Dialysis Flashcards
1
Q
What are the 3 ways we talk about kidney dz?
A
- Acute kidney injury (AKI)
- Chronic kidney disease (CKD)
- AKI on CKD
2
Q
Functions of the kidneys
A
- Waste removal (BUN)
- Water management (volume status & urine production)
- Electrolyte balance (Na+ & K+)
- pH regulation (CO2)
- BP control
- Erythropoietin production (Hgb)
- Vitamin D activation
3
Q
Timing of initiation for CKD depends on several factors:
A
AKI vs Progression
Modality of Dialysis
Location
4
Q
How do we go about treating AKI?
A
- Hospitalize
- Hemodialysis
- Reasons to initiate dialysis (AEIOU)
5
Q
What stage of CKD to pts get dialysis or kidney transplant?
A
Stage 5
6
Q
What are the two modalities of Dialysis?
A
Hemodialysis & Peritoneal Dialysis
7
Q
Describe hemodialysis
A
- Hemo = blood
- All AKI dialysis pt’s use hemo, but not all hemo pt’s are AKI
8
Q
Describe Peritoneal Dialysis
A
- Peritoneal = abdomen
- Only used for ESRD
9
Q
What are the access methods for hemodialysis?
A
- Temporary CVC
- Arteriovenous fistula (AVF)
- Arteriovenous graft (AVG)
10
Q
Describe hemodialysis treatments? (frequency)
A
- 3x/week at clinic
- 3-4.5 hrs/tx
11
Q
List complications of hemodialysis
A
- Line infx/bacteremia
- Bleeding from insertion site
- Aneurysm formation
- “Steal” phenomenon
12
Q
What is the access method for peritoneal dialysis?
A
PD catheter
13
Q
Describe the treatments for peritoneal dialysis. (where)
A
- CAPD-continuous ambulatory peritoneal dialysis
–> 4-5 exchanges/day - Cycler
–> runs overnight
14
Q
Complications of Peritoneal Dialysis
A
Peritonitis & Hernia
15
Q
Peritoneal Dialysis contraindications
A
- Brittle diabetic
- Cirrhotic
- Multiple abd surgeries
- Severe cardiomyopathy
