Renal: Hemodialysis Flashcards
Who does the nurse needs to collaborate about with dialysis?
What drugs may need to be held during/before dialysis
What are the dialyzable drug classes?
- Aminoglycosides
- Anti-TB agents
- Antivirals/Antifungals
- Ceph Antibiotics
- Anticonvulsants
- Penicillins
- Other
i dont know if we need all this detail and we probably wont study it anyway, so just look over the specific drugs on pg 39lol
Which hemoydialysis access type is temporary?
Venous or arterial?
Venous
Which veins are used for temporary access for hemodialysis?
Subclavian and Femoral veins
When is temporary dialysis used?
When there is acute kidney issues–no chronic yet
What is needed to evaluate the placement of a temporary access lumen?
Chest xray
What is the complication of Subclavian temporary access?
Pneumothorax–decreased breath sounds in R lung
With chronic dialysis, the surgeon accesses in ________ circulation and returns in _________ circulation.
access arterial
return venous
What are the three things are needed for chronic dialysis treatment.
- AV Fistula
- AV Graft
- AV shunt
What is a AV fistula?
periphery artery and vein are surgically attached together
What is needed to create the tunneling for the AV Fistula?
AV Graft
T or F: The AV Graft is cannulated for outflow and inflow?
T
After the need is withdrawn from the graft, what nursing care is needed?
Apply firm pressure
What is the piece that actually attaches the pt to the dialysis machine?
AV shunt
What type of connector is access for dialysis with chronic treatment?
T connector
