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CKD
loss of renal function w GFR of 60ml/min or less for 3mo+
hemodialysis
long term therapy
vascular access to remove excess fluid through
arteriovenous fistula (first choice)
arteriovenous graft
fistula
artery and vein connnection for dialysis connection
peritoneal dialysis
remove toxic wastes and reestablish fluid and electrolyte balance
peritoneal membrane serves as ultrafiltration and catheter
complications: peritonitis, leakage, bleeding
nursing management for dialysis
access bruits and thrill before assessing fistula
do not use for bp, iv, or blood draw
cap refil below graft
cardiovascular meds held prior to dialysis
why is anemia common from renal failure
not enough erythropoietin
renal dysfunction test
GFR