Medsurg 3 part 3 Flashcards
Functions of Dialysis: Rids the body of
excess fluid and electrolytes
Functions of Dialysis: Achieves
acid-base balance
Functions of Dialysis: Eliminates
waste products
Dialysis can sustain life for clients who have both
acute and chronic renal failure
Dialysis does not replace the ___ functions of the kidneys.
hormonal
Two types of dialysis are
hemodialysis and peritoneal dialysis
Hemodialysis works by
shunting the client’s blood from the body through a dialyzer and back into circulation.
Vascular access is needed for hemodialysis.
2 less obvious indications for Hemodialysis
drug OD
Persistant hyperkalemia
following surgical development of AV fistula,
elevate the arm to reduce swelling
A kind of medication that should be held before dialysis
meds that lower BP
Have ___ sulfate ready to reverse heparin if needed.
protamine
Advise the client not to ___ during dialysis.
eat
Expected findings after dialysis
Decreases in blood pressure and laboratory values
1 liter weighs
1 kg
Avoid invasive procedures for ___ hours after dialysis due to the risk of bleeding related to an anticoagulant.
4 to 6
Check the access site at intervals following dialysis, if bleeding
apply light pressure
Contact the provider if bleeding from the insertion site lasts longer than ___ following dialysis
30 min
Dialysis: Eat well-balanced meals to include foods high in ___ (beans, green vegetables), and take ___ supplements
folate
protein
Dialysis: Perform ___ exercises that promote fistula maturation.
hand
Dialysis complication: caused by too rapid a decrease of BUN and circulating fluid volume
Disequilibrium syndrome
Disequilibrium syndrome: may result in
cerebral edema and increased intracranial pressure
Use a slow dialysis exchange rate, especially for
older adult clients and those being treated
with hemodialysis for the first time
Nursing action for Disequilibrium syndrome: you may need to administer
anticonvulsants/barbiturates
Hypotension caused by dialysis: first 2 steps
give IV fluids (which raises BP) and slow the dialysis rate