Number 1 & 2 cause of (CKD) chronic kidney diease
1- diabetes 2-hypertension
In (AKI) acute kidney injury it is better to keep patients?
too wet,
... [Show More] rather than too dry with fluid removal goals
3 sub-groups of ckd?
1-pre-renal-interferes w/ BF to the kidneys, causes-injuries/renal artery clot
2-intra-renal-damages nephron directly, causes-diabetes/hypertension/PKD
3-post-renal-any condition interfering w/ urine leaving the bladder, causes-kidney stones/enlarged prostate
Acceptable conductivity range of dialysate?
13-15.5ms
+/- 0.4
Acceptable PH range of bicarb?
6.9-7.6 PH
Hemodialysis (HD) replaces approximately how much of normal kidney function?
15%
In patients w/ kidney failure, what is recommended to use if they are having issues w/ their skin, such as dryness?
hyper fatted/super fatted soaps and lotions
There is no specific tx for a patient w/ peripheral neuropathy, but it is recommended that a patient should?
not walk barefoot
check feet for cuts
test bath water to ensure it is not too hot
Filtration
fluid passing through a semi-permeable membrane, controlled by hydrostatic pressure
EX. coffee filter
Ultrafiltration (UF)
controlled fluid removal by manipulation of hydrostatic pressure
Convection
solutes dragged across the semi-permeable membrane along w/ the fluid
Diffusion
the process by which particles (solutes) move from an area of higher concentration to an area of lower concentration
normal acid-base balance of the body?
7.35-7.45 PH
How do kidneys control blood pressure?
renin-angiotensin system
Erythropoiesis
function of the kidneys that control the production of red blood cells
3 functions of normal working kidneys?
1-endocrine system-
a. renin-angiotensin-BP regulation
b. erythropoiesis-RBC production, activation of vitamin D3 & serum Ca regulation
2-acid concentration- maintain normal body PH, excreting acids & reabsorbing bicarbonates
3-excretory functions- waste removal, acid-base balance, fluid/electrolyte balance
Anemia medications?
epogen
IV iron
2 most common causes of death for a dialysis patient?
1-heart attack
2-infection [Show Less]