assessment Flashcards
1
Q
CVC Patency Assessment
Partial Occlusion
A
- decreased ability to infuse
- sluggish flow
+intraluminal thrombus
+fibrin sheath
2
Q
CVC Patency Assessment
Withdrawal Occlusion
A
- unable to aspirate
- able to infuse
- may result in a line reversal
+fibrin tail
3
Q
CVC Patency Assessment
Complete Occlusion
A
- unable to aspirate
- unable to infuse
4
Q
CVC Occlusions
Intraluminal Thrombus
A
inadequate irrigation when blood remains
didn’t flush properly, interdialytic lock etc
5
Q
CVC Occlusions
Fibrin Tail/Flap
A
platelet aggregation and fibrin accumulation
- cannot aspirate but can infuse
- positive pressure pushes tail/flap aside
6
Q
CVC Occlusions
Mural Thrombus
A
damage around line causes occlusion
7
Q
CVC Occlusions
Fibrin Sheath
A
platelets and fibrin deposition
8
Q
Pre-Dialysis Assessment:
HEAD - Cognitive and Psychological (7)
A
- orientation
- confused (diabetic?)
- energy, weakness, fatigue
- mobility (falls?)
- sensation (restlessness?)
- memory
- psychosocial issues
9
Q
Pre-Dialysis Assessment:
Chest - Cardiac and Respiratory (5)
A
- SOB
- listen to breath sounds
- edema
- dilated veins
- irregular pulse - check pulse
10
Q
Pre-Dialysis Assessment:
Gastrointestinal (4)
A
- appetite (nausea and vomiting)
- change in bowel pattern
- abdominal distention (constipation?)
- diarrhea (if so isolation!)
11
Q
Pre-Dialysis Assessment:
Integumentary (6)
A
- bruises
- wounds
- peripheral edema
- bleeding
- scabs
- rash
12
Q
Common complications of CKD (8)
A
- anemia
- fluid overload
- hypovolemia
- hypertension/hypotension
- infection
- hyperkalemia
- hypokalemia
- hyperphosphatemia
