dialysis Flashcards

1
Q

peritoneal dialysis

A

type of dialysis which uses the peritoneum in a person’s abdomen as the membrane through which fluid and dissolved substances are exchanged with the blood. It is used to remove excess fluid, correct electrolyte problems, and remove toxins in those with kidney failure.

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2
Q

parts of pd

A

catheter
dialysate
drainline

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3
Q

dialysate

A

cleansing fluid purified water, glucose and electrolytes. to normalised electrolyte diffussion

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4
Q

drainline

A

filtration unit

toxin removal creatinine urea glucose concentrate

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5
Q

how pd works

A

g peritoneal dialysis, a cleansing fluid (dialysate) is circulated through a tube (catheter) inside part of your abdominal cavity (peritoneal cavity). The dialysate absorbs waste products from blood vessels in your abdominal lining (peritoneum) and then is drawn back out of your body and discarded.

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6
Q

two ways for peritoneal dialysis

A

continuous pd

automated pd

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7
Q

continuous pd

A

(CAPD) Constant dialyis change daily

done easily flexible, works with gravity, dialysate up, drain bag low

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8
Q

automated pd

A

overnight machine does the work 8 to 10 hour

connect to the machine

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9
Q

pd pros

A

continous dialysis, fluid removal, gently and easily controlled, reduces stress, eat more, continue daily activity, fewer meds, can trace,

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10
Q

pd is not appropriate for some

A

obeses, multiple abdominal surgeries (difficult and impossible)

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11
Q

pd can be as effective as

A

haemodialysis

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12
Q

haemodialysis

A

seperation of blood, taken blood, taken blood from access and filter line a kidney effectively cleaning the blood

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13
Q

access of haemodialysis

A

atrioventricular fistula
atrioventricular graft
central venous cather

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14
Q

AVF

A

artery is surgically joned with vein
non dominant forearm
least complications- utilised own patient tissue

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15
Q

AVG

A

a synthetic tube is transplanted into the wrist connecting the artery and vein
more complications, clotting

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16
Q

central venous catheter (cvc)

A
tunneled cvc is placed under the skin under jugular veins. not meant to be used for lond periods of time 
high infection rate
swimming and bathing is not reccomended
dialysis can be performed easily
avoid extra needles
17
Q
artificial kidney (machine)
parts
A

blood membrane dialysate

18
Q

procedure

A

has 2 parts one for the blood and for dialysate
a thin membrane separates theseparts. blood, protein are important so they stay in your blood . smaller waste products can be passed through the membrane and are washed away

19
Q

how long is dialysis

A

three times per week, 4 hours

20
Q

home dialysis

A

much better has better control, firts choice,

in charge, less meds, control diet, more time