Preparing for Your First Dialysis Treatment

Starting dialysis can feel overwhelming. Knowing what to expect, how to prepare and what to bring can make the first session calmer and more comfortable.

Before your first session

For haemodialysis, an access is usually created some weeks before: most often an arteriovenous fistula in the arm, made during minor surgery. A fistula needs time to mature, often 6 weeks or more. Follow your surgeon's instructions, do the exercises you are given and protect the arm. For peritoneal dialysis, a catheter is placed in the abdomen, which also needs time to heal.

Medical preparation

• Blood tests to set your baseline and check for infections
• A heart check if needed
• Vaccinations, especially against hepatitis B
• A meeting with a renal dietitian

What to bring

• Comfortable clothes that give easy access to your arm or catheter
• A light blanket or cardigan, as centres can be cool
• Something to pass the time: a book, a tablet, headphones
• A snack approved by your dietitian
• The list of your medicines
• Your insurance documents
• A notebook for questions

Emotional preparation

Feeling anxious is completely normal. Talk to your care team about your worries. Pre-dialysis education sessions, a visit to the centre or meeting experienced patients can help.

During the first session

Arrive early. The nurses weigh you to calculate how much fluid to remove, take your blood pressure and explain each step. The first session may be shorter and gentler. Do not hesitate to ask questions.

After the session

Plan to rest. Tiredness is common at first. Keep the access site clean and dry, and report heavy bleeding, severe cramps, chest pain or breathing difficulties at once. Most patients find that sessions quickly become routine.

Sources

• National Kidney Foundation – Hemodialysis

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