dialysis3

Question 1

how is intradialytic hypotension treated

Answer 1

1. decrease ultrafiltration rate
2. administer saline bolus
3. antiHTN’s not given until after tx

Question 2

what oral alpha1 agonist is given to increase bp

Answer 2

midodrine

Question 3

muscle cramps with dialysis are treated how?

Answer 3

1. IV saline or glucose bolus
2. Accurately set dry weight
3. keep dialysate Na higher than serum sodium
4. stretch before
   5, Vit. E

Question 4

what is the term for an allergic reaction or anaphylactic reaction that usually occurs within 20 minutes of HD session

Answer 4

type A dialyzer reaction

Question 5

what increases risk of type A dialyzer reaction

Answer 5

pts on ACEI

Question 6

what is used to treat type A dialyzer reactions?

Answer 6

epinephrine
antihistamine
corticosteroids
ventilator if necessary

Question 7

what are the no. 1 complications with HD

Answer 7

thrombosis and infection

Question 8

describe peritoneal dialysis

Answer 8

dialysis fluid pumps into peritoneal cavity, diffusion from bloodstream takes place, then paritoneal cavity is drained

Question 9

what is the number one problem with peritoneal dialysis

Answer 9

infection (both in catheter and peritoneal cavity)

Question 10

what is the type of peritoneal dialysis that is 24/7

Answer 10

continuous ambulatory peritoneal dialysis

Question 11

what is the peritoneal dialysis that uses a cycling machine, usually at night

Answer 11

automated peritoneal dialysis

Question 12

what can be added to PD solutions

Answer 12

antibiotics and insulin

Question 13

what are 3 PD infections

Answer 13

peritonitis
exit site tunnel infection
catheter related infection