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.

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.

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

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.

15
Q

the dialyzer has two compartments separated by a semipermeable membrane:

A

blood compartment and
dialysate.

16
dialysate
a compartment containing the dialysis solution,
17
typically composed of water, electrolytes, glucose, and a buffer, like bicarbonate.
Dialysate
18
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.
semipermeable membrane
19
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;
heparin infusion pump
20
Other parts of the dialysis machine include include - so they can be prevented from getting into the circulation.
air trap or a sensor to detect air bubbles
21
When the patient is connected to the dialysis machine, their blood is pumped through the tubing where - is added.
heparin
22
Once the blood reaches the dialyzer, metabolic wastes and toxins, as well as excess fluid and electrolytes are drawn into the -.
dialysate
23
uses the patient’s own peritoneal membrane as the semipermeable membrane.
peritoneal dialysis
24
what is introduced in the abdominal cavity through the abdominal catheter, and dwells in the peritoneal space for a certain amount of time
Dialysate
25
Dialysate is introduced in the abdominal cavity through the abdominal catheter, and dwells in the peritoneal space for a certain amount of time, usually
4 to 6 hours.
26
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.
edema