Term
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Definition
-To remove the end products of protein metabolism, such as urea and creatinine, from the blood.
- To maintain a safe concentration of serum electrolytes
- To correct acidosis and replenish bicarbonate levels in the blood
- To remove excess fluid from the body |
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Term
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Definition
| Acute or irreversable renal failure and fluid and electrolyte imbalances. Usually the Tx of choice for rapid removal of toxic agents from the blood. (Black, p. 825) |
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Term
| Peritoneal Dialysis- Complications |
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Definition
Peritonitis
Catheter Related- obstruction
Dialysis Related- Pain, F&E imbalance |
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Term
| Continuous Renal Replacement Therapy- Use and Benefit |
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Definition
| Used in ARF. Slow, continuous removal of waste products is less stressful to the patient. |
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Term
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Definition
Do not wear a purse or tight clothing over the site.
Do not use the limb containing the site for BP measurement or to draw blood.
Use soap and water for routine skin care of site.
Assess patency:
Palpate for thrills, listen for bruits |
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Term
| Hemodialysis- Effects on medication |
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Definition
| Increased clearance of meds. Dosage schedules should be altered and supplemental doses may be necessary. |
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Term
| Temporary Dialysis Catheters- Type and Use |
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Definition
| Usually a double lumen CVC. Used when immediate access to the bloodstream is needed. |
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Term
| Long Term Hemodialysis- Possible Technical Problems |
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Definition
| Blood leaks, overheating of dialysate, insufficient loss of fluid, improper conc. of salts in the dialysate, and clotting. (black p. 8280 |
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Term
| Hemodialysis- Other Complications |
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Definition
Hypo- or hypertension
Cardiac Dysrhythmias (from K+ imbalance)
Air Embolus
Hemorrhage from heparinization
Restless Leg Syndrome
Pyrogenic Reactions
R/F infection w/venipuncture |
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Term
| Peritoneal Dialysis- Advantages |
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Definition
| Can be done at home and/or while sleeping. Less stressfull for the body than hemodialysis. |
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Term
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Definition
| No need to keep equipment at home. Less risk of peritonitits. No peritoneal dialysis catheter to keep clean. |
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Term
| Kidney Transplant Donor- Best Source |
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Definition
| A living related donor who matches the client closely. Willing family members are evaluated for physical and mental health and screened for ABO blood group, tissue specific antigen, and human leukocyte antigen hystocompatability. (Black, p. 835) |
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Term
| Acute Glomerulonephritis- Common Features |
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Definition
| Olgiuria, dark-colored urine, loss of appetite, edema, hypertension, circulatory congestion, hematuria, proteinuria. |
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Term
| Acute Glomerulonephritis (AGN)- Therapeutic Management |
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Definition
Assess fluid balance (BP q4-6hrs), weight, I&O).
Lasix if renal failure is NOT severe.
Anti-HTN drugs may be used in severe cases
Sodium restriction
High K+ food restricted |
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Term
| Acute Glomerularnephritis- Nursing Management |
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Definition
Monitor disease process (symptoms)
Monitor VS w/freq BP
Assess volume and character of urine
Daily weights
Monitor for cerebral complications, possibly institute seizure precautions |
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Term
| Nephrotic Syndrome- Clinical Manifestations |
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Definition
Facial/Periorbital Edema early in the day
Swelling of abdomen and LEs later
Labial or scrotal edema
Decreased UOP, dark, frothy urine
Pallor
Fatigue
NO hematuria |
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Term
| Acute urinary retention- symptoms |
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Definition
No UOP or dribbling leakage (overflow incontinence)
Suprapubic discomfort
Restlesness |
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Term
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Definition
Alpha 1 adrenergic blockers relax smooth muscle of prostate, bladder neck, and urethra.
5 Alpha reductase inhibitors slow prostate growth. |
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Term
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Definition
| Transurethral resection syndrome. Hyponatremia, hypervolemia, hemolysis, and acute renal failure caused by use of a hypotonic bladder irrigant during a transurethral resection of the prostate (TURP or similar procedure. |
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