What is the toxic condition that develops in kidney failure due to accumaulation of waste products in blood that are normally excreted in urine?
100
Coumadin
What medication is given to prevent clotting?
100
Thrill
What is the feeling created by blood moving through the internal access?
100
Hemolysis
What is the destruction of red blood cells due to a hypotonic solution or a high dialysate temperature above 105 degrees F releasing potassium into the blood stream?
100
1. Uncontrolled blood glucose
2. Excess intake of high sodium (salty foods)
What 2 things frequently cause excess fluid intake?
200
Maintain labs as close as possible within the normal range for dialysis patients.
What is the goal of the dietary restriction for dialysis patients regarding chemistries/labs?
200
Heparin
What medication is administered pre-treatment to prevent clotting of the extracorporeal circuit during dialysis?
200
1. Clotted dialyzer
2. Clotting of venous line
3. Venospasm
4. Obstruction of venous line at dialyzer exit.
What are 4 things that can cause the venous pressure to increase besides infiltration?
200
Poor blood clearance and clotting of the dialyzer and lines.
What are the consequences of an inadequate blood flow rate for the patient?
200
To remove phosphorous from foods from the body before it is absorbed.
What is the purpose of taking binders with meals & snacks?
300
BUN
What lab increases due to increased protein intake or inadequate dialysis?
300
Protamine
What drug is used to neutralize heparing?
300
Bruit
What is the sound created by blood moving through the internal vascular access?
300
1. Increased blood volume
2. Estimated by short term weight gain
3. Can lead to SOB
4. May be immediately visible as edema
What are the 4 symptoms of excessive fluid retention?
300
Pinto Beans
Sweet Potatoes
Black-eyed peas
What are 3 "soul" foods high in potassium?
400
Alk Phos
What lab is increased with rapid bone absorption?
400
1. Nose bleeds
2. Post surgery
3. Menstration
4. Suspected hemorrhage
5. Prior to surgery or tooth extraction
What are 5 situations when you would use fractional heparinization?
400
Infiltration
What is it called when blood leaks from the blood vessel into the surrounding vessels?
400
To remove air and disinfectant
Why are the blood lines and dialyzer filled with saline before dialysis is intitated?
400
Dairy products-milk, cheese, yogurt
What food group should be limited to 1/2 cup per day?
500
3.5-5.5
What is the goal range for phosphorous?
500
Binders--Phoslo, Renvela, Fosrenol
What medications are used in controlling bone disease?
500
1. Fistula
2. Graft
What are 2 examples of an internal vascular access?
500
Because air can cause clotting when trapped in the dialyzer
Why is air removed from the arterial line before it is attached to the dialyzer?