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Dialysis M3
EXAM 7
Question | Answer |
---|---|
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 |