The hospital with pride of 1st class in Hemodialysis adequacy evaluation

1st class in Hemodialysis adequacy evaluation for 3 straight years(2011-2013, Health Insurance Review and Assessment Service) & Dialysis specialist treatment institution

With the pride of the only one hospital in Siheung-si that has received 1st class in Hemodialysis adequacy evaluation for 3 straight years, we provide the utmost care to the patients with the best dialysis and nursing.
We provide warm and close nursing by experienced nurses.


Clinical Trial Center

FMC dialysis machine

Available of high flow dialysis and 24 hours emergency dialysis with the latest CRRT(Continuous Renal Replacement Therapy) from FMC Corp.

The Central Hospital’s Artificial Kidney Center uses the best FMC Corp. dialysis machine in the country. We pursue to provide the best dialysis to the patient, implementing the 1:1 nursing system by keeping each patient’s personal medical journal, and placing the latest CRRT(Continuous Renal Replacement Therapy) from FMC Corp. which is available of high flow dialysis and 24 hours emergency dialysis at the intensive care unit.


What is hemodialysis?

One of the renal replacement therapy that is proceed to terminal renal insufficiency patients. A patient’s blood first comes out from the body by a special tube, we filter out waste and moisture using a special filter(dialysis machine), then lastly put the blood back into the patient’s body.

As explained above, it is able to replace the kidney’s waste eliminating functions by external devices called artificial kidney. The average time spent of hemodialysis is total 12 hours divided 3 session a week, 4 hours per one session. Treatment time can be regulated depending on the patient’s conditions.

In the procedure of osmotic pressure proliferation filtration..

Setting a boundary with semipermeable membrane, at one side we put the patient’s blood accumulated with body wastes and at the opposite side we put a dialysate that has similar extracellular fluid compositions of a normal person. By making each side flow in an opposite way, we eliminate solute including body waste and other elements that are different from the things accumulated in the blood using diffusion due to density difference. And eliminate excessive moisture inside the plasma using the purifying fundamentals of making hydrostatic pressure differences.

01 So you need an arteriovenous fistula, right?
  • Avoid wearing accessories on the arm with operated vessels such as a wrist watch or bracelet.
  • Don’t put injection needles in order to measure blood pressure or to perform a blood test on the arm with operated vessels.
  • Try not to wear tight clothes or lift and carry heavy things with the arm with operated vessels
  • Please try not to use the arm with operated vessels as a pillow, if possible, put the operated arms at ease.

In order to proceed hemodialysis, a large vascular that is able to maintain constant blood flow rate is needed. Since it is impossible to perform dialysis through normal peripheral vascular, we make a thick vascular by directly connecting the artery and vein in the patient’s arms or legs with simple operation.

At the meantime, if a patient’s blood vessel conditions are in bad conditions because of diseases like diabetes, we also insert an artificial blood vessel. Yes it is true that an injection syringe is sticked into the blood vessels every time when dialysis is performed, but because it has low risk of blood clot formation and infections, you are free to take a shower.

However after blood vessel operation, as it is mentioned above, you should pay deep cautions in daily life.

02 Effects of hemodialysis
  • Compared to the normal rates, when the remnant kidney function is reduced into 5% and the creatinine rate inside the blood reaches 100mg/dl, you need a dialysis. If you’re a young patient that cannot get used to limited dietary therapy, an infant with crucial body development, diabetes patient, a patient that is planning on kidney transplant, early stage dialysis should go under active consideration.
  • Many symptoms of renal insufficiency can show great recovery through hemodialysis. Edema occurred at the whole body can be improved, and respiratory difficulty also disappears. Patient’s consciousness returns, with no recurrence of convulsion and headaches get relieved. Vomiting symptoms get better and because the appetite gets back, the patient is able to relish food.
  • But in the contrary, it doesn’t show effect on arteriosclerosis, sexual dysfunction, anemia. Most of the patients are available of a relatively normal life, about 50% of patients proceed studies and work life. In addition, rather than young aged patients, middle and old aged patient’s adaptation rate on dialysis are higher and show less problems caused by dialysis.
03 The pros of hemodialysis
  • The patient can receive hemodialysis by choosing the hospital with Artificial Kidney Center(hemodialysis center) where it is closest to the patient’s residence and workplace. Since hospitals with dialysis center maintain good cooperation with one another, we are able to exchange mutual requests.
  • Hemodialysis patients should visit the hospital once a 2~3 days and receive 4~5 hours of medical treatment. But because the patient constantly visits the hospital and get intensive care of nurse specialists and dialysis specialists, patients that receive hemodialysis actually has pros of low infection related complication frequencies. Also, since it doesn’t cause lung dysfunction, it is good for patients with case history of lung diseases.
04 Please take caution while hemodialysis

- Symptoms during performing hemodialysis

You may experience vomit, cold sweat, or have a cramp on the legs because of the drop of blood pressure when drastically drawing off moisture inside the body in a limited time. In this case, slowing down the dialysis and reducing the blood transfer speed helps the recovery of symptoms.

