scheduled dialysis sessions and follow-up appointments.

By adhering to this comprehensive checklist, dialysis patients can optimize their treatment and maintain their overall well-being.