RRT

Question 1

Types of RRT

Answer 1

• Dialysis
  1. Haemodialysis
  2. Peritoneal dialysis
• Renal transplant

Question 2

Def of Dialysis

Answer 2

Question 3

Indications of Urgent Dialysis

Answer 3

Question 4

Hemodialysis

Answer 4

Question 5

Def of Hemodialysis

Answer 5

Question 6

Indications of Hemodialysis

Answer 6

Question 7

Indications of Hemodialysis

• CRF

Answer 7

• Urea > 200mg/dl.
• Serum creatinine > 8mg/dl (>6mg/dl in diabetic).
• GFR < 10 ml/min.
• Serious clinical manifestations as pericarditis, encephalopathy.

Question 8

Indications of Hemodialysis

• Other Indications

Answer 8

• Drug toxicity as salicylates & barbiturate.
• Refractory hyperkalemia & hypercalcemia.
• Restoring normal body temp. (warming or cooling).

Question 9

Complications of Hemodialysis

Answer 9

• Patient
• technical

Question 10

Complications of Hemodialysis

• Patient Complications

Answer 10

Question 11

Complications of Hemodialysis

• Technical Complications

Answer 11

Question 12

Def of Peritoneal Dialysis

Answer 12

Question 13

Principles of Peritoneal Dialysis

Answer 13

Question 14

Anatomy of Peritoneum & Peritoneal Cavity

Answer 14

Question 15

Properties of Peritoneum

Answer 15

• 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

Question 16

Contraindications of Peritoneal Dialysis

Answer 16

• Absolute
• Relative

Question 17

Contraindications of Peritoneal Dialysis

• Absolute Contraindications

Answer 17

1. Inflammatory gut disease
2. Peritoneal fibrosis or adhesions following intra-abdominal operation.

Question 18

Contraindications of Peritoneal Dialysis

• Relative Indications

Answer 18

Question 19

Complications of Peritoneal Dialysis

Answer 19

• Infectious
• Non-infectious

Question 20

Complications of Peritoneal Dialysis

• Infectious Complications

Answer 20

• Peritonitis (most important and most serious) exist site and tunnel infection

Question 21

Complications of Peritoneal Dialysis

• Non-Infectious

Answer 21

• Complications associated Increased IAP
• Complications associated with the Peritoneal Catheter
• Peritoneal Membrane sclerosis

Question 22

Non-Infectious Complications of Peritoneal Dialysis

• Increased IAP

Answer 22

Question 23

Non-Infectious Complications of Peritoneal Dialysis

• Peritoneal Catheter

Answer 23

Question 24

Non-Infectious Complications of Peritoneal Dialysis

• Peritoneal Membrane sclerosis

Answer 24

…

Question 25

Dx of **Peritonitis** D2 Peritoneal Dialysis

Answer 25

Question 26

Management of **Peritonitis** D2 Peritoneal Dialysis

Answer 26

- Gram +Ve organisms be covered by vancomycin or a first generation cephalosporin - Gram -Ve organisms by a third generation cephalosporin or an aminoglycoside

Question 27

Transport Processes in Dialysis

Answer 27

Question 28

Compare between types of Dialysis in terms of: - Rate - Location - Ultrafiltration - Solute Removal - Membrane - Method - Complications - Prefered When

Answer 28

Question 29

Advantages of **hemodialysis**

Answer 29

Question 30

Disadvantages of **hemo dialysis**

Answer 30

Question 31

Advantages of **peritoneal dialysis**

Answer 31

Question 32

Disadvantages of **peritoneal dialysis**

Answer 32

Question 33

Complications of **Renal Transplant**

Answer 33

Question 34

CI of **Renal Transplant**

Answer 34