Hemodialysis Flashcards
What is the machine?
Glomerulus (filter)
How often is it done?
3-4 times/wk
*client has to watch what they eat and drink between treatments
To prevent blood clots from forming, the client is given ____ during dialysis
An anticoagulant
*usually Heparin—implement bleeding precautions and avoid anything invasive 24-48 hours after
Depressed so risk for?
Suicide
What is watched constantly?
Electrolytes and BP
Can all clients handle hemodialysis?
No
What clients can’t handle hemodialysis?
Unstable CV system pts.
Must have what access?
Vascular
Vascular access
With hemodialysis, blood is being removed, cleansed and then returned at a rate of ___
300-800 mL/min
Vascular access
What is vascular access?
A site where they have access to a large blood vessel because very rapid blood flow is essential for hemodialysis
Vascular access
What is AVF?
Arteriovenous fistula–
In the forearm with an anastomosis between an artery and vein
Vascular access
What is an AVG?
A synthetic graft to join the vessels (good for diabetic)
Vascular access
AVF and AVG both require ___
Surgery
*the access site takes weeks to mature and be ready for venipuncture
Vascular access
During dialysis, two needles are inserted into vascular access. Why?
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
Vascular access
What end of access remove blood ?
What end of access is the return?
Arterial end of access removes blood
Return is through LOW pressure venous end