Hemodyalisis

Question 1

the machine acts as the___

Answer 1

glomerulus (filters the blood)

Question 2

if the patient is allergic to___ they cannot be hemodylized

Answer 2

heparin; can be done ONLY if the hospital can use another solution for anti-clotting like “cath-flo”

Question 3

hemodialysis should be done how often?

Answer 3

3-4 times/week

Question 4

the patient has to watch in between treatment?

Answer 4

what they eat and drink

Question 5

since the lifetime of hemo patients tend to be depressing, how do they sometimes commit suicide?

Answer 5

by eating or drinking something they’re not suppose to have

Question 6

what 2 things are watched constantly during treatment?

Answer 6

electrolytes and blood pressure

Question 7

circulatory access:

• AV shunt
• Fistula
• Graft

Temporary catheter (Ash catheter)… what’s important to know about this one?

Answer 7

• used for short term access while the permanent access one matures. typically used for 90 days or less.

Question 8

Can we use any of the circulatory access for hemodialysis to give meds or draw blood?

Answer 8

NO!

Question 9

VIP nursing restrictions when it comes to a fistula or any circulatory access on the arm of a hemo patient.

Answer 9

• No IV access on the arm
• NO blood pressures (or any constrictions on that arm.. no watch, purse carying on that side, no blouse that has elastic on that sleeve)

Question 10

When you palpate the fistula, you will feel and hear what?

should it pulsate?

Answer 10

• feel a thrill (cat puring sensation) and hear bruit

- yes