DIALYSIS Flashcards

1
Q

a type of
kidney replacement
therapy that
removes metabolic
waste products,
and toxins, as well
as excess fluid and
electrolytes from
the blood

A

DIALYSIS

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2
Q

required due to end-stage renal disease, which means the kidneys have lost almost all their
function.

can also be used to correct fluid, acid-base, and electrolyte imbalances, and to treat drug overdoses

A

DIALYSIS

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3
Q

Two types of dialysis

A

HEMODIALYSIS and PERITONEAL DIALYSIS.

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4
Q

To perform dialysis,
vascular access for
- will be needed.

A

hemodialysis

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5
Q

To perform dialysis,
abdominal access for

A

peritoneal
dialysis

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6
Q

temporary venous
access can be obtained
through a catheter in the
- for hemodialysis in an
acute setting.

A

internal jugular or femoral
vein

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7
Q

Temporary Catheter HEMODIALYSIS

A

ACUTE

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7
Q

When permanent access is
needed for long-term
hemodialysis, an
- is created surgically in the patient’s arm.

A

arteriovenous or AV fistula or graft

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7
Q

an
arteriovenous or AV fistula or graft creates a
connection between a small artery and a vein, which causes the vein to become “-,”
meaning it increases in size, develops thicker walls and blood flow is increased.

A

“arterialized

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7
Q

vascular access dialysis

A

HEMODIALYSIS

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7
Q

ACUTE HEMODIALYSIS

A

Temporary Catheter in:
Internal Jugular Vein
Femoral Vein

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8
Q

AV fistula: created surgically, vein is arterialized

A

LONG TERM HEMODIALYSIS

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8
Q

peritoneal access dialysis

A

PERITONEAL DIALYSIS

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8
Q

Permanent Access HEMODIALYSIS

A

LONG TERM HEMODIALYSIS

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9
Q

movement of solutes

A

DIFFUSION

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9
Q

the health education platform that makes learning easy and fun, but in this case, it refers to the movement of fluid through a semipermeable membrane from an area of lesser solute concentration to an area of greater solute concentration.

A

Osmosis

10
Q

can be obtained by inserting a catheter into the peritoneal cavity.

A

PERITONEAL DIALYSIS

10
Q

the movement of solutes from a greater concentration to a lesser concentration until the two solutions have the same concentration of solutes on either side of a semipermeable membrane.

A

Diffusion

10
Q

when a driving pressure moves fluid and solutes across a semipermeable membrane.

A

ultrafiltration

11
Q

PRINCIPLES OF DIALYSIS

A

DIFFUSION, OSMOSIS, ULTRAFILTRATION

12
Q

movement of fluid

A

OSMOSIS

13
Q

driving pressure moves fluid & solutes across membranes.

A

ULTRAFILTRATION

14
Q

One of the most important components is the -, which acts like an artificial kidney.

A

dialyzer

15
Q

the dialyzer has two compartments separated by a semipermeable membrane:

A

blood compartment and
dialysate.

16
Q

dialysate

A

a compartment containing the dialysis solution,

17
Q

typically composed of water, electrolytes, glucose, and a buffer, like bicarbonate.

A

Dialysate

18
Q

The - allows the movement of small and medium-sized molecules like electrolytes, urea, and creatinine from the patient’s blood into the dialysate while preventing the movement of larger plasma components like proteins and blood cells.

A

semipermeable membrane

19
Q

Other parts of the dialysis machine include a pump to help draw blood from the patient; a
- since anticoagulation is needed due to the risk of blood clots;

A

heparin infusion pump

20
Q

Other parts of the dialysis machine include include - so they can be prevented from getting into the
circulation.

A

air trap or a sensor to detect air bubbles

21
Q

When the patient is connected to the dialysis machine, their blood is pumped through the
tubing where - is added.

A

heparin

22
Q

Once the blood reaches the dialyzer, metabolic wastes and
toxins, as well as excess fluid and electrolytes are drawn into the -.

A

dialysate

23
Q

uses the patient’s own peritoneal membrane as the
semipermeable membrane.

A

peritoneal dialysis

24
Q

what is introduced in the abdominal cavity through the abdominal catheter, and dwells in the peritoneal space for a certain amount of time

A

Dialysate

25
Q

Dialysate is introduced in the abdominal cavity through the abdominal catheter, and dwells in the peritoneal space for a certain amount of time, usually

A

4 to 6 hours.

26
Q

Always start by checking their pretreatment laboratory test results and assessing their weight and vital signs. Auscultate their heart and lung sounds and look for the presence of edema.

A

edema