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CMPA411 RENAL > Hemodialysis > Flashcards

Hemodialysis Flashcards

1
Q

Client is attached (via a surgically created AV fistula or Graft) to a machine that pumps blood along a semi-permeable membrane, dialyzing solution is on the other side of the membrane, and osmosis, diffusion of waste, toxins, and fluid
from the client occurs

A

Hemodialysis

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2
Q

are the principles in dialysis (3)

A

Diffusion
Osmosis
Ultrafiltration

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3
Q

Hemodialysis Access: Commonly in the forearm anastomosis artery to vein either side to side or end to end

A

AV Fistula

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4
Q

Hemodialysis Access: It takes at least 14 days to mature

A

AV Fistula

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5
Q

Hemodialysis Access: Palpate for ?, Auscultate for ?

A

Thrills
Bruits

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6
Q

Hemodialysis Access: Can be created by subcutaneously interposing a biologic, semibiologic, or synthetic graft material between an artery and vein

A

AV Graft

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7
Q

Hemodialysis Access: created when the patient’s vessels are not suitable for fistula

A

AV Graft

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8
Q

Hemodialysis Access: Creation of a double-lumen large core catheter into the subclavian, internal jugular or femoral vein

A

Vascular Access Devices

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9
Q

Hemodialysis Access: Creation of a double-lumen large core catheter into the subclavian, internal jugular or femoral vein

A

Vascular Access Devices

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10
Q

Nursing Management: Protecting vascular access - Evaluate venous access site for ?

A

Bruit or Thrill

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11
Q

Nursing Management: Protecting vascular access - Absence means ? or ?

A

Blockage
Clotting

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12
Q

Nursing Management: Taking precautions During IV - The rate of the administration must be as ?

A

Slow as possible

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13
Q

Nursing Management: Managing discomforts and pain - ? for pruritis

A

Antihistamine

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14
Q

Nursing Management: Managing discomforts and pain - use (3)

A

bath oils
superfatted soap
cream of lotion

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15
Q

Nursing Management: Monitoring blood pressure - ? must be withheld before dialysis to avoid hypertension due to the combined effect of the dialysis and the medications

A

Antihypertensive Agents

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16
Q

Nursing Management: Caring for the catheter site - Performed during ?

A

Showering or Bathing

17
Q

Nursing Management: Caring for the catheter site - Exit site should not be submerged in ?

A

bath water

18
Q

Nursing Management: Caring for the catheter site - ? soap is recommended

A

Liquid

19
Q

Nursing Management: Caring for the catheter site - Make sure that the catheter remains secure to avoid ?

A

Tension and Trauma

20
Q

Vascular Access Complications: (6)

A

Poor Blood Flow
Clotting
Infection
Pseudoaneurysm/ aneurysm
Ischemia of the hand
May contribute to CHF

CMPA411 RENAL (9 decks)

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