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CHT Bonent Exam fully solved & updated (latest version verified for accuracy) | Latest!!

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In center hemo must be done 3x a week for about 4 hours


Cons of in center HD Most limitation on Diet, fluid than other modalities
Requires the most medication
Most symptoms


Patients who run 4 hour tx 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 2 day no treatment weekend, the last 12 hours of
after the 2 days the risk of death triples


diastolic blood pressure When the heart is at rest.


Benefits of nocturnal in center 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 Stethoscope and sphygmomanometer


Nocturnal in center hemo must be 3x a weeks about 8 hours per tx
done


If BP site is below the heart.... The reading will be to high


Benefits of nocturnal home hemo 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.... The reading will be to low


Home hemo must be done 3x a week 4-6 hours per tx


Benefits of PD 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 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 Continuous ambulatory peritoneal dialysis (CAPD)
Automated peritoneal dialysis (APD)- uses cycled
at night done 8-10 hours during sleep

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