Upgrade to remove ads
Care Management Exam 2 (Renal - Dialysis)
Terms in this set (36)
Removal of endogenous or exogenous toxins and other harmful substances from the body fluids by differential diffusion across semipermeable membrane
What are the main types of dialysis?
Hemodialysis, peritoneal dialysis
What are the (3) requirements for dialysis?
Blood, semipermeable membrane, dialysis bath
A procedure that cleanses the blood when a patient's kidneys have failed, rids body of harmful wastes, balances electrolytes, balances fluid and controls BP
Type of dialysis that uses a machine to pump blood from the patient through a dialyzer and back to the patient
With hemodialysis, we need to pull blood from, and return blood to the body, at a speed of
One of the most difficult problems with hemodialysis
Obtaining vascular access
What are the different types of vascular access for hemodialysis?
Arteriovenous fistulae/graft, temporary vascular access
What are examples of internal vascular access for hemodialysis?
What are examples of external vascular access for hemodialysis?
Component of hemodialysis that is the artificial kidney; made up of thin membranes packed into plastic casing; blood flows through one side and dialysate bath on the other
Do blood and dialysate bath ever mix?
Component of hemodialysis that is composed of water, bicarbonate, and electrolytes that mimics ideal concentrations in plasma
Component of hemodialysis that is set to remove a specific amount of fluid over a set amount of time and monitors arterial pressure, venous pressure, and has an air detector
What should be assessed before, during, and after hemodialysis?
What should be checked daily with patients on hemodialysis?
Access (catheter, fistula/graft)
What should we be looking for/hearing in a patient that has a fistula/graft for hemodialysis?
Hear bruit, feel thrill
What do we see with BUN/creatinine levels with hemodialysis patients?
BUN and creatine will go up, peak, and then go down
What are the most common complications of hemodialysis?
Hypotension, muscle cramping, blood loss, hepatitis
What are some common potential problems between hemodialysis treatments?
Hypoglycemia, hyperglycemia, nausea, access site bleeding, HA, leg cramps, skin integrity problems
Complication of hemodialysis that results from rapid changes in composition of intracellular fluid
Complication of hemodialysis that leads to high osmotic gradient in the brain causing fluid to shift to the brain causing cerebral edema and N/V, confusion, restlessness, HA, twitching, jerking, seizures, muscle cramping, BP
What are the treatments for dysequillibrium syndrome?
Slow or stop dialysis and infuse hypertonic NaCl
Complication of hemodialysis in which there is ischemia to the distal extremity after graft placement; see cool, pallor skin, and pain, contractures, and can lead to gangrene
Type of dialysis in which the peritoneum is used as the filter and dialysis solution is introduced into the abdomen by means of a catheter
What is the access for peritoneal dialysis (PD)?
In peritoneal, dialysis solution is warmed to body temperature. If it is colder, it can cause
What are the (3) phases of PD cycle?
People with PD usually have ______ exchanges/per day
What is the most common complication of PD?
Peritonitis (watch for cloudy effluent)
What are some potential complications of PD?
Exit site infection, PERITONITIS, hernias, lower back problems, bleeding, pulmonary complications, protein loss
With CCPD, patient does _______ exchanges while ________
Alternative or adjunctive method for treating AKI; means by which uremic toxins and fluids are removed
Continual renal replacement therapy
Which type of dialysis may have less dietary restrictions?
THIS SET IS OFTEN IN FOLDERS WITH...
Care Management Exam 2 (Respiratory)
Care Management Exam 2 (Tuberculosis)
Care Management Exam 2 (Burns)
Care Management Exam 2 (Shock/MODS/SIRS)
YOU MIGHT ALSO LIKE...
Dialysis evolve questions
OTHER SETS BY THIS CREATOR
NCLEX Review Material (Lab Values)
NCLEX Review Material (Pharmacology)
NCLEX Review Material (Miscellaneous)
Leadership Final Exam (Hiring/Firing)