Dialysis

what stage of chronic kidney disease do patients get dialysis

stage 4 and 5

*refer to nephrology before they reach

T or F: complications of CKD mostly resolve once on dialysis

FALSE! complications don’t go away w dialysis

list some complications of chronic kidney disease

Hypertension,
CHF,
Hyperkalemia,
Metabolic acidosis,

How long does it take graft vs fistula to mature

graft → 2 weeks

fistula → 6-8 weeks

complications of graft access

1. infection

2. thrombosis

3. aneurysm

Compliction of hemodialysosa

1. hypotension

2. muscle cramping

3. anaphylaxis to dialyzer → typa A (severe) or type B

complication to peritoneal dialysis

1. peritonitis

2. catheter associated non-peritonitis infection

3. Hyperglycemia and weight gain

4. Metabolic disturbances → loss of albumin and proteins

5. Residual uremia

describe the dialysis diet

1. protein 8-10 oz

2. salt n water restriction (monitor weight for fluid overload)

3. Potassium restriction (all fruits and veggies have)

4. Phosphorus restriction (diary and cola drinks have high)

what factors effect the ability for dialysis to remove drugs

1. water solubility

2. protein binding

3. molecular weight

4. volume of distribution

immunosuppressive regimen for kidney transplant

1. corticosteroid

2. Antimetabolite (azathioprine or mycophenolate mofetil)

3. calcineurin inhibitor (tacrolimus or cyclosporine)