drug tx and dialysis Flashcards
1
Q
drug tx for hyperkalemia
A
- kayexalate/sorbitol
- glucose and insulin
- 10% Ca gluconate: only for the arrythmia
2
Q
drug tx for CKD-MBD
A
- phosphate restrict: 1g/day
- Tums, PhosLo
- renagel, fosrenol
- control hyperparathyroidism
- vit D replacement
3
Q
drug tx for anemia
A
- erythropoietin: epogen, procrit, aranesp
- iron
- blood transfusion
4
Q
blood transfusion: avoid
A
an undesirable effect of transfusion will get rid of erythropoietin completely
5
Q
restrictions
A
- water
- Na: 2-4g/day
- K: 2-4g/day
- phosphate: 1g/day
6
Q
dialysis
A
- beings when the uremic state can no longer be managed
- the movement of fluid and molecules across a semi-permeable membrane from one compartment to another
7
Q
principles of dialysis
A
- diffusion
- osmosis
- ultrafiltration
8
Q
diffusion
A
mvmt of solute from greater to lower concentration
9
Q
osmosis
A
mvmc of fluid from lesser to greater concentration
10
Q
ultrafiltration
A
removing water
11
Q
peritoneal dialysis
A
- a catheter is inserted through the anterior abdominal wall
- can be done at home, can walk around and sleep
12
Q
glucose concentration in dialysis
A
- glucose concentrations: the higher the percentage, the more fluid you will pull off
- ex: 1.5%, 2.5%, 4.25%
- 1-2L bags
- electrolyte composition is similar to that of plasma
13
Q
dialysis cycles
A
- inflow
- dwell
- outflow
14
Q
inflow
A
fluid going into the body
15
Q
dwell
A
exchange of electrolytes
16
Q
outflow
A
drain out fluid
17
Q
contraindications for peritoneal dialysis
A
- multiple abd surgeries
- hernias
- morbidly obese
- vertebral disease
- obstructive pulmonary dz
18
Q
contraindications for renal transplant
A
- cancer
- untreated or refractory cardiac dz
- extensive vascular dz
- chronic infection
- unresolved psychological dx
