Renal Replacement Therapy (RRT) PDF

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LuxuriantGoblin7199

Uploaded by LuxuriantGoblin7199

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renal replacement therapy dialysis nursing management medical procedures

Summary

This document provides an overview of renal replacement therapy (RRT), including hemodialysis and peritoneal dialysis. It details nursing management and complications related to renal failure.

Full Transcript

from the blood when the kidneys are unable to perform these Renal Replacement Therapy (RRT) functions. ②...

from the blood when the kidneys are unable to perform these Renal Replacement Therapy (RRT) functions. ② Hemodialysis: regular sessions to remove waste - Purpose: O Peritoneal dialysis: daily home-based option - Remove excess fluid (water, salt) Kidney transplantation: best long-term solution - - Correct electrolyte imbalances ItSobrangYgKpwedmaglada enay > - a Remove toxins (waste products like urea and creatinine)defibhock) Nursing Management in Renal Failure Maintain acid-base balance Assessment ↑ Kidneys failure excrete di makaproduce renin so ng kapag renin may Kaya renal ↓ ByP Monitoring VS, especially blood pressure. > retention fluid Kasi di makaexcrete ng fluid and kidneys Indications for Dialysis - of na Daily weights and intake-output measurements. BP ng pX decreasing talaga and wahit * If 100170 furosemide then and muna dr's order ibibig ay 40 Acute Kidney Injury 20 a my my and y Monitor for signs of electrolyte imbalances (arrhythmias, , > hindi na kaya palabasin ng mga furosemide close : 1. Severe fluid overload unresponsive to diuretics stock ↳ 20 lamp confusion) K phosphate 1 of fluid for renal failure pXs mg La Na , , , (IL rate : * every 24 hours or ↳ Check for BP * Flow 2. Refractory hyperkalemia (serum potassium > 6.5 mmol/L - muna 24 hours kV08-o or for drops 1000 mL 3. Severe metabolic acidosis (pH < 7.1) min trbig lang. na 700mL Interventions - na sa Il since Kasama 4. Uremic symptoms (encephalopathy, pericarditis) sabaw any Fluid restriction in oliguric phase. magiging insulin + 15050 - If may-exceed sal congested na and > PXs Management of Hyperkalemia (diet, medications) - ↓. edema , Crackles sa K 3 5 -5 lungs Chronic Kidney Disease (CKD) Normal :. (potassium) Dietary Guidance End-Stage Renal Disease (ESRD) when GFR

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