DPD haemodialysis Flashcards

1
Q

Symptoms of Renal Failure (6)

A
  1. tiredness, lethargy,
  2. SOB
  3. oedema
  4. pruritis
  5. nocturia
  6. poor appetite, nausea
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2
Q

Signs of Renal Failure (2)

A
  1. Anaemia

2. Renal Bone disease

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3
Q

Aims of RRT (5)

A
  1. correct electrolyte and acid based status
  2. remove waste products
  3. restore fluid balance
  4. improve symptoms
  5. QoL
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4
Q

Benefits of dialysis

A
  1. improves uraemia symptoms (e.g. pruritis, tiredness, nausea)
  2. corrects fluid balance (less sob+oedema)
  3. avoid life threatening events (severe acidosis, hyperkalaemia)
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5
Q

Risks of dialysis

A
  1. complications (e.g. infection, hypotensions)
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6
Q

Benefits of kidney transplantation (5)

A
  • better renal replacement
  • costs less in the long term
  • prolonged survival
  • increased QoL
  • improvement in metabolic disorders (e.g. anaemia, renal bone disease)
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7
Q

risks of kidney transplantation (4)

A
  • immunosuppression (increased risk of infection and malignancy)
  • older and sicker patients not eligible
  • not a cure
  • if transplant fails then worse
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8
Q

When do you start dialysis?

A
  • when eGFR<10ml/min and benefits>risks
  • eGFR<6ml/min and no reversible features
  • Life threatening complications
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