Dialysis Flashcards
Explain the 4 transport mechanisms that play a role in hemodialysis
Ultrafiltration / Convection / Diffusion / Osmosis
What are the 3 kidney excretory functions
Provide nutrient and fluid balance
Normalize PH
Remove waste
How do we replace normal excretory function
Ultrafiltration
Normalizing electrolytes and providing fluid balance
Hyperkalenia occurs at what milliequivalent
> 6.5 mEq
Hypokalemia occurs at what milliequivalent
< 3.5 mEq
Normal Blood PH
7.35 - 7.45
What are the kidneys Endocrine function?
Production of renin / active vitamin D (calcitriol) / erythropoietin
How do we replace endocrine functions
Medication
How much kidney function is replaced by dialysis
15%
What is the 3 most common causes of CKD
Diabetes
Hypertension
Polycystic Kidney Disease
Signs and Symptoms of fluid imbalance
Hypertension
Edema
Shortness of breath
Why is sodium balance important
Volume expansion
Increased CO
Peripheral vascular resistance
Increased BP
Hypertension leads to
Left ventricular hypertrophy
What is included in LVH (Left ventricular hypertrophy) treatment
Decrease or stop heparin
Give more frequent dialysis