Fresenius Orientation Final Exam (Hemo Dialysis)
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Nephrons - Functional unit of the kidneys
Nephrons are composed of? - The glomerulus (tangled cluster of capillaries surrounded by the
bowmans capsule) and the tubules
Kidneys help maintain good health because - They filter fluid, waste, and extra electrolytes from
capillaires into the tubules
4 functions of the kidney - Excretory, regulatory, filtration and endocrine
Excretory function of the kidney - Kidneys rid the body of waste products and excess fluid and
electrolytes
Uremia is - A build up of waste products in the blood
Regulatory function of the kidney - Maintain acid/base balance. Fluid balance and electrolyte
balance
Filtration function of the kidney - Nephrons retain some things and filter out and reabsorb others
Endocrine function of the kidney - Kidneys produce hormomes one is renin which constricts blood
vessels reulting in increasing BP, erythropoitentin signals bone marrie tonprosuce RBC kidneys
also convert the storage form of VIT D, VIT D helps ansorbe calcium from the gut
The #1 cause of CRF - Diabetes
, The #2 cause of CRF - Hypertension
Stage 5 renal failure - Has only 10-15% kidney function left
Renal failure effects on the digestive system - Uremian causes N/V diarrhea loss of appetite
Renal failure effects on the skin - Dry itchy darkened
Renal failure effects on the cardiovascular - K causes muscle weakness including heart weakness
which can lead to arrhytmias cardiac arrest and death fluid can cause increasesd BP and edema
Renal failure effects on the skeletal system - With calcitriol there is decreased ansorption id calcium
from the gut. The parathyroid hormone also rises as a result. In order to keep blood calcium in
normal range calcium is taken from the bones (dut to high PTH) vausing weak and brittel bones.
Calcium then combines with phosphorus and is deposited in sodt tissues
Renal failure effects on the lung - Fluid in lungs causes SOB and also puts PT at risk for pulmonary
infection
3 types of renal replacement - Peritoneal dialysis
Hemodiaysis
Tramsplant
Safe levels of total chlorine for patinets - 0.00-0.09
15 minutes - Length of time the RO has to run for samples to be obtained for total chlorine testing
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