TOO MUCH or TOO LITTLE
CHAIN REACTION
Sign and Symptoms
PREVENTION
INTERVENTION
100
This complication can often be felt in the legs as a result too fast fluid removal
What is cramps?
100
The symptoms of this complication usually occur within the first 5 minutes of treatment
What is first use syndrome?
100
When a patient on dialysis suddenly has trouble breathing, hives, itching, low blood pressure, and unusual swelling around eyes, the patient is experiencing this complication.
What is anaphylaxis?
100
Arrhythmias in dialysis can be prevented by manually checking patient's pulse during treatment, monitoring b/p and this step....
What is using the right dialysate concentrate?
100
Clamp venous line, pt on left tredelenburg, Oxygen, call 911
What is Air embolism?
200
This is the common reason for too much bleeding on the access site after dialysis.
What is heparin overdose?
200
A slow blood flow rate and inadequate heparinization can cause this complication.
What is clotting?
200
While a patient is on dialysis, he/she experienced sudden chest pain and sob and becomes cyanotic.
What is air embolism?
200
To prevent air in blood lines, name 3 things that the PCT should do.
What is correct level on drip chambers, tighten all connections, secure needles, saline bag not empty with saline line clamped, priming properly, checks for holes and cracks in needle line connection?
200
Stop treatment, do not return blood, RN to give Benadryl or Epi, call 911
What is anaphylaxis?
300
This complication can happen if patient is placed on too high potassium dialysate solution.
What is cardiac arrhythmia?
300
If BUN is removed too fast from the blood than from the brain, fluid moves into the brain cell and can cause this complication
What is dialysis disequilibrium syndrome?
300
Your patient stopped breathing and has no pulse.
What is cardiac arrest?
300
Name the easiest thing a PCT can do to avoid patient hypotension and cramps on dialysis
What is calculate fluid goal correctly?
300
Normal Saline administration, stop UF, massage
What is cramps?
400
This complication is defined as too little oxygen levels in the heart caused by hypotension, coronary heart disease or anemia
What is angina
400
If patient has severe hypotension while on dialysis imbalance, and medical history of epilepsy, the patient has a high risk for this complication
What is seizure?
400
Your patient complains of dizziness and heart rate is elevated.
What is hypotension?
400
To avoid dialysis disequilibrium syndrome, the patient's dialysis treatment order should include the following.
What is smaller dialyzer, shorter time, slower blood/ and dialysate flow?
400
Remove fluids, review dry weight, may need more dialysis, review b/p meds
What is hypertension?
500
This complication is a result of too much serum Phosphorus level in dialysis patient.
What is pruritus?
500
If chloramines/chlorine in water used for dialysis is higher than acceptable level, this complication can happen.
What is hemolysis?
500
Low or high blood pressure, nausea, headache, back pain, and cherry pop colored blood in lines are classic sign and symptoms of this complication
What is hemolysis?
500
In order to prevent fever and chills in dialysis, the PCT should maintain/use _______ when providing care for the patients.
What is aseptic technique?
500
Clamp venous line, stop treatment, do not return blood, Oxygen
What is hemolysis?
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