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Flashcards in dialysis3 Deck (13):
1

how is intradialytic hypotension treated

1. decrease ultrafiltration rate
2. administer saline bolus
3. antiHTN's not given until after tx

2

what oral alpha1 agonist is given to increase bp

midodrine

3

muscle cramps with dialysis are treated how?

1. IV saline or glucose bolus
2. Accurately set dry weight
3. keep dialysate Na higher than serum sodium
4. stretch before
5, Vit. E

4

what is the term for an allergic reaction or anaphylactic reaction that usually occurs within 20 minutes of HD session

type A dialyzer reaction

5

what increases risk of type A dialyzer reaction

pts on ACEI

6

what is used to treat type A dialyzer reactions?

epinephrine
antihistamine
corticosteroids
ventilator if necessary

7

what are the no. 1 complications with HD

thrombosis and infection

8

describe peritoneal dialysis

dialysis fluid pumps into peritoneal cavity, diffusion from bloodstream takes place, then paritoneal cavity is drained

9

what is the number one problem with peritoneal dialysis

infection (both in catheter and peritoneal cavity)

10

what is the type of peritoneal dialysis that is 24/7

continuous ambulatory peritoneal dialysis

11

what is the peritoneal dialysis that uses a cycling machine, usually at night

automated peritoneal dialysis

12

what can be added to PD solutions

antibiotics and insulin

13

what are 3 PD infections

peritonitis
exit site tunnel infection
catheter related infection