Dialysis And Kidney Transplant Flashcards
What is haemodialysis?
Blood passed through to artificial kidneys
3-4.5 hours of treatment 3 times per week
Strict dietary constraints and salt/water restrictions
Needs access- ateriovenous fistula or tunnelled central venous line
In haemodialysis, why is an arteriovenous fistula proffered over a tunnelled central venous line?
Venous line carries risk of bacteraemia if becomes infected
What is peritoneal dialysis?
Performed at home overnight
7 days a week
Lesser constraints of food and water
Can travel easily as machine packs into a suitcase
Chance of infection due to catheter or such as peritonitis
What parameters are checked to see if a live kidney donor has a kidney match?
Blood type compatibility
HLA typing
Serum cross matching
What factors are considered in live kidney donors?
Age
Comorbidities
Kidney match
Future pregnancy
Mental health history
Financial stability
Do they have two healthy kidneys?
Family history of kidney disease
How do we determine if a live kidney donor has two healthy kidneys?
Ultrasound to see if normal size
GFR to check function
No blood/ protein in urine
What food and water recommendations are given to a kidney receiver post-transplant surgery?
No raw eggs, Raw meat, undercooked fish and unpasteurised cheeses
No food items that can interact with Tacrolimus (immunosuppressant) - Seville oranges, marmalade made from Seville, earl grey tea, grapefruit
What general recommendations are given to kidney recievers post-transplant surgery?
No live vaccines, no alcohol, no recreational drugs, no NSAIDS/ herbal medicines, no smoking, any antibiotic use should be checked first
What recommendations are given to kidney recievers post-transplant surgery in regard to decreasing risk factors ?(CVD, cancer, psych, diabetes)
Active lifestyle, regular BP management, sunscreen, mindfulness, low sugar and salt diet
