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Dialysis M3


What is CRRT Continuous renal replacement therapy) What is extracorporeal techniques foe supporting the critical ill patient with in the acute care setting
What is SCUF (Slow continuous ultrafiltration) UFR 100-300
What is CAVH/CVVH (Continuous arteriovenous hemofiltration) UFR 300-800
What is CAVHD/CVVHD (Continuous arteriovenous hemodialysis) UFR 500-1200
Blood Flow Arteriovenous circuits MAP is the primary driving force to push blood through hemofilter and back to patient
HCT higher than 35% pre-dilute or use albimin
What is Convection? What is: removal of solutes by means of solvent (ultra filtrate) as fluid moves across a semipermeable membrane
Who needs CRRT? Hemodynamically unstable patient that can not handle a large fluid shift
What is Diffusion (solute transport) ? What is movement of solutes from a higher to a lower solute concentration
What is oncotic pressure? pressure exerted by proteins in a blood vessel's plasma
What MAP should you have for CRRT? Atleast 60 or stop the TX, recommended 70
ACT? activated clot time is measured with ? What is istat?
draw a lab from? What is venus side
Calculate drips and fluid rates every? what is 1 hr
access a catheter using? aseptic technique
Hydrostatic pressures? water pressure
What percentage does from cadavers? 80-85%
Whats the advantage of a living donor? no downtime
parietal peritoneum receives flood from? What is: arteries of the abdominal wall
post op period? 1-3 days
peritoneal dialysis? transport between a membrane between you contained bodies of water
hypertonic more solutes
If you want more more fluid you need more? Sugar in your solution Dex 1.5 isotonic, 2.5hypertonic, and 4.5%
Where does the visceral peritonaeum receive blood from? What is: mesenteric and celiac arteries
What are complications of CRRT? What is Drug removal, Air embolism and bacteremia
True or False: 80-85% of transplants come from cadavers. True
An advantage to getting a transplant is? What is Quality of life
Risks of rejection are higher in? What is Blacks
A disadvantage of a transplant is? What is Life long immunosuppression
Risks of procedure are complications of long term steroid use.
UF rate is assessed to confirm ________ is properly functioning. filter
ACT's are take from the ________ post filter. venus side
Clearance of solute is directly related to ________ through hemofilter blood flow rate
patients plasma protien/ intravascular compartment What is oncotic pressure
Contraindications of renal transplant include: What is Cancer, Chronic infection, CAD, BMI over 25%
Disadvantages of transplant include: Risks with procedure, life long medication, complications of long term steroid use
Advantages of living donor include: What is better graft survival, no down time, can be scheduled, risks with procedure
Average life span ok transplanted kidneys are? What is 7.7 years
Risk factors for rejection include? What is Black, young blah males, diabetics, low bp, previous transplant, non-compliant, hx of transfusions
medications stopped post transplant include: What is calcium, phos binder, acyclovir, mouthwash, vitamins, iorn, bp medications
What is osmosis? Movement of water from a lower solute to a higher solute concentration
What is the most frequent anticoagulant used pre filter? What is Heparin?
What is sometime used if unable to anticoagulate patient? What is NS flushed 50-100 hr
What is the daily fluid restriction for a patient on PD? What is 1 liter a day
UAGA Next of kin
UDDA Brain Death
NOTA Transplant Network
OBRA Hospital development of donors
Created by: SGT WEAVER