dialysis1 Flashcards
what are the ESRD treatment options
hemodialysis
peritoneal dialysis
kidney transplant
what are 3 facts related to morbidity and mortality in dialysis
- increase risk in hospitlalizations for infections and CVD
- decrease life expectancy to 1/4 - 1/5 of healthy folks
- higher rate of hospitalization vs. kidney transplants
what percent of deaths in dialysis pts are CV related
50%
what is the yearly mortality percent for pt’s on dialysis?
20%
what is the 2nd leading cause of death in dialysis pts?
infection
what are the 3 basic components of dialysis
- blood compartment
- dialysate compartment
- semipermeable membrane
what is the transportation mechanism of solutes in dialysis
diffusion
if a patient has high K and is on dialysis, what type of solution should be in dialysate
low K dialysate solution
aka a low K bag
what is a problem with having high transmembrane pressure
increase risk of infection
what does ultrafiltration refer to?
transmembrane pressure
what happens to fluid in the dialysate compartment
it is removed from pt.
what are the primary indications for dialysis
- uremia
- fluid overload
- electrolyte toxicity
what lab is associated with uremia`
high BUN
what are the secondary indications for dialysis
- acid base (bicarb conc.)
- drug toxicity
- HTN emergency
- uremic bleeding
what drug overdose often calls for dialysis
lithium overdose
