Hemodialysis chapters 1,2,3,and 14

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What is the AAMI standard for Dialysate Condutivity (ranges)

13.0-15.5

What is the AAMI standard for Dialysate temperature (range)

34-38 C

What is the AAMI standard for Dialysate pH?

6.0-8.0 (ideally 7.2)

What is the difference between Acute and Chronic Renal failure

Acute is sudden and reversible Chronic is slow and for life

What hormone regulates the amount of water to be excreted as urine

Anti diuretic hormone

What system mixes the dialysate

Bicarbonate solution, Acid concentrate, Reverse Osmosis water

Two compartment of the dialyzer

Blood and dialysate

What is the name of the 2 compartment in the dialyzer

Blood and dialysate

Dialyer

Blood compartment (positive) Dialysate compartment (negative)

What are the 2 main leading causes of Renal Failure

Diabetes Hypertension

Causes of Chronic Renal Failure

Diabetes, Hypertension, Glomerulonephritis, polycystic disease

Hormones secreted by the kidney

Erythropoieting factor, Anti-diuretic, Remin

What is ultrafiltration and describe how it works in the Hemodialysis treatment

Filtration caused by a pressure gradient 2 sides of a porous filtering material

What is Osmosis

From area of lower concentration to an area of high particle concentration

What is the functioning unit of the Nephrone

Glomerulone

Diffusion is

Greater concentration to an area of lesser concentration.

Name the least six effects that Uremic Syndrome can have in the body

Hypertension Parlor skin Nausea Vomiting Loss of appetite Weight loss

What is the combination to take a solution

Is a combination of a solvent and solute

What is Dialysate

Is a solution in which water is the solvent and many dissolved substance such as electrolytes and glucose are present in concentration similar to the levels normally found in the pt's blood

List 3 excretory functions of a normal kidney

Maintain Fluid Balance, Electrolyte Balance, Acid

Define diffusion and describe how it works in the Hemodialysis treatment

Movement of salutes from greater concentration to less concentration

List 3 signs and symptoms of Uremic Syndrome

Nausea, vomiting, hypertension

Functional unit of the kidney

Nephron

Describe what is ultrafiltration

Pressure gradient between two sides of a porous filtering material

List the patient information that goes on a reuse label (6 things)

Pt name Reuse time Reuse date Pass or fail Number of reuses Reuse tech initial

What safety checks MUST be performed on a reuse dialyzer before initiating the Hemodialysis treatment

Pt's name Cleaned properly Sterilized and working Passed visual test

What separates the blood and dialysate containers

Semipermeable Membrane

Principles ions in body fluids

Sodium Potassium Calcium Magnesium Chloride Bicarbonate Phosphate

What electrolytes does the Dialysate concentrate contain

Sodium, calcium, potassium

Define semipermeable membrane

Thin filter that allows only particles smaller than a certain size to pass through it

What does TMP stand for and what does it mean

Transmembrane pressure Is the pressure across the dialyzer membrane

What must be checked on a dialyzer that is reused

Visually inspect the casing Label for pass or fell

Define Uremic Syndrome

Waste products build up in the body

Explain counter current flow

When blood and dialysate go in opposite directions


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