Medsurg 3 part 3 Flashcards

1
Q

Functions of Dialysis: Rids the body of

A

excess fluid and electrolytes

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2
Q

Functions of Dialysis: Achieves

A

acid-base balance

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3
Q

Functions of Dialysis: Eliminates

A

waste products

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4
Q

Dialysis can sustain life for clients who have both

A

acute and chronic renal failure

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5
Q

Dialysis does not replace the ___ functions of the kidneys.

A

hormonal

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6
Q

Two types of dialysis are

A

hemodialysis and peritoneal dialysis

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7
Q

Hemodialysis works by

A

shunting the client’s blood from the body through a dialyzer and back into circulation.

Vascular access is needed for hemodialysis.

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8
Q

2 less obvious indications for Hemodialysis

A

drug OD

Persistant hyperkalemia

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9
Q

following surgical development of AV fistula,

A

elevate the arm to reduce swelling

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10
Q

A kind of medication that should be held before dialysis

A

meds that lower BP

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11
Q

Have ___ sulfate ready to reverse heparin if needed.

A

protamine

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12
Q

Advise the client not to ___ during dialysis.

A

eat

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13
Q

Expected findings after dialysis

A

Decreases in blood pressure and laboratory values

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14
Q

1 liter weighs

A

1 kg

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15
Q

Avoid invasive procedures for ___ hours after dialysis due to the risk of bleeding related to an anticoagulant.

A

4 to 6

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16
Q

Check the access site at intervals following dialysis, if bleeding

A

apply light pressure

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17
Q

Contact the provider if bleeding from the insertion site lasts longer than ___ following dialysis

18
Q

Dialysis: Eat well-balanced meals to include foods high in ___ (beans, green vegetables), and take ___ supplements

A

folate

protein

19
Q

Dialysis: Perform ___ exercises that promote fistula maturation.

20
Q

Dialysis complication: caused by too rapid a decrease of BUN and circulating fluid volume

A

Disequilibrium syndrome

21
Q

Disequilibrium syndrome: may result in

A

cerebral edema and increased intracranial pressure

22
Q

Use a slow dialysis exchange rate, especially for

A

older adult clients and those being treated

with hemodialysis for the first time

23
Q

Nursing action for Disequilibrium syndrome: you may need to administer

A

anticonvulsants/barbiturates

24
Q

Hypotension caused by dialysis: first 2 steps

A

give IV fluids (which raises BP) and slow the dialysis rate

25
Hypotension caused by dialysis: position the pt
HOB lowered
26
Hypotension caused by dialysis: For severe hypotension that is unresponsive to fluid replacement
discontinue the dialysis
27
Peritoneal dialysis definition
you put of hypertonic dialysate solution into the peritoneal cavity. Allow the solution to sit in the peritoneal cavity. Drain the solution that includes the waste products.
28
In Peritoneal dialysis, the filtration membrane is the
peritoneum
29
Peritoneal Dialysis is contraindicated in someone who has undergone
multiple surgeries involving the peritoneum (peritoneum must be intact for the process to work)
30
Peritoneal dialysis is the treatment of choice for
older adults
31
- unable to tolerate anticoagulation. - Have difficulty with vascular access. - Have chronic infections or are unstable These are indications for
Peritoneal dialysis
32
Continuous ambulatory peritoneal dialysis (CAPD) frequency
7 days a week for 4 to 8 hours
33
Activity level allowed during CAPD
no restrictions
34
Peritoneal dialysis outflow color should be
clear, light yellow
35
Peritoneal dialysis outflow volume should be
equal or greater than input volume
36
___ the dialysate prior to instilling
warm (not in microwave)
37
Peritoneal dialysis may need to eat foods high in
protein (because protein can be excessively drained during the procedure)
38
Peritoneal dialysis are at risk for increased ___ and ___ levels because of the contents of the solution
high glucose and fat
39
Peritoneal dialysis: ___ tubing to break up fibrin clot.
Milk
40
Peritoneal dialysis: Tell the client to avoid constipation by
using stool softeners and consuming a diet high in fiber