University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2021
Views:

285

Pages:

1
Author:

Maverick Martin

ACTIVE LEARNING TEMPLATE: Therapeutic Procedure STUDENT NAME _____________________________________ Hemodialysis PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Procedure Hemodialysis is a procedure that shunts the Pts. blood from the body through a dialyzer to remove toxins and reintroduces the processed and cleaned blood back into the Pts. circulation. Indications - Renal insufficiency - Chronic renal disease - acute renal injury - Drug overdose - Persistent hyperkalemia - Hypervolemia that's unresponsive to diuretics. Outcomes/Evaluation - Achieve acid/base balance - Eliminate waste products - Restore interal homeostasis - Evaluation of labs, weights, vitals and LOC Potential Complications - Clotting - Disequilibrium syndrome - Infection - Hypotension - Anemia - Infectious diseases ACTIVE LEARNING TEMPLATES CONSIDERATIONS Nursing Interventions (pre, intra, post) pre - Informed consent obtained - assess fistula - Assess vitals, labs and weight - Check for medications to hold before dialysis intra - monitor vtals - monitor LOC post - monitor vitals - Monitor labs and weight - monitor for bleeding Client Education - Fistula precautions - Inform HCP of nausea, headache and dizziness - Monitor for S&S of infection - Take medications as prescribed Nursing Interventions - Use of aseptic technique - Use of slow exchange rate - Monitor H&H - Monitor Vitals - Assess fistula - administer medications as prescribed THERAPEUTIC PROCEDURE A13