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Renal Modalities - Coggle Diagram
Renal Modalities
Critical Care Dialysis
SLED
Advantages (+)
Treatment-free intervals between sessions
Better hemodynamic tolerance than conventional HD
Disadvantages (-)
Prolonged treatment sessions
CRRT
Disadvantages (-)
Anticoagulation-related risks
Requires specialized equipment and continuous monitoring
Advantages (+)
Continuous fluid and electrolyte control
Gradual fluid removal; better hemodynamic tolerance
Hemodialysis (HD)
Home HD
Advantages (+)
Flexible treatment scheduling
Reduced travel
Disadvantages (-)
Specialized training required
Equipment and storage needs
In-Centre HD :
Disadvantages (-)
Fixed schedule and travel
Advantages (+)
No home equipment required
Professional monitoring and support
Shared Disadvantages (Both HD Modalities)
Hypotension and muscle cramps
Vascular access complications: infection, bleeding, clotting
Conservative Kidney Management (CKM)
Disadvantages (-)
Does not replace lost kidney function
Symptoms may worsen over time
Advantages (+)
Prioritizes comfort and quality of life
Avoids dialysis-related treatment burden
Peritoneal Dialysis (PD)
APD (Automated Exchanges)
Advantages (+)
Greater daytime freedom
Disadvantages (-)
Cycler and electricity required
Sleep interruptions from alarms
CAPD (Manual Exchanges)
Disadvantages (-)
Multiple manual daily exchanges
Clean exchange environment required
Advantages (+)
Flexible locations and scheduling
No automated cycler required
Shared Complications
Hernias and glucose-related weight gain
Peritonitis and catheter infections
Kidney Transplantation
Deceased-Donor Transplant
Advantage (+)
No living donor required
Disadvantages (-)
Higher risk of delayed graft function
Longer, unpredictable waiting time
Living-Donor Transplant
Disadvantages (-)
Surgical risks to donor
Suitable living donor required
Advantages (+)
Surgery can be scheduled
Shorter waiting time
Shared Advantages
Improved quality of life for many recipients
No routine dialysis
Shared Complications
Lifelong immunosuppression and infection risk
Rejection and possible graft failure
