A treatment that can help restore fluid, and electrolyte balance, control acid base balance, and remove toxic and waste materials
dialysis
purpose of dialysis
sustain life in both acute and chronic situations where substitution of normal renal function is needed
Remove excessive amount of ___ in poisoning on both an intentional and accidental in nature
drugs and toxins
Correct serious ___ and ___ balances
electrolyte, acid base
Maintain ____ when renal shutdown occurs as a result of transfusion reactions
kidney function
Replace renal function, temporarily in persons with ___
ARF
Permanent substitute for the loss of renal function in person with ___
ESRD
Involves the movement of particles from an area of
greater concentration to an area of lesser concentration
diffusion
Involves the movement of H2Oacross a semi
permeable membrane from an area of lesser to an area of greater concentration
osmosis
The movement of fluid across a semi permeable membrane as a result of an artificially created pressure gradient.
ultrafiltration
A process that involves shunting the patient’s blood from the body through a dialyzer in which diffusion and ultrafiltration occur and back into the patient’s circulation
hemodialysis
access for hemodialysis
arteriovenous fistula
arteriovenous graft
external arteriovenous shunt
femoral vein catheterization
subclavian vein catheterization
complications during hemodialysis
hypotension
muscle cramps
muscle leg syndrome
NV
headache
chest/back pain
itching
fever and chills
a neurological complication of hemodialysis, especially when it’s first started, caused by a rapid drop in blood urea that creates an osmotic gradient, drawing fluid into the brain and causing cerebral edema and symptoms like headache, nausea, confusion, seizures, or coma
disequilibrium syndrome
during hemodialysis is the breakdown of red blood cells and is a rare but potentially life-threatening complication
hemolytic reaction
other serious complications of hemodialysis
disequilibrium syndrome
hypersensitivity reaction
arrhythmia
intracranial bleeding
seizures
hemolytic reaction
air embolism
a procedure that involves repeated cycles of instilling dialysate into the peritoneal cavity, allowing time for substance exchange, and then removing the dialysate
peritoneal dialysis
an older, less common form of dialysis where a machine is used to perform multiple exchanges of dialysis fluid into the abdomen over a set period, typically 16-24 hours, several times a week
intermittent
You fill your abdomen with dialysate, let it remain there for the dwell time, then drain the fluid. Gravity moves the fluid through the catheter and into and out of your abdomen
continuous peritoneal dialysis
an automated home dialysis treatment for kidney failure that uses a machine called a cycler to perform multiple fluid exchanges during the night while you sleep
continuous cycling
surgical placement of a catheter into a patient’s peritoneal cavity to facilitate peritoneal dialysis
tenckhoff insertion
an infection of the peritoneum, the membrane lining your abdomen, caused by bacteria or fungi entering the sterile abdominal cavity
peritonitis