- Anemia

Because of renal insufficiency, the malfunction of hematogenous not only lessen the production of blood cells, it also worsens anemia since the red blood cells are destroyed during dialysis process. In order to prevent anemia, patients should receive blood transfusion or get erythropoietin injected and take iron pills.

- Cardiovascular system complications

A cardiovascular system complications is rated as the highest cause of death of a hemodialysis patient. So in order to prevent this complications, it is important to set a proper weight, control circulation volume, and manage high blood pressure. It is important to pay special care on weight gain and maintain proper dietary therapy while going through dialysis.

- Arteriovenous fistula blockade

Many diabetes, old-aged patients and patients with artificial blood vessels frequently experience the blockage in arteriovenous fistula by blood clots. When the blockage is severe, for high success rate, it is important to proceed thrombectomy and angiectasia using the radiation in a short time.

Dietary therapy of a hemodialysis patient

A chronic renal insufficiency patient can not only recover one’s strength, but also slow down the speed of kidney deterioration by curing malnutrition and metabolic disorders using appropriate diet adjustments. Although it is impossible to cure renal diseases by dietary therapy, along with dialysis it plays a big role at the treatment since it helps maintaining the patient’s health conditions and protect the patient from unexpected incidents.

01 Diet limit on Kalium

Kalium(potassium) inside the blood regulates the activation of the muscles. But when the renal function is low it makes kalium to accumulate inside the blood, causing muscle paralysis, cardiac arrhythmia, heart attack. So for hemodialysis patients, it is important to strictly limit food with kalium.

- Food with high Kalium contain

  • Fresh fruit or vegetable
  • Meat·milk·red bean·chestnut·potato·sweet potato etc.

- How to cook?

Since kalium is highly water soluble, rather eating it raw, it is helpful to soak it in the water for about 2 hours then cook after throwing away the soaked water.

02 Diet limit on Salinity

As for hemo-dialyzed patients, weight gain may worsen the symptoms and can be caught in a vicious circle. So it is important to show great concern in weight control. Therefore, suppressing weight gaining through limiting salinity and fluid intake is crucial.

Weight gain should not pass 1.5kg per day, and regulated less than 3kg while dialysis. Daily average salinity intake of South Korean adult are about 15-20g. In case of renal insufficiency patients, 5g of salt intake per day is appropriate.

Since we strictly limit the amount of salt, no wonder the food tastes flat and unsavory. But it is necessary to get used to these tastes. Also the following processed food has high salt content, so it must me avoided.

- Food with high salt contain

  • Bacon, ham, sausages such as wieners, canned meat, fish, cheese etc.
  • Salted crackers, potato chips, corn chip, popcorn, bread, cornflakes
  • Salting food (pickled vegetables, traditional sauces, kimchi, salted fish)
  • Margarine, butter, instant noodles
03 Diet limit on water

In order to reduce the strain on the heart and prevent exacerbation of high blood pressure, fluid intake should be limited too. It is true that along dialysis, it also removes moisture. But if you gain weight while dialysis(over 1.5~2Kg), it may be dangerous. The usual permissible fluid intake amount is 300~500cc per each patient’s urine quantity. So it is crucial to drink less water if possible. You can limit your fluid intake by following these methods.

- How can I drink less water than usual?

  • Record the intake amount whenever you drink something.
  • Always use the same cup when you drink, and take your time.
  • When feeling thirsty, moisten your mouth with an ice chip and careful not to eat all of it.
  • Since salt cause thirst, try to avoid food containing lots of salt.
  • Minced lemon pieces are great for dried mouth.
  • When you take medicine with sungnyung(scorched-rice water), soup, and milk, you can reduce fluid intake for that amount of food.
  • In order to quench your thirst, chew a gum or eat a candy.
  • If it remains liquid state on constant temperature, it is sorted as moisture.(coffee, tea, soft drink, liquor etc.)
  • To prevent thirst in the change of seasons or winter period, it is good to increase the moisture and humidity.
  • Try not to enter places that can easily access to water, such as the kitchen.

Hemodialysis Unit : 031-8041-3770~1

Medical Team

  • 송영웅

    Chief of the Nephrology department

    Song Yeongung


    Diabetic nephropathies, chronic renal failure, glomerulonephritis, acute nephritis, nephrotic syndrome, hemodialysis, acute renal failure etc.

  • 송재희

    Chief of the Nephrology department

    Song JaeHee


    AVF operation and AVF ultra sonogram, overall kidney disease and hemodialysis, internal disease care such as high blood pressure, diabetes, hyperlipidemia