Hemodialysis Procedure Quiz
30 Questions
7 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary reason for instilling antibiotic solution into the bladder during a kidney transplant surgery?

  • To facilitate the revascularization process
  • To reduce the risk of infection (correct)
  • To secure the donor ureter
  • To distend the bladder

    • What is the significance of rapid revascularization in a kidney transplant procedure?

  • It is critical to restore blood flow to the transplanted kidney (correct)
  • It helps to reduce the risk of infection
  • It ensures the donor ureter is properly secured
  • It facilitates the removal of the recipient's kidney

    • What is the purpose of tunneling the donor ureter through the bladder submucosa during a kidney transplant procedure?

  • To reduce the risk of ureteral complications
  • To establish a connection between the donor ureter and the recipient's bladder (correct)
  • To shorten the surgical procedure
  • To facilitate the removal of the recipient's kidney

    • What is the sequence of events during a kidney transplant procedure involving two sisters?

    <p>The donor sister undergoes laparoscopic nephrectomy first, followed by the recipient sister</p> Signup and view all the answers

    What is the purpose of placing a urinary catheter into the bladder during a kidney transplant procedure?

    <p>To distend the bladder and make it easier to access the surgical site</p> Signup and view all the answers

    What is the significance of releasing the clamps during a kidney transplant procedure?

    <p>It reestablishes blood flow to the transplanted kidney</p> Signup and view all the answers

    What is the primary purpose of assessing fluid status in a hemodialysis patient?

    <p>To estimate the amount of fluid to be removed during the treatment</p> Signup and view all the answers

    What is the primary function of the dialysate delivery and monitoring system?

    <p>To regulate the flow of blood to and from the dialyzer</p> Signup and view all the answers

    What is the purpose of adding heparin to the hemodialysis system?

    <p>To prevent clotting in the blood lines</p> Signup and view all the answers

    What is the primary purpose of assessing the patient's temperature before hemodialysis treatment?

    <p>To monitor for signs of infection</p> Signup and view all the answers

    What is the purpose of flushing the dialyzer and blood lines with saline solution after the hemodialysis treatment?

    <p>To return all blood to the patient</p> Signup and view all the answers

    What assessment data should be obtained before initiating hemodialysis treatment for a patient like K.W.?

    <p>Weight, blood pressure, and heart and lung sounds</p> Signup and view all the answers

    What is the primary consideration for determining the infusion of replacement fluid in CRRT?

    <p>Degree of fluid and electrolyte imbalance</p> Signup and view all the answers

    What is the primary mechanism of solute removal in CVVHDF?

    <p>Convection and dialysate</p> Signup and view all the answers

    What is a key advantage of CRRT compared to HD in terms of hemodynamic stability?

    <p>Less hemodynamic instability</p> Signup and view all the answers

    What is a key difference between CRRT and HD in terms of monitoring requirements?

    <p>CRRT requires less frequent monitoring</p> Signup and view all the answers

    What is a key advantage of CRRT compared to HD in terms of equipment requirements?

    <p>CRRT requires less complex equipment</p> Signup and view all the answers

    What is the primary difference between CVVHD and CVVHDF in terms of dialysis fluid?

    <p>CVVHD uses dialysate, while CVVHDF does not</p> Signup and view all the answers

    What is the primary goal of immunosuppressive therapy in kidney transplant recipients?

    <p>To adequately suppress immune response and prevent rejection</p> Signup and view all the answers

    Why is it essential to monitor urine output in kidney transplant recipients?

    <p>To prevent dehydration</p> Signup and view all the answers

    What type of rejection occurs minutes to hours after transplant?

    <p>Hyperacute rejection</p> Signup and view all the answers

    What is the consequence of chronic rejection in kidney transplant recipients?

    <p>It may require re-transplantation</p> Signup and view all the answers

    What is a priority teaching need for C.L. before discharge?

    <p>All of the above</p> Signup and view all the answers

    Why is it essential to assess for hyponatremia and hypokalemia in kidney transplant recipients?

