Dialysis Flashcards
what is the primary goal of dialysis?
- restore intracellular and extracellular fluid environment that is characteristic of normal kidney function
- solute removal
- volume removal
what is the leading cause of ESRD?
diabetes (DM2)
what are the major symptoms of uremia?
- GI (anorexia, nausea)
- reduced body temp (hypothermia)
- pruritis
- fatigue
- seizures
- sleep disturbances
- coma
what are the indications for renal replacement therapy?
AEIOU
acidosis electrolytes (potassium) ingestions (drugs, toxins) overload (refractory) uremia****
at what GFR is dialysis usually started?
under 15 mL/min/1.73 m2
however, it is not started strictly on a number
the second most common cause of death in patients with dialysis is ___________
infection
what are the determinants of dialysis efficiency?**
- membrane surface area
- blood flow rate
- dialysate flow rate / characteristics
- duration
- ultrafiltration
what are the inherent complications of dialysis?
- hypotension
- arrhythmias
- cramps
- hypoxemia
what are the two types of peritoneal dialysis?
- continuous ambulatory peritoneal dialysis
- APD
what acts as the osmotic agent for fluid removal?
dextrose / icodextrin
what is used to create the osmotic concentrations in peritoneal dialysis?
glucose solutions
what is the primary complication of peritoneal dialysis?
peritonitis
what are the two most common causes of death in dialysis patients?
- CV
- infection
