Week 12

Question 1

Fatigue is the biggest physical issue with CKD. What could this be associated to?

Answer 1

• medication side effects
• nutritional deficiencies
• physiological alterations such as obstructive sleep apnoea

Question 2

what are some signs that a pt’s CKD is getting worse?

Answer 2

• nausea and vomiting
• changes in mental state
• adnormal bleeding from injuries
• irregular heartbeats due to increase fluid upon the heart
• SOB due to fluid build up on the lungs
• itching
• fatigue
• back pain
• urination colour cahange

Question 3

List at least 4 benefits to home dialysis.

Answer 3

• improvement in QOL with family
• autonomy,
• flexibility
• cheaper than satellite HD
• less expensive, reduced admission costs and complications

Question 4

List at least 4 barriers to home dialysis.

Answer 4

• clinical factors
• pt factors
• system factors
• transplant
• infection
• carer or pt fatigue
• technique failures
• non-dialysis factors = finances

Question 5

List some factors that may influence consideration for kidney transplant.

Answer 5

• age
• obesity
• drug and alcohol abuse
• smoking
• Hx of not taking appropriate medications whilst on dialysis
• other health conditions

Question 6

List the advantages for a pt for getting a kidney transplant

Answer 6

• lowered long term mortality risk
• increased QOL
• lowered costs

Question 7

List the disadvantages of getting a kidney transplant.

Answer 7

• side effects associated with antirejection medications
• issues of chronic rejection
• loss of donor organ

Question 8

Kidney transplant rejection can occur as either:
Hyperacute rejection
Acute rejection or 
Chronic rejection.
What is this?

Answer 8

• Hyperacute rejection= rejection immediately after surgery
• Acute rejection= rejection 1 week to a year post surgery
• Chronic rejection= occurs slowly, without obvious symptoms

Question 9

Pt and family education for rehabilitation and self management of CKD involves?

Answer 9

• Kidney replacement therapy education
• identify the signs and symptoms of infection
• manage problems with treatment
• know side effects of medication
• knowledge about diet education
• rehabilitation support