CKD/ESRD

Term
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Periotenal Dialysis
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Terms in this set (15)
Periotenal Dialysis
-less hazardous
-used for those who cant tolerate hemodialysis
Who can't use PD?
-those with peritoneal adhesions
-abdominal surgery
-peritoneal membrane fibrosis
continuous ambulatory peritoneal dialysis (CAPD)
-one of the preferred methods
-most closely resembles renal function
-patient performs it
-no machine required;encourages independence
intermittent peritoneal dialysis
-combines osmotic pressure gradients with true dialysis
-Can be automated or manual
automated peritoneal dialysis
-Done while patient sleeps
-Machine cycles 4+ times with 1-2 hours for each exchange
-Decreases risk of peritonitis
Continuous Cycle Peritoneal Dialysis
-automatic cycling
-takes up a lot of space
-consider sterility
Complications
-peritonitis
-pain
-infection
-poor diastyle flow (should be clear)
-dialysate leak
-bleeding/bowel perforation
S/S of peritonitis
-fever
-abdominal tenderness
-cloudy dialysate
-elevated WBC in dialysate
Transplant
-considered life sustaining treatment
-not a cure
Renal transplant criteria
No history of :•Uncorrectable cardiac disease
•Liver disease
•Chronic infections
•Metastatic cancer
•Psychosocial problems: chemical or alcohol dependency
Characteristics
•2-70 yrs of age
•2 yr life expectancy
•Psychologically prepared
•2-5years of cancer free
•DM: intense observation
Medication combination post transplantcyclosporin mycophenolate mofetils corticosteroidsMonoclonal antibioticsprevent and treat acute rejection episodesHyperacute rejection-occurs minutes to hours after transplant -requires immediate removal of transplatAcute rejection-occurs 4 days to 4 months after transplant -not uncommon to have at least one episode -requires treatment with antirejection drugsChronic rejection-Occurs months to years after transplant -irreversible -no definitive treatment