Intermediate Med Surg- Dialysis Exam Questions and Correct Answers (Already Passed)
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Intermediate Med Surg- Dialysis
Institution
Intermediate Med Surg- Dialysis
Intermediate Med Surg- Dialysis Exam Questions and Correct Answers (Already Passed)
Dialysis - Answers Movement of fluid/molecules across a semi perennial membrane from one compartment to another
Dialysis is used to - Answers Correct fluid and electrolyte and imbalances
Remove waste in kidney f...
Intermediate Med Surg- Dialysis Exam Questions and Correct Answers (Already Passed)
Dialysis - Answers Movement of fluid/molecules across a semi perennial membrane from one
compartment to another
Dialysis is used to - Answers Correct fluid and electrolyte and imbalances
Remove waste in kidney failure
May be used to treat drug overdoses
Two methods for dialysis - Answers -Peritoneal dialysis (PD)
-Hemodialysis (HD)
Dialysis is begun when - Answers A patient's uremia can no longer be adequately treated conservatively
Initiated with GFR is less than 15 ml/min
When a CKD patient starts dialysis, they are automatically - Answers Deemed Stage 5
ESRD is treated with dialysis because - Answers -There is a lack of donated organs
-Some patients are physically or mentally unsuitable for transplantation
-Some patients do not want transplants
Diffusion - Answers Movement of solutes from an area of higher concentration to an area of lower
concentration to reach equilibrium
Ultrafiltration - Answers water and fluid removal
results when there is an osmotic gradient across the membrane
Excess fluid moves into the dialysate
Ultrafiltration is the piece of dialysis that - Answers changes based on a patient's fluid status (measured
by daily weight)
Peritoneal access is obtained through - Answers Inserting a catheter through anterior abdominal wall
, The technique for catheter replacement varies , but it's usually done via surgery
Tenckhoff catheter - Answers Type of catheter placed in peritoneal dialysis
After catheter placement, PD is - Answers Initiated immediately or delayed for two weeks
PD catheter care - Answers Daily catheter care varies, but it is similar to a G-tube
Cleaned with soap and water
PD dialysis solution - Answers Available in 1 or 2 L plastic bags
Glucose concentration can be 1.5%, 2.5%. Or 4.25%
The higher the glucose concentration, the more fluid that is pulled off
Electrolyte composition of PD dialysis solution - Answers Similar to that of plasma
PD dialysis solution temperature - Answers -Warm to body temperature
-If it's not warmed, it could cause cramping
Three phases of the PD cycle - Answers -inflow (fill)
-dwell (equilibrium)
-drain
Completion of all three steps is called an "exchange"
Inflow - Answers -The prescribed amount of solutions is infused through the established catheter over
about 10 minutes
-After the solution is infused, the inflow clamp is closed
Dwell (AKA equilibration) - Answers -diffusion and osmosis occur between the patient's blood and the
peritoneal cavity
-Duration of dwell time varies, depending on method of PD
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