Dialysis Quiz

Part 1: Kidney Replacement Therapies

1. Kidney replacement therapies are necessary when __________ treatments are no longer effective.

Conservative

Part 1: Kidney Replacement Therapies

Examples of conservative treatments include __________, __________, and __________.

2. Diet, drugs, fluid restrictions

Part 1: Kidney Replacement Therapies

Treatment options include:
a) __________
b) __________
c) __________

Hemodialysis, Peritoneal Dialysis, Kidney Transplant

Hemodialysis (HD)

4. HD replaces the kidney’s __________ function, restores __________ and __________ balance, but does NOT replace __________ function.

Excretory; fluid/electrolyte; acid-base; hormonal

Hemodialysis (HD)

Dialysis cleanses the patient’s blood of excess __________ and __________.

Fluids; wastes

Hemodialysis (HD)

Emergent dialysis is required for uremic symptoms such as:
a) __________ / vomiting
b) __________
c) __________
d) Severe __________ from platelet dysfunction

Intractable N/V, confusion, seizures, severe bleeding

Vascular Access

7. What does an AV fistula connect? __________ and __________.
   

Artery; vein

Vascular Access

How do you assess for a bruit? __________
How do you assess for a thrill? __________

8. Listen for “whooshing” sound
9. Palpate vibration/hum

Vascular Access

The limb with dialysis access is a “limb alert.” What should never be done on that limb? __________

No IVs, BP, or pressure

Vascular Access

Normal vascular access is inadequate because it does not provide enough __________ for dialysis.

Blood flow

Vascular Access

Temporary dialysis catheters are commonly placed in __________ or __________ veins

subclavian; internal jugular (IJ)

Nursing Care

13. Nursing care for dialysis access includes:
    a) Keep dressing __________, __________, and __________
    b) Monitor for __________ and __________
    c) Never use site for __________ or __________

Dry; intact; occlusive; bleeding; infection; IVs; lab draws

Nursing Care

After dialysis, nurses should check: __________, __________, __________

Weight; VS; glucose

Nursing Care

Monitor for post-dialysis complications including

Hypotension, headache, N/V, dizziness, muscle cramps, access site bleeding

Peritoneal Dialysis (PD)

16. PD occurs in the __________ cavity.

peritoneal

PD is a good option for patients who cannot receive __________ or while __________ matures.

Hemodialysis; AV fistula

The 3 steps of PD are:
a) __________
b) __________
c) __________

Fill; Dwell; Drain

Disadvantages of PD include:

Slower than HD

protein loss

peritoneal injury

infection, discomfort

Advantages of PD include:

Flexibility

fewer hemodynamic changes

fewer diet/fluid restrictions

can be done at home