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Flashcards in dialysis1 Deck (20):
1

what are the ESRD treatment options

hemodialysis
peritoneal dialysis
kidney transplant

2

what are 3 facts related to morbidity and mortality in dialysis

1. increase risk in hospitlalizations for infections and CVD
2. decrease life expectancy to 1/4 - 1/5 of healthy folks
3. higher rate of hospitalization vs. kidney transplants

3

what percent of deaths in dialysis pts are CV related

50%

4

what is the yearly mortality percent for pt's on dialysis?

20%

5

what is the 2nd leading cause of death in dialysis pts?

infection

6

what are the 3 basic components of dialysis

1. blood compartment
2. dialysate compartment
3. semipermeable membrane

7

what is the transportation mechanism of solutes in dialysis

diffusion

8

if a patient has high K and is on dialysis, what type of solution should be in dialysate

low K dialysate solution
(aka a low K bag)

9

what is a problem with having high transmembrane pressure

increase risk of infection

10

what does ultrafiltration refer to?

transmembrane pressure

11

what happens to fluid in the dialysate compartment

it is removed from pt.

12

what are the primary indications for dialysis

1. uremia
2. fluid overload
3. electrolyte toxicity

13

what lab is associated with uremia`

high BUN

14

what are the secondary indications for dialysis

1. acid base (bicarb conc.)
2. drug toxicity
3. HTN emergency
4. uremic bleeding

15

what drug overdose often calls for dialysis

lithium overdose

16

symptomatic uremia is also known as what?
list some symptoms

azotemia:
1. nausea and vomiting
2. anorexia
3. alteremed mental status
4. asterixis
5. uremic pericarditis (inflammation of pericardium)

17

what is a typical fluid overload symptom calling for dialysis

pulmonary edema

18

what is the problem with uremic bleeding

high BUN levels decrease platelet function

19

when should pt's be assessed for dialysis? (3 criteria)

1. BUN over 100
2. K over 5
3. SCr over 12

20

what type of HTN usually calls for dialysis

unresponsive to HTN meds