dialysis and transplantation Flashcards
when is renal replacement therapy indicated
eGFR < 10ml/min or biochemical abnormalities
types of renal replacement therapy
transplant
haemodialysis
peritoneal dialysis
conservative kidney managemnt
types of haemodialysis
satellite/hospital and home
types of peritoneal dialysis
continuous ambulatory peritoneal dialysis CAPD and automated peritoneal dialysis APD
restrictions for dialysis
fluid - urine output, interdialytic weight gain
diet- potassium, sodium, phosphate
fluid balance in dialysis patients
usually restricted to 500-800ml/24hrs intake in haemodialysis patients
usually more liberal intake as continuous ultrafiltration is often achieved in peritoneal
peritoneal dialysis where
instilled into peritoneal cavity via a tunnelled cuffed catheter using the peritoneal mesothelium as a dialysis membrane
drugs needed when on dialysis
erythropoietin injections
IV iron
vitD
phosphate binders with meals
heparin
water soluble vitamins
antihypertensives soemtimes
for PD antibiotics if peritonitis risk
transplant complications
bleeding, thrombosis, lymphocele, infections
types of donors
DNC- brain dead
DCD- cardiac dead
living related
spouse
altruistic
living donors or dead donors better
living. survival better
immunosuppressive agents used to prevent what
T cell mediated and antibody mediated rejection
basiliximab
tacrolimus
corticosteroids
cyclosporin
mycophenolate mofetil
post transplant risks
diabetes
infection eg UTI, CMV, BK virus
cancer- skin, lymphoma, renal, melanoma, leukemia
how long do you have after death to retrieve kidney
120 mins, 2 hours
how long wait asystole before surgery
5 mins
