RRT Flashcards
Types of RRT
-
Dialysis
1. Haemodialysis
2. Peritoneal dialysis - Renal transplant
Def of Dialysis
Indications of Urgent Dialysis
Hemodialysis
Def of Hemodialysis
Indications of Hemodialysis
Indications of Hemodialysis
- CRF
- Urea > 200mg/dl.
- Serum creatinine > 8mg/dl (>6mg/dl in diabetic).
- GFR < 10 ml/min.
- Serious clinical manifestations as pericarditis, encephalopathy.
Indications of Hemodialysis
- Other Indications
- Drug toxicity as salicylates & barbiturate.
- Refractory hyperkalemia & hypercalcemia.
- Restoring normal body temp. (warming or cooling).
Complications of Hemodialysis
- Patient
- technical
Complications of Hemodialysis
- Patient Complications
Complications of Hemodialysis
- Technical Complications
Def of Peritoneal Dialysis
Principles of Peritoneal Dialysis
Anatomy of Peritoneum & Peritoneal Cavity
Properties of Peritoneum
- Highly vascular
- Semi permeable → this allows substances of certain sizes to move from an area of greater concentration to less
- Bi Directional → substances move in either direction across the membrane
- Lymphatic drainage through diaphragmatic stomata
Contraindications of Peritoneal Dialysis
- Absolute
- Relative
Contraindications of Peritoneal Dialysis
- Absolute Contraindications
- Inflammatory gut disease
- Peritoneal fibrosis or adhesions following intra-abdominal operation.
Contraindications of Peritoneal Dialysis
- Relative Indications
Complications of Peritoneal Dialysis
- Infectious
- Non-infectious
Complications of Peritoneal Dialysis
- Infectious Complications
- Peritonitis (most important and most serious) exist site and tunnel infection
Complications of Peritoneal Dialysis
- Non-Infectious
- Complications associated Increased IAP
- Complications associated with the Peritoneal Catheter
- Peritoneal Membrane sclerosis
Non-Infectious Complications of Peritoneal Dialysis
- Increased IAP
Non-Infectious Complications of Peritoneal Dialysis
- Peritoneal Catheter
Non-Infectious Complications of Peritoneal Dialysis
- Peritoneal Membrane sclerosis
…
Dx of Peritonitis D2 Peritoneal Dialysis
Management of Peritonitis D2 Peritoneal Dialysis
- Gram +Ve organisms be covered by vancomycin or a first generation cephalosporin
- Gram -Ve organisms by a third generation cephalosporin or an aminoglycoside
Transport Processes in Dialysis
Compare between types of Dialysis in terms of:
- Rate
- Location
- Ultrafiltration
- Solute Removal
- Membrane
- Method
- Complications
- Prefered When
Advantages of hemodialysis
Disadvantages of hemo dialysis
Advantages of peritoneal dialysis
Disadvantages of peritoneal dialysis
Complications of Renal Transplant
CI of Renal Transplant
