Dialysis (Study Guide)

DialyensTypes of dialosis include HD, CRR T, and PD.indicated when there IS a lush and increasinglevel of semm potassium faud overload, orImpending pulmonary edema, audosis,pencarditis and advanced uremia- - may also beused to remove medicationsor toxing (polsoning or medication overdose)from the blood or for edema or HTN that does 0respond to other tx, and hyperkalemia* successful Kidney transplantation eliminatesthe need for dialysis.Hemodealyeisused for patients that are aentely III andrequire short term dialogers for days-meksuntil kedness function resumes,as in msT/ARI, advanced CKD and ESKD who requirelong term or permanent RRT.prevents deathintermittent the involves treatments 3 X / WRTan avg. tx duration of 3-4hrs outpatientobjective: to extract toxk nitrogenous substancesfrom the bloo d and to remove excess fluid.- dialyzer : used to filter bloud through-blood is diverted from the patient to a machineVia the use of ablood pump to the dealyzer Jwhere toxins are biltened from the blood andthen the cleansed blood IS returned back to The parent-Toxins I wastes in bloud are removed by dif busion-Dialysate -the solution that urulates throughthe dealy er, unade up of all electrolytes Intheir ideal extracellular concentrations- excess blued is removed from the blood byosmosis- altrabiltration -fluid moves under lueshpressure to an area of lower pressureperitoneal dialysisgoal :to remove toxic substances andmetabolic wastes and to restablishnormal bluid and electrolyte balances.-may be thetx ob chocie for patients t/Kedney disease who are unable orunwilling to undergo Hb or Kidneytransplantationpatient prep- obtained suggned consent for catheter Insertion.Baseline v/s weight, electrolistes obtainedempty bladder and bowel to reduce therisk of puncture of internal organs duringthe insertion procedure.ppx antibiotic given to the patientcath will be Inserted ih Interventionalradioloons in the O.R (Rarely w bedsule)Equipment prep : -dialysate is chosenHepanin may be added to prevent bibrinformation and resultant ocelussion of theperitional catheter.-potassium chlonde/ABx I insulen can beadded to dealysate under ascettic techniquedealisgate warmed to body temperatureto prevent patient discombort and abdominalPain, and to dilate the vessels of thepentmeum to urea clearancebags are dry heated (heating cabinet, incubatov,or heating pad.) NEVER recommended tosoak bags in warm water (dlt risk of introducingbacteria) and for using a microwaveperforming the exchange:all types of PD involve a senes of exchangesor cycles- -exchange - the entire cycle includingdranage of the ebfluent (bluid),Instillation of the dialysate and dwell