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Fresenius Orientation Final Exam (Hemo Dialysis)
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Nephrons - Functional unit of the kidneys



Nephrons are composed of? - The glomerulus (tangled cluster of capillaries surrounded by the
bowmans capsule) and the tubules



Kidneys help maintain good health because - They filter fluid, waste, and extra electrolytes from
capillaires into the tubules



4 functions of the kidney - Excretory, regulatory, filtration and endocrine



Excretory function of the kidney - Kidneys rid the body of waste products and excess fluid and
electrolytes



Uremia is - A build up of waste products in the blood



Regulatory function of the kidney - Maintain acid/base balance. Fluid balance and electrolyte
balance



Filtration function of the kidney - Nephrons retain some things and filter out and reabsorb others



Endocrine function of the kidney - Kidneys produce hormomes one is renin which constricts blood
vessels reulting in increasing BP, erythropoitentin signals bone marrie tonprosuce RBC kidneys
also convert the storage form of VIT D, VIT D helps ansorbe calcium from the gut



The #1 cause of CRF - Diabetes

, The #2 cause of CRF - Hypertension



Stage 5 renal failure - Has only 10-15% kidney function left



Renal failure effects on the digestive system - Uremian causes N/V diarrhea loss of appetite



Renal failure effects on the skin - Dry itchy darkened



Renal failure effects on the cardiovascular - K causes muscle weakness including heart weakness
which can lead to arrhytmias cardiac arrest and death fluid can cause increasesd BP and edema



Renal failure effects on the skeletal system - With calcitriol there is decreased ansorption id calcium
from the gut. The parathyroid hormone also rises as a result. In order to keep blood calcium in
normal range calcium is taken from the bones (dut to high PTH) vausing weak and brittel bones.
Calcium then combines with phosphorus and is deposited in sodt tissues



Renal failure effects on the lung - Fluid in lungs causes SOB and also puts PT at risk for pulmonary
infection



3 types of renal replacement - Peritoneal dialysis

Hemodiaysis

Tramsplant



Safe levels of total chlorine for patinets - 0.00-0.09



15 minutes - Length of time the RO has to run for samples to be obtained for total chlorine testing

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