Fluid Management

Question 1

How is target weight determined?

Answer 1

Via Physicians order

Question 2

What is the target weight?

Answer 2

physician prescribed weight post-dialysis that the patient can safely and reasonably achieve.

Question 3

Interdialytic Weight Gain (IDWG) Calculation:

Answer 3

Pre weight
- Last post weight
————————-
IDWG

Question 4

UF goal Calculation:

Answer 4

Pre weight
- Target weight
————————
+
NS prime and rinseback
———————————–
+
oral intake, infusions
———————————
UF Goal

Question 5

UFR Calculation:

Answer 5

UF Goal / Tx Hours = UFR

Question 6

What are the four consequences of sodium loading during dialysis?

Answer 6

Increased thirst
Large fluid gains
hypotension
ischemic events

Question 7

State 3 ways we can contribute to sodium loading during dialysis

Answer 7

Broth
Normal Saline
Increased sodium in dialysate (high setting in machine or sodium modelling)

Question 8

What are the consequences if a patient is consistently has hypervolemia?

Answer 8

LVH, increased CVP, hypertension, increased mortality, pulmonary edema, increased hospitalization rate.

Question 9

What are the consequences and risks of hypovolemia during the Tx?

Answer 9

increases mortality
organ stunning- loss of residual kidney function