DaVita Dialysis Exam Save
Terms in this set (250)
, Surgically created by connecting an artery directly to a vein -
Permanent access
Preferred by most kidney doctors for hemodialysis
Lower chance of infection and clotting compared to other
accesses
Usually lasts longer than a graftA fistula
Arteriovenous fistula (AV fistula)
A graft, an access made by using a piece of soft tube to join an
artery and vein in your arm.
A catheter, a soft tube that is placed in a large vein, usually in
your neck.
Location: Upper or lower arm
A surgical connection is made between an artery and a vein to
allow hemodialysis access. A synthetic tube implanted under
the skin to connect an artery and vein
Arteriovenous Graft (AV Graft
Permanent access
Location: Upper or lower arm or upper leg
, Cinacalcet (Sensipar)
Calcimimetics
Parasbiv Etelcalcetide
- typically occurs in patients with advanced kidney dysfunction
and an elevated calcium-phosphorus product
- results from abnormal deposition of calcium within the lumen
of the arterial vasculature, compromising blood flow with distal
Calciphylaxis
ischemia resulting in painful tissue necrosis
- Treat with sodium thiosulfate of anything that lowers calcium
- Hyperbaric oxygen, careful debridement, and
bisphosphonates may also be helpful
The active form of vitamin D (secreted by the kidneys) that
Calcitriol promotes absorption of calcium from foods in the GI tract into
the blood, helping to further increase blood calcium level
Calcitriol oral is called? Rocaltrol
Commitment
CAT - Action in process Activation
Taking steps
A catheter that is tunneled under the skin
Can be used immediately after placement
Fewer complications compared to a temporary catheter
Catheter Permanent
Less discomfort than temporary catheter
Location: Neck or chest
, A tube inserted into a vein in the neck, chest, or upper leg
Central venous catheter (CVC) Usually ready for use after 2- 4 weeks of placement
temporary
Location: Neck or chest May be placed in groin area of upper
leg in hospitalized patients
Total Chol 150-199mg/dL
LDL <100 mg/dL
Cholesterol goals for dialysis
HDL >40 mg/dL
Triglyceride <200 mg/dL
May be visible under skin
Usually takes 6-8 weeks before it can be used (and may fail to
Considerations for mature)
Arteriovenous fistula
Two needles are inserted into vein each treatment
Not suitable for all patients
Limited to several weeks or months of use
Considerations for Central
venous catheter (CVC) Frequently clots, becomes infected, can cause narrowed veins
temporary
Blood Flow Rate limited
Corrected Calcium calculation (serum Ca) + [(4 - albumin)(0.8)]
Terms in this set (250)
, Surgically created by connecting an artery directly to a vein -
Permanent access
Preferred by most kidney doctors for hemodialysis
Lower chance of infection and clotting compared to other
accesses
Usually lasts longer than a graftA fistula
Arteriovenous fistula (AV fistula)
A graft, an access made by using a piece of soft tube to join an
artery and vein in your arm.
A catheter, a soft tube that is placed in a large vein, usually in
your neck.
Location: Upper or lower arm
A surgical connection is made between an artery and a vein to
allow hemodialysis access. A synthetic tube implanted under
the skin to connect an artery and vein
Arteriovenous Graft (AV Graft
Permanent access
Location: Upper or lower arm or upper leg
, Cinacalcet (Sensipar)
Calcimimetics
Parasbiv Etelcalcetide
- typically occurs in patients with advanced kidney dysfunction
and an elevated calcium-phosphorus product
- results from abnormal deposition of calcium within the lumen
of the arterial vasculature, compromising blood flow with distal
Calciphylaxis
ischemia resulting in painful tissue necrosis
- Treat with sodium thiosulfate of anything that lowers calcium
- Hyperbaric oxygen, careful debridement, and
bisphosphonates may also be helpful
The active form of vitamin D (secreted by the kidneys) that
Calcitriol promotes absorption of calcium from foods in the GI tract into
the blood, helping to further increase blood calcium level
Calcitriol oral is called? Rocaltrol
Commitment
CAT - Action in process Activation
Taking steps
A catheter that is tunneled under the skin
Can be used immediately after placement
Fewer complications compared to a temporary catheter
Catheter Permanent
Less discomfort than temporary catheter
Location: Neck or chest
, A tube inserted into a vein in the neck, chest, or upper leg
Central venous catheter (CVC) Usually ready for use after 2- 4 weeks of placement
temporary
Location: Neck or chest May be placed in groin area of upper
leg in hospitalized patients
Total Chol 150-199mg/dL
LDL <100 mg/dL
Cholesterol goals for dialysis
HDL >40 mg/dL
Triglyceride <200 mg/dL
May be visible under skin
Usually takes 6-8 weeks before it can be used (and may fail to
Considerations for mature)
Arteriovenous fistula
Two needles are inserted into vein each treatment
Not suitable for all patients
Limited to several weeks or months of use
Considerations for Central
venous catheter (CVC) Frequently clots, becomes infected, can cause narrowed veins
temporary
Blood Flow Rate limited
Corrected Calcium calculation (serum Ca) + [(4 - albumin)(0.8)]
