Flashcards in renal replacement therapies Deck (11)
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1
what are indications for dialysis
AEIOU
acidosis
electrolyte imbalances - hyperkalaemia
intoxication - overdose
oedema
uraemia
2
what is continuous ambulatory peritoneal dialysis
peritoneum membrane is used as a filter
dialysis solution containing dextrose is pumped in to make a gradient and blood gets filtered
waste is removed
3
what are side effects of continuous and overnight ambulatory peritoneal dialysis
weight gain
thickening of membrane/sclerosis
infection
social and psychological effects
4
what is overnight ambulatory peritoneal dialysis
same as ambulatory but done over night
5
what is haemodialysis
machine filters blood
need at least 4hrs a day, 3 days a week
blood is accessed from a fistula or tunnelled cuffed catheter
NEVER TAKE BLOOD FROM A FISTULA - IT IS ONLY FOR DIALYSIS
6
what can you inspect on a fistula site
aneurysms
skin integrity
palpable thrill
machinery murmur on auscultation
7
what are side effects of haemodialysis
steal syndrome if fistula
8
what is an indication for renal transplant
end stage renal disease - GFR less than 15
bicarbonate less than 10mmoles/l
9
how is the new kidney fitted in
in the suprapubic area
old kidneys are not removed
artery and vein are attached to external iliac artery and veins, ureter attached directly to bladder
10
how is rejection avoided
match kidney to patient by HLA types
life long immunosuppression - prednisolone, tacrolimus, mycophenolate
11
