Week 12 Flashcards
1
Q
Fatigue is the biggest physical issue with CKD. What could this be associated to?
A
- medication side effects
- nutritional deficiencies
- physiological alterations such as obstructive sleep apnoea
2
Q
what are some signs that a pt’s CKD is getting worse?
A
- nausea and vomiting
- changes in mental state
- adnormal bleeding from injuries
- irregular heartbeats due to increase fluid upon the heart
- SOB due to fluid build up on the lungs
- itching
- fatigue
- back pain
- urination colour cahange
3
Q
List at least 4 benefits to home dialysis.
A
- improvement in QOL with family
- autonomy,
- flexibility
- cheaper than satellite HD
- less expensive, reduced admission costs and complications
4
Q
List at least 4 barriers to home dialysis.
A
- clinical factors
- pt factors
- system factors
- transplant
- infection
- carer or pt fatigue
- technique failures
- non-dialysis factors = finances
5
Q
List some factors that may influence consideration for kidney transplant.
A
- age
- obesity
- drug and alcohol abuse
- smoking
- Hx of not taking appropriate medications whilst on dialysis
- other health conditions
6
Q
List the advantages for a pt for getting a kidney transplant
A
- lowered long term mortality risk
- increased QOL
- lowered costs
7
Q
List the disadvantages of getting a kidney transplant.
A
- side effects associated with antirejection medications
- issues of chronic rejection
- loss of donor organ
8
Q
Kidney transplant rejection can occur as either: Hyperacute rejection Acute rejection or Chronic rejection. What is this?
A
- Hyperacute rejection= rejection immediately after surgery
- Acute rejection= rejection 1 week to a year post surgery
- Chronic rejection= occurs slowly, without obvious symptoms
9
Q
Pt and family education for rehabilitation and self management of CKD involves?
A
- Kidney replacement therapy education
- identify the signs and symptoms of infection
- manage problems with treatment
- know side effects of medication
- knowledge about diet education
- rehabilitation support
