Hemodialysis Flashcards

1
Q

What is the machine?

A

Glomerulus (filter)

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2
Q

How often is it done?

A

3-4 times/wk

*client has to watch what they eat and drink between treatments

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3
Q

To prevent blood clots from forming, the client is given ____ during dialysis

A

An anticoagulant

*usually Heparin—implement bleeding precautions and avoid anything invasive 24-48 hours after

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4
Q

Depressed so risk for?

A

Suicide

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5
Q

What is watched constantly?

A

Electrolytes and BP

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6
Q

Can all clients handle hemodialysis?

A

No

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7
Q

What clients can’t handle hemodialysis?

A

Unstable CV system pts.

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8
Q

Must have what access?

A

Vascular

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9
Q

Vascular access

With hemodialysis, blood is being removed, cleansed and then returned at a rate of ___

A

300-800 mL/min

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10
Q

Vascular access

What is vascular access?

A

A site where they have access to a large blood vessel because very rapid blood flow is essential for hemodialysis

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11
Q

Vascular access

What is AVF?

A

Arteriovenous fistula–

In the forearm with an anastomosis between an artery and vein

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12
Q

Vascular access

What is an AVG?

A

A synthetic graft to join the vessels (good for diabetic)

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13
Q

Vascular access

AVF and AVG both require ___

A

Surgery

*the access site takes weeks to mature and be ready for venipuncture

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14
Q

Vascular access

During dialysis, two needles are inserted into vascular access. Why?

A

One needle will allow blood to be pulled from circulation and sent to hemodialysis machine

Other needle is to return filtered blood to client circulation

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15
Q

Vascular access

What end of access remove blood ?
What end of access is the return?

A

Arterial end of access removes blood

Return is through LOW pressure venous end

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16
Q

Vascular access

For temporary access, the internal jugular or femoral vein is often used for catheter placement. Surgery?

A

Not required

17
Q

Care of access

Do not use for ___

A

IV access (drawing blood, administering meds)

18
Q

Care of access

When a client has an alternate vascular access, what is the associated nursing care for that extremity?

A

No BP
No needle sticks
No constriction

19
Q

Assessment of access

Why?

A

Insure patency

20
Q

Assessment of access

How to insure patency?

A

Thrill
Bruit

Feel the thrill, hear the bruit