Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PD STUDY GUIDE > CAPD SG- > Flashcards

CAPD SG- Flashcards

1
Q

Intraperitoneal medications

A

sterile injections that can be provided to the patient via the PD catheter.

requires strict aseptic technique

use only sterile medication solutions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

list the most common meds given during PD

A

Heparin

Antibiotics:

  • Vancomycin
  • Gentamycyin
  • Tobramycyin
  • Ceftazadine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the role of IP Heparin?

A

to treat and prevent the formation of fibrin which can impede catheter flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Heparin is a ______ molecule and ______ cross the peritoneal membrane.

A

Heparin is a LARGE molecule and DOES NOT cross the peritoneal membrane.

Heparin only acts within the peritoneal space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the standard heparin dose?

A

500u or 1000u for every liter of dialysate given

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Does heparin cross the peritoneal membrane?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When should heparin be avoided?

A

during frank bleeding

if the patient has a pork allergy

if the patient had recent surgery

if the patient has bleeding disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

true or false

You need a doctors order to administer any IP medications?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When should you educate the patient at home to self administer heparin?

A

during times of poor catheter flow

when fibrin is present in the PD effluent

during episodes of peritonitis to minimize fibrin formation due to WBC accumulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When peritonitis is suspected, what should you do BEFORE administering IP antibiotics?

A

draw cultures and fluid samples

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How long should the antibiotics dwell within the peritoneum?

A

for a minimum of 6 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the six rights of medication administration?

A
  1. right patient
  2. right medication
  3. right dose
    4 right time
  4. right route
  5. right documentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where and when can antibiotics be ordered?

A

can be ordered through FMCRX during a clinic visit

abx kits can be taken home

you must teach the pt how to administer with aseptic technique and document training

review monthly during med rec. must check expiration, integrity, and review self administration skills

assess for allergies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

true or false

the meds can be mixed ahead of time?

A

false

must be mixed and immediately exchanged

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does CAPD stand for?

A

continuous ambulatory peritoneal dialysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is peritoneal dialysis?

A

the removal of waste and fluid from the blood using the peritoneal membrane as a filter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How long is the fluid left in the peritoneal cavity?

A

fluid is kept in the abdomen continuously except during drain.

24hours a day / 7 days a week

on rare occasions the peritoneum is left dry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The CAPD regimen consists of ______ exchanges a day, with the last exchange dwelling for _______ overnight.

A

4-5

9 hours average

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the 3 steps of an exchange and what is the standard time for each one?

A
  1. drain (20 min)
    flush (5 sec)
  2. fill (10-15 min)
  3. dwell (4-5 hours) per prescription
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is connectology?

A

how the tubing is secured to the PD catheter in order to complete an exchange

21
Q

What connectology can be used to do a CAPD echange?

A

Fresenius stay safe

Fresenius extension tubing

Baxter Ultra Bag

22
Q

What does SCALE stand for?

A 
Strength
Clarity
Amount
Leakage
Expiration
23
Q

What is the CAPD exchange process?

A

Drain
Fill
Dwell

24
Q

The drain phase takes about 15-20 min depending on the following: (6)

A
  1. amount of solution
  2. gravity
  3. use of a pump
  4. diameter of tubing
  5. position of pt and intra-abdominal pressure
  6. condition of the system
25
Q

In which phase does the dialysis take place

A

dwell

26
Q

before the fill, flush the system for _____ to remove the air from the tubing and to reduce the amount of air that will travel into the patient. Also shows to reduce the amount of peritonitis in the patients.

A

5 sec

27
Q

The fill phase takes about ______ min

A

10-15

28
Q

The fill phase is dependent on the following: (4)

A
  1. amount of solution
  2. solution bag height
  3. diameter of tubing
  4. intra-abdominal pressure
29
Q

the dwell time is _______

A

prescribed

30
Q

the dwell time is required for _____ and ______.

A

transport of solutes across the peritoneum

ultrafiltration

31
Q

The CAPD usual dwell time is :

A

4-5 hours and 9 average at night

32
Q

The fluid movement during the exchange process is controlled by

A

gravity

33
Q

The following supplies are needed for a CAPD exchange: (12)

A
  1. dialysate solution
  2. PPE
  3. soap and hand gel
  4. IV pole
  5. spring scale
  6. CAPD flow sheet
  7. stay safe organizer
  8. organizer holder
  9. stay safe cap
    10 gauze
  10. Alcavis
  11. heating pad
34
Q

When does the initial catheter flush take place?

A

1 week post insertion

wait 2 weeks if possible

35
Q

If immediate use of the catheter placement is required, what modifications should take place?

A

decrease fill amount

protect catheter from trauma

36
Q

What is a typical flush volume?

A

500ml

37
Q

What is the typical dose for a heparin flush?

A

1ml or 1000u per liter of dialysate

38
Q

name 3 things that you should observe the effluent for when flushing?

A
  1. fibrin ( trauma and infection can increase)
  2. blood
  3. Cloudiness (could be infection or reaction to dialysate)
39
Q

list the warming PD solutions rules and guidelines (5)

A
  1. promotes patient comfort and diffusion during procedure
  2. use a warming pad or other approved warming device (cycler)
  3. never microwave
  4. never submerge bag or get wet
  5. measure temp before exchange and do not administer if over 98.6
40
Q

list guidelines for PD effluent disposal in home setting for patient care partner

A
  1. care partner must utilize Full PPE
  2. dispose of empty effluent bags and lines in double garbage bags or per city and state regulations.

3, document training of proper effluent disposal in the medical record

41
Q

Full PPE (gown shield mask gloves) is required for RN when performing exchanges?

A

true

42
Q

sampling the PD effluent

When collecting PD effluent, use ______ to obtain _____ and ________ samples

A

blood culture bottles

aerobic and anaerobic

43
Q

sampling the PD effluent

Use a second set of _______ bottles to collect effluent for _____ testing.

A

blood culture

fungi

44
Q

Fungi culture take _______ to incubate.

A

3 weeks

45
Q

Routine PD fluid cultures take _____ to incubate.

A

5 days

46
Q

What is CCPD?

A

Continuous Cycling Peritoneal Dialysis

Form of PD in which the fluid is moved into the peritoneum via a controlled mechanical pump called a cycler.

This technology offers automatic delivery of the whole exchange process and provides increased fluid removal.

47
Q

What is PD Plus?

A

When all of the exchanges are delivered via the cycler and occur during the night.

The machine delivers each exchange with a drain fill and dwell typically lasting 1.5 - 2 hours.

The last fill is in the morning and the solution is left for a long daytime dwell

An extra exchange during the day is called a PAUSE

48
Q

NIPD/IPD therapy consists of:

A

Intermittent Peritoneal dialysis

more common during an acute or hospital setting or a skilled nursing facility.

During the “dry” period some of the solutes and fluid are reabsorbed back into the bloodstream,

Intermittent PD may be more effective for some patients due to the type of membrane they have known as high transporters.

frequent exchanges prevent the body from reabsorbing too much fluid during the dwell periods.

IP is used on urgent starts as soon as 2 hours post catheter placement

49
Q

During the _____ period, dialysis is NOT occurring.

A

DRY

PD STUDY GUIDE (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions