Preparing for Your First Dialysis Treatment
Starting dialysis can feel overwhelming, but proper preparation can ease anxiety and help you approach your first treatment with confidence. Knowing what to expect, how to prepare physically and mentally, and what to bring can make your initial experience more comfortable and less stressful. This guide provides practical advice to help you feel ready for this important step in managing your kidney health.
Before Your First Session of dialysis
Several weeks before your first dialysis treatment, you will need to have a vascular access created. For hemodialysis, this is usually an arteriovenous fistula in your arm, created through minor surgery. The fistula needs time to mature before it can be used, typically 6-12 weeks. During this maturation period, follow your surgeon's instructions carefully, exercise your arm as directed, and protect the access site from injury. If you are starting peritoneal dialysis, you will have a catheter placed in your abdomen, which also requires a healing period.
Medical Preparation
Complete all pre-treatment medical assessments as scheduled, including:
• Blood tests to establish baseline values and check for infections
• Heart evaluation to ensure you can tolerate fluid removal
• Vaccinations, particularly hepatitis B, to protect against infection
• Nutritional assessment and consultation with a renal dietitian
What to Bring to Your First Session
Pack a dialysis bag with essential items:
• Comfortable, loose-fitting clothing with easy access to your arm or catheter
• Light blanket or sweater as dialysis centers can be cool
• Entertainment such as books, tablets, headphones, or puzzles
• Snacks approved by your dietitian for after treatment
• List of all medications with dosages and times taken
• Insurance cards and any required medical documentation
• Notebook for tracking questions, symptoms, or important information
Mental and Emotional Preparation for dialysis
It is completely normal to feel anxious about starting dialysis. Talk openly with your healthcare team about your concerns and fears. Consider attending a support group for new dialysis patients or connecting with experienced patients who can share their perspectives. Many centers offer pre-dialysis education classes that provide detailed information about what to expect. Some patients find it helpful to visit the dialysis center before their first treatment to familiarize themselves with the environment and meet the staff.
During Your First Treatment
Arrive early on your first day to allow time for registration and orientation. The nursing staff will take your vital signs, weigh you to determine how much fluid needs to be removed, and explain each step of the process. Your first treatment may be shorter and gentler than regular sessions to allow your body to adjust gradually. It is normal to feel tired after your first treatment as your body adapts to the changes. Do not be afraid to ask questions at any point during the process. The dialysis team is there to support you and wants you to feel comfortable and informed.
After Your First Session
Plan to rest after your first treatment. Many patients feel fatigued as their body adjusts to the new routine. Drink fluids as recommended by your care team and avoid strenuous activities for the remainder of the day. Keep the access site clean and dry, following all care instructions provided. Report any unusual symptoms such as excessive bleeding, severe cramping, chest pain, or difficulty breathing immediately. Most patients adjust quickly and find that subsequent treatments become routine and more comfortable.
