in KT/V what is K?
Clearance
treatment factors that decrease K
DFR, BVP, UF goal, adequate anticoagulation
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In KT/V what is T?
time
what factors influence T?
longer blood/dialysate contact time, more frequent treatments or extra treatments
In KT/V what is V?
Volume
what factors influence V?
height, weight, sex, age, amputations
needle gauge and suggested BFR
17g = 200-250
16g= 250-350
15= 350-450
14= >450
, procedure for post BUN lab draw
UF decreased to 50ml
place in bypass
decrease BFR to 100 ml/pm
draw from arterial line
lab draw mistakes that would falsely increase Kt/V
drawing without lowering BFR
drawing from veinous line
not waiting full 15 seconds
lab draw mistakes that would falsely decrease Kt/V
Diluting pre BUN sample
waiting longer than 15 seconds
What does the acronym RIFLE stand for?
*RISK
*INJURY
*FAILURE
*LOSS
*END STAGE RENAL DISEASE
Define AKI
AKI occurs when persons experience a sudden loss of kidney function. restoring function is
still possible.
3
examples of pre, intra and post-renal causes of AKI
pre- volume depletion, decreased CO output renal vascular obstruction
intra- glomerulonephritis, contrast induced, chemotherapy
post- benign prosthetic hypotrophy, kidney stones
outline treatment goals for AKI patient dialyzing in in the out-patient facility
restoring function: eliminate cause, protect from further damage
protect from further injury: prevent hypotensive injury, avoid toxic kidney meds