Guides d'étude, Notes de cours & Résumés

The "reasonable & prudent" standard of Care for Nephrology Nursing Key Concepts. - ANSWER-The Standard of Care is that care which a reasonable and prudent nephrology nurse would give under the same or similar circumstances. The Standard of Care includes actions a reasonable and prudent nephrology nurse would do, as well as actions the nurse would avoid doing. In general, the Standard of Care for nephrology nursing is keyed to this specialty and the skills and knowledge expected of a neph...

Number 1 & 2 cause of (CKD) chronic kidney diease - ANSWER-1- diabetes 2-hypertension In (AKI) acute kidney injury it is better to keep patients? - ANSWER-too wet, rather than too dry with fluid removal goals 3 sub-groups of ckd? - ANSWER-1-pre-renal-interferes w/ BF to the kidneys, causes-injuries/renal artery clot 2-intra-renal-damages nephron directly, causes-diabetes/hypertension/PKD 3-post-renal-any condition interfering w/ urine leaving the bladder, causes-kidney stones/enlarged p...

17 gauge blood flow and pre-pump AP - ANSWER-Blood flow: 200-250 ml/min Pre-pump AP: no more negative than - 150 mmHg 16 gauge blood flow and pre-pump AP - ANSWER-Blood flow: 250-350 ml/min Pre-pump AP: no more negative than - 200 mmHg 15 gauge needle blood flow and pre-pump AP - ANSWER-Blood flow: 350-450 ml/min Pre-pump AP: no more negative than - 220 mmHg 14 gauge needle blood flow and pre-pump AP - ANSWER-Blood flow: greater than 450 ml/min Pre-pump AP: no more negative than - 2...

Water and dialysate cultures are drawn every month in the dialysis unit to monitor - ANSWER-bacteria and endotoxins what problems will cause a more positive (less negative) pre-pump arterial pressure. - ANSWER-blockage of arterial blood flow from the vascular access. what is the most likely reason for a blood leak detector alarm during recirculation - ANSWER--air bubbles in the dialysate, dirty sensor -check dialysate connections, bleach machine what is an appropriate interventions wit...

Chlorine/Chloramine testing: - ANSWER-When: R/O runs 15 mins before patient shift every 4 hours Where: After Primary carbon tank sample port Acceptable result: Less than or equal to 0.1 mg/L Action if results are too high post primary tank: Repeat the test Define the term AKI - ANSWER-- Term incorporates a wide spectrum of kidney issues - Includes acute kidney failure as well as less catastrophic kidney function changes - May dialyze in an out-patient facility until kidney function recov...

Explain the four transport mechanisms that play a role in hemodialysis - ANSWER-Ultrafiltration: Fluid pushed through the semipermeable membrane (SPM) membrane Convection: Solutes dragged across SPM along with fluid Diffusion: Particles moves from area of high concentration to low Osmosis: Fluid moves from area of low to high concentration What are the kidneys' excretory functions? - ANSWER-To normalize electrolytes, remove wastes, provide fluid and nutrient balance What are the kidne...

acceptable result for residual bleach - ANSWER-< 0.5 ppm Acceptable result for chlorine/chloramine testing - ANSWER-< or equal to 0.1 mg/L acceptable hardness test result - ANSWER-< 1 grain/gallon final dialysate conductivity - ANSWER-13-15.5 mS final dialysis pH - ANSWER-6.9-7.6 if dialysis conductivity is too low - ANSWER-hemolysis, bursting of blood cells, cranberry red blood if dialysate conductivity is too high - ANSWER-crenation, shriveling of blood cells, dark r...

Ultrafiltration - ANSWER-Fluid pushed through the semipermeable membrane Convection - ANSWER-Solutes dragged across semipermeable membrane along with fluid Diffusion - ANSWER-Particles move from area of high concentration to low Osmosis - ANSWER-Fluid moves from area of low to high concentration What are the kidneys' excretory functions? - ANSWER-To normalize electrolytes, remove wastes, provide fluid and nutrient balance What are the kidneys' endocrine functions? - ANSWER-Renin...

Water and dialysate cultures are drawn every month in the dialysis unit to monitor - ANSWER-bacteria and endotoxins what problems will cause a more positive (less negative) pre-pump arterial pressure. - ANSWER-blockage of arterial blood flow from the vascular access. what is the most likely reason for a blood leak detector alarm during recirculation - ANSWER--air bubbles in the dialysate, dirty sensor -check dialysate connections, bleach machine what is an appropriate interventions wit...

What is important when monitoring weight and BP for acute patients? - ANSWER-keep patients wet to avoid hypotensive episodes What do you need to consider in regards to acute patents vascular access? - ANSWER-Usually have a CVC - follow policy and procedure to prevent infections Why is it important to know what caused your patient's CKD? - ANSWER-to inquire about possible problems during data collection and assessments Kt/V: What is K? - ANSWER-clearance of urea What treatment fact...