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In center HD replaces what percent of kidney function -
ANSWER-10-15%
What percent of patients can get amyloidosis during CKD -
ANSWER-20% after
10 years on HD
30-50% after 15 years in HD
80-100% after 20 years of HD
Dialyzer can remove B2M longer more frequent thx removes
more to help prevent amyloidosis
Anmenia - ANSWER-Shortage of RBC
Blood samples that are drawn after tx include - ANSWER-
Post BuN, blood
cultures, and any recirculating
studies
Why do you draw out blood before taking a lab from a
catheter - ANSWER-
,Because some catheter have heparin that sit in them to
prevent clotting
low blood sugar symptoms include - ANSWER-,
Nervousness, sweating
trembling, intense hunger, weakness, palpitations, or trouble
speaking. Most
dialysis solutions have some glucose in them to prevent
hypoglycemia.
Why are antibiotics given at the end of tx? - ANSWER-To
prevent them from
dialyzing off the
patient
How big are the kidneys? - ANSWER-size of fist, 5oz a piece
What is the solution, solvent, and solute in dialysis? -
ANSWER-Solution-
dialysate
Solvent-treated
water
Solute-electrolytes and
glucose
Why do we match the electrolytes in dialsyate closely to
patients blood? -
,ANSWER-To avoid loss of electrolytes
during tx
Solubility - ANSWER-How well a solute fully dissolved in a
solvent
concentraion - ANSWER-Only so much solute can be
dissolved before a
solvent become
saturated (full)
Why do we use 2 concentrates to make dialysate - ANSWER-
To avoid the
formation of
solids
acid concentrate - ANSWER-Has calcium and magnesium
bicarbonate concentrate - ANSWER-Has bicarb and carbonate
When water has bicarb and carbonate.... - ANSWER-We can't
add calcium and
magnesium without forming solids so we
dilute with water
What protect the kidneys - ANSWER-Pads of fat and the bones
of the rib cage
, What makes up the outside of the kidney - ANSWER-Tough
fibrous capsule,
inside the capsule is the cortex which is made of
layers of cells
People can stay healthy with fewer than ______ nephrons
working - ANSWER-
Half
Good screening tools for CKD include - ANSWER-Urine
tests and blood
pressure
checks
Creatine - ANSWER-waste product of muscle metabolism
healthy kidneys
remove
Creatine test - ANSWER-Done to determine how well the kidney
is working
Most people with CKD also have - ANSWER-Heart problems
People with CKD can slow the process by - ANSWER-Keeping
blood sugar in
range, blood pressure within target, avoid nsaids,
quit smoking
Stages of CKD - ANSWER-1 GFR >90