in KT/V what is K? - Answer- Clearance
treatment factors that decrease K - Answer- DFR, BVP, UF goal, adequate anticoagulation
In KT/V what is T? -
... [Show More] Answer- time
what factors influence T? - Answer- longer blood/dialysate contact time, more frequent treatments or extra treatments
In KT/V what is V? - Answer- Volume
what factors influence V? - Answer- height, weight, sex, age, amputations
needle gauge and suggested BFR - Answer- 17g = 200-250
16g= 250-350
15= 350-450
14= >450
procedure for post BUN lab draw - Answer- UF decreased to 50ml
place in bypass
decrease BFR to 100 ml/pm
draw from arterial line
lab draw mistakes that would falsely increase Kt/V - Answer- drawing without lowering BFR
drawing from veinous line
not waiting full 15 seconds
lab draw mistakes that would falsely decrease Kt/V - Answer- Diluting pre BUN sample
waiting longer than 15 seconds
What does the acronym RIFLE stand for? - Answer- *RISK
*INJURY
*FAILURE
*LOSS
*END STAGE RENAL DISEASE
Define AKI - Answer- AKI occurs when persons experience a sudden loss of kidney function. restoring function is still possible.
3 - Answer-
examples of pre, intra and post-renal causes of AKI - Answer- pre- volume depletion, decreased CO output renal vascular obstruction
intra- glomerulonephritis, contrast induced, chemotherapy
post- benign prosthetic hypotrophy, kidney stones
outline treatment goals for AKI patient dialyzing in in the out-patient facility - Answer- restoring function: eliminate cause, protect from further damage
protect from further injury: prevent hypotensive injury, avoid toxic kidney meds
why is accuracy important in monitoring weight and BP? to avoid hypotension and hypovolemia
AKI patients are at increased risk for: infection and GI bleed
protect vascular access
explain the difference between AKI and CRF - Answer- AKI is a sudden loss of function with restoring function still possible
CRF is not reversible
outline the treatment goals for a patient with CKD - Answer- slow the progression
manage comorbidities
controlling symptoms
minimizing the effects of CKD in patients lifestyle
renal replacement therapy modality education
encouraging patients to actively participate in their healthcare
what are the most common causes of CRF in the USA? - Answer- 1. Diabetes
2. Hypertension
3. Polycystic kidney disease
why do we document in the medical record? - Answer- proof of care
data continuity
permanent legal record
communication
6 occurrences when to chart - Answer- 1. baseline assessment change
2. change in condition
3. procedure or treatment
4.medication and response
5.patient teaching
6. care plan review and interventions
times to chart - Answer- pre, intra, and post dialysis
pretreatment safety checks - Answer- to be done before initiation of treatment
pre treatment assessment/data collection - Answer- prior to treatment
observations during treatment are to be charted - Answer- as they occur
post treatment data/assessment - Answer- prior to treatment
consequences of poor or incomplete documentation - Answer- legal issues
a break in communication
T.R.A.M.P. - Answer- Time
Route
Amount
Medication
Patient Response [Show Less]