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PHRM 825 > PHRM 825: HD, PD, and other RRT > Flashcards

PHRM 825: HD, PD, and other RRT Flashcards

1
Q

What is ultrafiltrate?

A

Waste products removed during continuous renal replacement therapy

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2
Q

What is an AV fistula

A

Surgically created anastamosis between an artery and a vein, usually located in the forearm between the radial artery and cephalic vein used for HD access

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3
Q

What is an AV graft?

A

An alternate to a fistula, the graft is created by surgically connecting an artery and vein with a polytetrafluoroethylene tube

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4
Q

Indications for RRT

A 
A - Acid/Base balance
E - Electrolyte balance
I - Intoxication/Poisoning
O - Overload
U - Uremia
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5
Q

What substances are NOT removed during hemodialysis?

A
  • High Vd
  • High lipophilicity
  • Large molecular weight
  • Highly protein bound
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6
Q

What is the goal for Kt/V?

A

1.4

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7
Q

What are complications of hemodialysis?

A
  • Hypotension
  • Pruritus
  • Muscle cramps
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8
Q

How does PD work?

A

Uses patients peritoneal membrane as dialysis membrane

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9
Q

Who is PD reserved for?

A

Pediatrics or ESRD patients already receiving PD

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10
Q

When is PD used for acute renal failure (ARF)?

A

Rarely except for in children

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11
Q

How does PD compare to HD?

A

Not as effective but is a continuous therapy

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12
Q

What is CAPD

A

Continuous Ambulatory Peritoneal Dialysis

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13
Q

What is CCPD

A

Continuous Cyclic Peritoneal Dialysis

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14
Q

What is NIPD

A

Nocturnal Intermittent Peritoneal Dialysis

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15
Q

What is TPD

A

Tidal Peritoneal Dialysis (most expensive kind)

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16
Q

What is peritonitis

A

Infection of the peritoneal membrane

17
Q

Signs and symptoms of peritonitis

A
  • Cloudy effluent (waste bag looks cloudy)
  • Abdominal pain
  • Fever
  • Nausea and vomiting
  • Chills
  • Abdominal tenderness
18
Q

What antibiotic should NOT be used in patients with residual renal function (RRF)?

A

Aminoglycosides –> Can cause harm to kidneys

19
Q

When is continuous renal replacement therapy (CRRT) used?

A

In patients with acute renal failure who cannot tolerate hemodialysis sessions (because of CV reasons)

20
Q

What is CAVH

A

Continuous arteriovenous hemofiltration

21
Q

What is CVVH

A

Continuous venovenus hemofiltration

22
Q

What is CVVHD

A

Continuous venovenous hemodialysis

23
Q

What is CVVHDF

A

Continuous venovenous hemodiafiltration

PHRM 825 (36 decks)

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