NephroMed Asia Dialysis Center - SM Center Antipolo Downtown

14/07/2026

We Are Hiring! Join Our Growing Team 🚀
We are looking for dedicated, passionate, and detail-oriented professionals to fill the following positions:

HD NURSE
UTILITY MAINTENANCE

Click the link to apply:
https://docs.google.com/forms/d/e/1FAIpQLSdSat3sRm2sD8VV8Qj31VnfeKjifwKUeW3tsjd2tiS1FEp87Q/viewform?usp=header

07/07/2026

Are you looking for a Dialysis Center?
We got you‼☺

We are still accepting patients!
📍Visit us at 3rd floor SM Center Antipolo Downtown (Former SM Cherry Antipolo) Marcos Highway, Brgy. Mayamot, Antipolo City
📞Contact us at 09624153749 See less

03/07/2026

Are you looking for a Dialysis Center?
We got you‼☺

We are still accepting patients!

📍Visit us at 3rd floor SM Center Antipolo Downtown (Former SM Cherry Antipolo) Marcos Highway, Brgy. Mayamot, Antipolo City
📞Contact us at 09624153749

19/06/2026

Happy Birthday, Sir Pau! 🥳🩵🎉

Wishing you a fantastic day filled with celebration and well-deserved rest. Thank you for your exceptional leadership, vision, and dedication in steering Isyote Amman Corp. to new heights. May the year ahead bring you continued success, good health, and great fulfillment both personally and professionally.

Cheers to another brilliant year! 🎂🎉

05/06/2026

Hemoperfusion

Hemoperfusion: Indications and Process

What is Hemoperfusion?

Hemoperfusion is an extracorporeal blood purification technique in which blood passes through a cartridge containing an adsorbent material (usually activated charcoal or resin). Toxins bind to the adsorbent and are removed from the blood.

Unlike hemodialysis, which removes substances by diffusion, hemoperfusion removes substances through adsorption.

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Indications for Hemoperfusion

1. Drug and Poison Overdose

Most commonly used for poisoning by substances that:

Have a large molecular weight

Are highly protein-bound

Have a low volume of distribution

Examples:

Theophylline toxicity

Carbamazepine overdose

Phenobarbital poisoning

Paraquat poisoning (early intervention)

Some pesticide intoxications

2. Acute Liver Failure

Used as an adjunct therapy to remove:

Bilirubin

Bile acids

Inflammatory mediators

Ammonia (in some combined systems)

3. Severe Sepsis or Septic Shock

Certain hemoperfusion cartridges can adsorb:

Cytokines

Endotoxins

Inflammatory mediators

Examples include:

Cytokine adsorption therapy

Endotoxin removal therapy

4. Chronic Kidney Disease (Selected Cases)

Special adsorption cartridges may help remove:

β2-microglobulin

Middle molecules

Protein-bound uremic toxins

Usually combined with hemodialysis rather than used alone.

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Hemoperfusion Process

Step 1: Vascular Access

Blood is obtained through:

AV fistula

AV graft

Temporary or tunneled dialysis catheter

Step 2: Blood Pump

The dialysis machine pumps blood through the extracorporeal circuit.

Step 3: Adsorbent Cartridge

Blood enters the hemoperfusion cartridge.

Inside the cartridge:

Activated charcoal or resin beads are present.

Toxins adhere to the adsorbent surface.

Cleaned blood exits the cartridge.

Step 4: Return to Patient

The purified blood returns to the patient through the venous line.

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Typical Treatment Parameters

Blood flow rate: 150–300 mL/min

Duration: 2–6 hours (depending on indication)

Often combined with hemodialysis or CRRT

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Nursing Considerations

Before Treatment

✅ Verify indication and physician order

✅ Check vascular access patency

✅ Obtain baseline:

Blood pressure

Heart rate

Oxygen saturation

Laboratory results

During Treatment

Monitor for:

Hypotension

Bleeding

Cartridge clotting

Thrombocytopenia

Hypocalcemia (depending on cartridge type)

After Treatment

Assess:

Vital signs

Access site

Clinical improvement

Follow-up toxin levels (if applicable)

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Advantages

✔ Effective for protein-bound toxins

✔ Rapid toxin removal

✔ Useful when hemodialysis alone is inadequate

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Limitations

✘ May remove platelets and clotting factors

✘ Risk of thrombocytopenia

✘ Less effective for toxins with very large volume of distribution

✘ More expensive and less widely available than standard hemodialysis

FocusSym Quick Memory Tip

Hemodialysis = Diffusion Hemoperfusion = Adsorption

Think:

> "Dialysis washes toxins away; hemoperfusion traps toxins on a filter."

For dialysis nurses, hemoperfusion is most commonly encountered in poisoning/overdose management, septic shock cytokine removal, and liver support therapies.

゚viralシfypシ゚ ゚viralシ ゚

05/06/2026

01/06/2026

22/05/2026

We Are Hiring! Join Our Growing Team 🚀

We are looking for dedicated, passionate, and detail-oriented professionals to fill the following positions:

HD Nurses (Hemodialysis) – Provide exceptional patient care in our specialized unit.

PhilHealth Assistant – Manage claims, documentation, and healthcare benefits processing.

Stocks Custodian – Inventory management, tracking, and organization of company assets.

Office OJT – Gain hands-on experience and kickstart your career in a supportive corporate environment.

Please send your application at [email protected]

19/05/2026