Fronthub Kidney Care Center, Inc.

11/06/2026

Announcement No. 2026-42

In celebration of Philippine Independence Day on June 12, 2026, the Renal Nurses Association of the Philippines (RENAP) proudly honors the enduring spirit of freedom, unity, and resilience that defines our nation and our profession.

As we remember the courage of those who fought for our liberty, we also recognize the modern-day heroes, Renal Nurses in the Philippines and around the world, who continue to serve with compassion, competence, and courage. Your dedication transcends borders, strengthening kidney care and improving lives wherever you are assigned.

This observance is a reminder that independence is not only a historical milestone but a continuing commitment: to serve selflessly, to uphold excellence in renal nursing, and to remain united in purpose for the patients we care for.

From the Philippines to the world, we stand strong.

Renal Nurses Association of the Philippines
One renal nursing community. One purpose. Endless possibilities.

09/06/2026

A short Prayer for all our Patients/friends

゚viralシfypシ゚ ゚viralシ ゚

09/06/2026

Announcement No. 2026-41

We spend our days caring for our patients' kidneys, but when was the last time we checked on our own?

As renal nurses, we understand better than anyone that kidney disease often develops silently. Long shifts, missed meals, inadequate hydration, stress, and lack of sleep can place even healthcare professionals at risk.

This National Kidney Month 2026, let's remember that protecting kidney health starts with us.

💙 Stay hydrated.

🥗 Choose kidney-friendly meals.

🚶 Stay physically active.

🩺 Monitor your blood pressure and blood sugar.

😴 Prioritize rest and recovery.

Because healthy nurses provide better care, inspire healthier communities, and lead by example.

📢 Renal nurses, what is your personal commitment to kidney health this month?

Share your answer in the comments using:
"This Kidney Month, I commit to __________."

Together, let's champion kidney health—not only for our patients, but for ourselves, our families, and our communities.

Detect Early. Act Early. Live Better.

04/06/2026

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.

---

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.

---

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.

---

Typical Treatment Parameters

Blood flow rate: 150–300 mL/min

Duration: 2–6 hours (depending on indication)

Often combined with hemodialysis or CRRT

---

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)

---

Advantages

✔ Effective for protein-bound toxins

✔ Rapid toxin removal

✔ Useful when hemodialysis alone is inadequate

---

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

30/05/2026

Happy Birthday Tech Arvin!

28/05/2026

Nurse :"May injection po kayo today patient"
Patient : "nako, injection na naman, masakit yan😭

GAANO BA KAIMPORTANTE ANG EPO ?
Bat ba kailangan mag injection nito?

21/05/2026

PERITONI--- What?

Peritoneal dialysis (PD) is a type of dialysis used to treat kidney failure. Instead of using a machine to filter blood outside the body (like hemodialysis), PD uses the lining of your abdomen—called the peritoneum—as a natural filter.

How it works:

A soft tube (catheter) is placed into your abdomen. The process involves three main steps:
Fill – A special fluid (dialysate) flows into your abdominal cavity
Dwell – The fluid stays there for several hours, absorbing waste and excess fluid from blood vessels
Drain – The fluid, now containing waste, is drained out
This cycle is repeated multiple times a day or done automatically at night.
Types of peritoneal dialysis
Continuous Ambulatory Peritoneal Dialysis (CAPD)
Done manually, usually 3–5 times per day
Automated Peritoneal Dialysis (APD)
Done using a machine (cycler), often overnight while you sleep

Advantages
Can be done at home
More flexible lifestyle compared to in-center dialysis
No needles required
Gentler and more continuous process

Disadvantages
Risk of infection (especially peritonitis)
Requires daily commitment and hygiene
Not suitable for everyone (e.g., prior major abdominal surgery)

Who needs it?
Peritoneal dialysis is used in people with Chronic Kidney Disease or end-stage kidney failure when the kidneys can no longer effectively remove waste and excess fluid.

(Check comment section for other details)

゚viralシfypシ゚ ゚viralシ ゚

21/05/2026