QUESTIONS WITH SOLUTIONS GRADED A+
◉ Cons of in center HD. Answer: Most limitation on Diet, fluid than
other modalities
Requires the most medication
Most symptoms
◉ Patients who run 4 hour tx. Answer: Are 30% less likely to die than
pts who run shorter times
Each 30 mins extra of tx increase life by 7%
◉ Patients are 50% more likely to die after. Answer: 2 day no treatment
weekend, the last 12 hours of the 2 days the risk of death triples
◉ diastolic blood pressure. Answer: When the heart is at rest.
◉ Benefits of nocturnal in center. Answer: You get 2x as many txs as
standard because it is longer and more gentle with fluid removal
Rarely cramp
,Easy on heart
Fewer limitations on food and drink
Free days
72% better survival rate than standard in center
◉ You check blood pressure with. Answer: Stethoscope and
sphygmomanometer
◉ Nocturnal in center hemo must be done. Answer: 3x a weeks about 8
hours per tx
◉ If BP site is below the heart..... Answer: The reading will be to high
◉ Benefits of nocturnal home hemo. Answer: Better protein level
Don't need binders
No fluid limits
Fewer symptoms
Less heart damage
Live as long as people who get a deceased kidney transplant
◉ If BP site is above the heart..... Answer: The reading will be to low
,◉ Home hemo must be done. Answer: 3x a week 4-6 hours per tx
◉ Benefits of PD. Answer: Can do alone at home or work
Only need 1-2weeks of training
Allows for a more normal diet
Allows pt to feel more normal
◉ peritonitis. Answer: inflammation of the peritoneum, this can scar the
peritoneum and make PD no longer possible, can be avoided by doing a
sterile exchange
◉ 2 types of PD. Answer: Continuous ambulatory peritoneal dialysis
(CAPD)
Automated peritoneal dialysis (APD)- uses cycled at night done 8-10
hours during sleep
◉ During in center HD how much blood is outside of body at a time.
Answer: 1/2 cup
◉ Short Daily Home Hemodialysis must be done. Answer: 5-6days a
week for the 2.5-4 hour per tx
◉ a bp cuff that is too small or to loose will cause a. Answer: Higher
reading
, ◉ Nocturnal home hemomust be done. Answer: At home 3-7 nights a
week 8 hours per tx
◉ A no cuff that is to big for a patients arm .... Answer: Lower reading
◉ Why would someone want to do more HD than standard?. Answer:
Longer or more frequent HD is gentle and cause fewer symptoms and
may help Pt live longer, home puts pt in charge
◉ peritoneal dialysis. Answer: the lining of the peritoneal cavity acts as
the filter to remove waste from the blood through tiny blood vessels.
Placed in abdomen and sometimes chest wall
Dialysate sits in catheter for a few hours and excess water and waste
flows from BV to the dialysate. The dialysate is then drained and
replaced. (Exchange)
Pt can use a cycle mahjne while they sleep
Can also be done by hand 4xa day and can be done anywhere.
◉ In dialysis patients the reason BP drops during or close to the end of
tx is because. Answer: The total blood volume drops, from the water
removal
◉ regular respiration rate. Answer: 12-16 breaths per minute