DEFINITION
A urine like breath odor often associated with a metallic taste in the mouth is called this
What is urine fetor
The best measurement of STABILITY in renal failure is what?
What is daily weights
Which of these medications can be used on a daily basis: stool softeners or laxatives?
What is stool softeners
The antidote for heparin is called what?
What is protamine sulfate
What is the most important vital sign to montior during dialysis?
What is blood pressure
Crystallized deposits of urea on the skin resulting from high levels of urea in the sweat is called what?
What is uremic frost
What lab values do you check with peritoneal dialysis that are not as big of a concern with hemodialysis?
What is serum glucose and triglycerides
Name one category of medications that are dialyzable medications.
What is: water soluable vitamins, "certain" antibiotics, meds that decrease blood pressure, nephrotoxic meds
If you suspect your hemodialysis patient is having a disequilibrium reaction, the first thing you will do is what?
What is stop the infusion
When assessing a vascular access, what 4 things are you assessing?
What is a bruit, thrill, distal pulses, circulation
A surgical connection of an artery to a vein is called what?
What is a AV fistula
What is the leading cause of End Stage Renal Disease/Chronic Kidney Disease in all population groups in the United States?
What is Diabetes
What medication is usually ordered for a renal patient in order to increase iron and treat anemia?
What is Epoeitin
It is important to educate your renal failure patient with a high potassium level to avoid this in his/her diet
What is salt substitute
One way to avoid infection with peritoneal dialysis is to use what when accessing the catheter?
What is sterile technique
Polycystic kidney disease is defined as what?
What is a congenital disorder where clusters of fluid-filled cysts develop in the nephrons and healthy tissue is replaced by multiple non-functioning cysts.
Name 5 lab values that you assess prior to your patient receiving dialysis
What is BUN, Creatinine, Electrolytes, HGB/HCT
A patient is receiving hemodialysis when all of a sudden the patient becomes cyanotic, C/O checst pain, is very anxious and tachypneic. What do you think is happening to this patient?
What is air embolism
What are the special dietary needs of your patient who is on hemodialysis?
What is increased protein, decreased sodium, potassium and phosphorus
Name 4 signs of infection with peritoneal dialysis
What is: Temperature, discolored output (bloody or cloudy) drainage at site, redness at site, abdominal pain, respiratory distress
End stage renal disease is known as a GFR less than what?
What is 15
A solution that has about the same composition and temperature as normal extracellular fluid. Uses diffusion to rid the body of waste products.
What is dialysate
An EKG rhythm of a patient with a high potassium level will most likely show what?
Peaked T-waves
In renal patients, Sodium is usually limited to how much per day?
What is 2G/day
Name 5 complications associated with hemodialysis
What is: circuit clotting, hypotension, cramping, headache, itching, vomiting, hypovolemia, air embolism, sepsis, disequilibrium syndrome, bleeding, infection