Exam 1047 Flashcards
When dialyzing a pt w/ AKI, why is it important to monitor BP and weight closely?
Hypovolemic and hypotensive episodes can cause renal ischemia and can further damage the kidneys
CKD can have origins in pre-, intra-, or post-renal. Which do the following conditions each fall under?
- renal artery stenosis
- kidney stones
- hypertension
- tumor in the bladder
- pre
- pre
- intra
- post
Why is it important to be aware of what caused the pt’s CKD?
The underlying disease could cause health complications that can impact dialysis tx
What do we look for to determine if a nurse is meeting the standard of care?
reasonable and prudent
How do I find if something is within my scope of practice?
P&P, the skill has become routine in nursing literature and nursing practice and was taught in nursing school
When evaluating pt’s nutritional status, what lab is a good indicator of nutrition?
albumin ≥ 4
If the parathyroid gland releases PTH, and PTH increase serum calcium, what might we be concerned about if our pt has a total parathyroidectomy?
hypocalcemia
Infx and inflammation might lead to an increase in inflammatory mediators like C-reactive protein, therefore, what might we see go down during times of inflammation and infx?
albumin/hypoalbuminemia
HD replaces what % of kidney function?
15%
What do we call the fluid removal when we manipulate the hydrostatic pressure?
ultrafiltration
What is it called when fluid moves from low solute concentration to high solute concentration?
osmosis
If the execratory system removes things from the body, then what do we use to replace electrolytes?
acid concentrates
If pt has pericarditis, what medication might we want to restrict?
heparin
When documenting a REM… include the 5 elements.
Who, what, where, when, why
How to determine a fistula is mature?
Kadoqi Rule of 6’s; vessel < 0.6 cm deep, diameter > 0.6 cm, BFR 600 ml/min, 6-8 weeks post-op
