Dialysis

Question 1

Indications for dialysis?

Answer 1

AEIOU 
A: Acidosis 
E: Electrolyte abnormalities 
I: Intoxication 
O: Oedema 
U: Uraemia

Question 2

What is peritoneal dialysis?

Answer 2

Using peritoneal membrane as filtration membrane

Question 3

Complications of peritoneal dialysis?

Answer 3

Bacterial peritonitis 
Peritoneal sclerosis 
Ultrafiltration failure
Weight gain 
Psychological effects

Question 4

What is haemodialysis?

Answer 4

Blood filtered by haemodialysis machine

Question 5

Methods of getting good blood supply for haemodialysis?

Answer 5

• Tunnelled cuffed catheter

- Arterio-venous fistula

Question 6

What is tunnel cuffed catheter?

Answer 6

Tube inserted into subclavian or jugular vein with tip that sits in SVC or right atrium

Question 7

What is arterio-venous fistula?

Answer 7

Artificial connection between artery and vein

Question 8

Arterio venous fistula is usally formed between which vessels?

Answer 8

• Radio-cephalic
• Brachio-cephalic
• Brachio-basilic

Question 9

what are the indications for dialysis?

Answer 9

hyperkalaemia unresponsive to treatment
acidosis - unwell because they try to compensate
pulmonary oedema - refractory to diuretics
uraemia complications

Question 10

what should you do with acidosis because of compensation?

Answer 10

bicarbonate - if you overload them - breathless

so dialysis might be good idea

Question 11

what uraemia complications would indicate dialysis?

Answer 11

pericarditis

encephalopathy