Renal Replacement Therapy

Question 1

what is the function of renal dialysis?

Answer 1

allow intermittent correction of changes in plasma concentration of small molecules

Question 2

what is the most common form of renal replacement therapy?

Answer 2

renal dialysis

Question 3

is renal dialysis an active or passive process?

Answer 3

a PASSIVE process

• toxins move out of body
• nutrients move into body

Question 4

what are the two types of renal dialysis?

Answer 4

• haemodialysis

- peritoneal dialysis

Question 5

what occurs in haemodialysis?

Answer 5

blood is taken out of body, filtered and then reintroduced

Question 6

what are the different aspects of renal endocrine replacement?

Answer 6

• erythropoietin (EPO injections)
• bone mass maintenance (vitamin D supplementation)
• hypertension control*

Question 7

what is the IDEAL treatment for renal therapy?

Answer 7

renal transplantation

Question 8

what problems may arise due to a renal/kidney transplant?

Answer 8

• rejection (acute or chronic)
• immunosuppressive
• high cardiovascular mortality
• osteoporosis risk

Question 9

if a dental patient has renal disease and occurs the hospital for renal dialysis, how might this affect the way their treatment occurs in the dental surgery?

Answer 9

• treat AFTER haemodialysis sessions
• always liaise with physician when prescribing drugs
• keep treatment sessions fairly simple

Question 10

what drugs may cause interactions or complications to a patient who undergoes renal dialysis?

Answer 10

• prednisolone
• azathioprine
• tacrolimus
• cyclosporin

some steroid side effects