GU Flashcards
how is AKI (acute kidney injury) identified in hospital
elevated serum creatinine and BUN with or without decreased urine output over hours or days
what are sxs of AKI
thirst, hypotension, acid-base and electrolyte imbalance, anemia, peripheral edema,
what defines CKD (chronic kidney disease)
irreversible reduction in renal function usually from DM or HTN
although CKD and AKI share common sxs, what are two distinguishing sxs for CKD
bone pain and extraosseus calcificaiton
what is ESKD
end stage kidney disease - progression of CKD to a point where kidney transplant is required for survival
what is renal replacement therapy
it is a method primarily focused on managing fluid and electrolyte balance in the kidney disease population - can include PD, HD, and CRRT
what is peritoneal dialysis
dialysate fluid instilled into the peritoneal cavity
how often does peritoneal dialysis occur
3-5 exchanges per day
what equipment is normally required for peritoneal dialysis
catheter placed in the abdomen usually connected to an automated devices (APD)
what is CAPD
continuous ambulatory peritoneal dialysis - uses gravity to drain bag into abdomen and fluid out of the abdomen
what is HD
hemodialysis - blood mechanically circulated through a filter that is surrounded by dialysate solution
how often does HD occur
3-5x per week for 3-5 hours
what is CRRT
continuous renal replacement therapy - continuous, slow, and balanced removal of fluid in patients who are critically ill
what is an advantage of CRRT
minimizes risk of hypotension that can occur with intermittent HD
when are patients most fatigued with regards to RRT?
variable. some are more tired before dialysis, some after