    <p>To prevent electrolyte imbalances</p> Signup and view all the answers

    What is a possible complication of a kidney transplant due to recurrence of the original kidney disease?

    <p>Diabetic nephropathy</p> Signup and view all the answers

    What is a corticosteroid-related complication that can affect the eyes?

    <p>Cataracts</p> Signup and view all the answers

    What is the most likely cause of a patient's symptoms six days after a kidney transplant from a deceased donor?

    <p>Acute rejection</p> Signup and view all the answers

    Which of the following is NOT a complication of a kidney transplant?

    <p>Diabetic retinopathy</p> Signup and view all the answers

    What is a possible complication of corticosteroids in kidney transplant patients?

    <p>Aseptic necrosis of hips</p> Signup and view all the answers

    Which of the following is a complication of a kidney transplant that can be treated with IV antibiotics?

    <p>Infection of the kidney</p> Signup and view all the answers

    Study Notes

    Hemodialysis Procedure

    • Before HD treatment, assess fluid status by checking weight, BP, peripheral edema, heart, and lung sounds
    • Assess vascular access and temperature
    • Monitor vital signs (VS) every 30-60 minutes
    • Two large-bore needles are placed in the fistula or graft: one for pulling blood from circulation to the HD machine and one for returning dialyzed blood to the patient

    Hemodialysis System Components

    • Dialysate delivery and monitoring system is used
    • Heparin is added to prevent clotting

    Hemodialysis Procedure (Termination)

    • The dialyzer/blood lines are primed with saline solution to eliminate air
    • The procedure is terminated by flushing with saline to return all blood to the patient
    • Needles are removed, and firm pressure is applied

    Case Study: Hemodialysis Readiness

    • Before starting HD treatment, assess:
      • Fluid status (weight, BP, peripheral edema, heart and lung sounds)
      • Vascular access
      • Temperature
      • VS every 30-60 minutes

    Kidney Transplant Surgical Procedure

    • The transplant recipient undergoes:
      • Urinary catheter placement into the bladder
      • Antibiotic solution instillation to decrease infection risk
      • Crescent-shaped incision
    • The donor kidney is anastomosed to the recipient's iliac artery and vein
    • The transplant recipient's ureter is tunneled through the bladder submucosa (ureteroneocystotomy)

    Continuous Renal Replacement Therapy (CRRT)

    • Infusion of replacement fluid is determined by the degree of fluid and electrolyte imbalance
    • Anticoagulants are needed to prevent blood clotting
    • Customized to patient's needs

    Continual Renal Replacement Therapy (CRRT) vs Hemodialysis (HD)

    • CRRT is continuous rather than intermittent
    • Fluid volume can be removed over days versus hours
    • Solute removal is by convection (no dialysate required) in addition to osmosis and diffusion
    • Less hemodynamic instability

    Kidney Transplant Nursing Management

    • Postoperative care:
      • Dehydration must be avoided
      • Assess for hyponatremia/hypokalemia
      • Monitor urine output and maintain catheter patency
      • Patient education: signs and symptoms of rejection, infection, and surgical complications; follow-up care

    Kidney Transplant Immunosuppressive Therapy

    • Goals:
      • Adequately suppress immune response to prevent rejection
      • Maintain sufficient immunity to prevent overwhelming infection

    Kidney Transplant Complications

    • Rejection types:
      • Hyperacute (antibody-mediated, humoral) rejection
      • Acute rejection
      • Chronic rejection
    • Recurrence of original kidney disease:
      • Glomerulonephritis
      • IgA nephropathy
      • Diabetic nephropathy
      • Focal segmental sclerosis
    • Corticosteroid-related complications:
      • Aseptic necrosis of joints
      • Peptic ulcer disease
      • Diabetes
      • Cataracts
      • Dyslipidemia
      • Infections
      • Cancers

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Dialysis-1.pptx

    Description

    Test your knowledge of the hemodialysis procedure, including assessment and preparation steps before and during treatment. This quiz covers the essential steps and considerations for healthcare professionals involved in hemodialysis care.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser