According to dictionary.com, "dialysis is the process by which uric acid and urea are removed from circulating blood by means of a dialyzer". This is needed when a person has any stage of kidney failure or other issues pertaining to their kidneys. The purpose of dialysis is for the machine to act as a kidney and to take away waste, extra water, and salts. This in return helps control blood pressure and keep a safe level of chemicals in your blood. In this paper I will discuss what it will be like as a dialysis nurse and important things to know before my observation.
Objective 1: Role of a nurse in dialysis Nurses in dialysis have a variety of different tasks to perform. Before dialysis occurs, the nurse must check the patient's vital signs while assessing their condition, educate the patients about their diagnosis and treatment, as well as answer any questions they may have. During the process it is the nurse's job to watch the treatment beginning to end, check medications to be given and make sure the medications are correct. After dialysis the nurse must evaluate the patient's reaction, review the lab work and medications, inform the doctor of any changes, and support the patient and care team throughout the whole process.
Objective 2: Diagnostic tests in dialysis There are some lab tests that have to be run before and after a patient
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These include Synthroid, Dilantin, Vancomycin, BP medications, and Digoxin. Synthroid, Dilantin, and Digoxin are protein bound drugs which means that they will not pass through during dialysis therefore not be effective. Blood pressure medications impact fluid removal and because of that are help until after treatment. It is important to see what medications your patient is on and make sure that none of them will affect the treatment.
Objective 4:
The urinary tract consists of two kidneys, two ureters, one bladder and one urethra. Its major function is to remove waste products from our bodies and help regulate the volume and composition of blood by the production and excretion of urine. This drainage system is carried out by nephrons, the functional unit of the kidney, in three subsequent steps: filtration, reabsorption and secretion. When blood enters the renal artery of the kidneys, the blood plasma is filtered by blood pressure forcing fluid across the glomerulus capillary membranes. Glomerular filtration creates a plasma-like filtrate of the blood. Filtrate moves through the proximal
Diuretics is a medication administered to build up the secretion of urine to free the body of extra water and salt. Dialysis is a procedure used to remove waste products and additional water from the blood of a patient who does not have kidney function. Hemodialysis is a process to filter waste products from the patient blood stream. Shunt is an artificial passageway that allows the movement of the blood between the body and hemodialysis section. Dialysate is a sterilized liquid composed of water and electrolytes used to cleanse the blood to remove waste and excessive fluids from the body. Peritoneal dialysate is a lining of the peritoneal that acts as a filter to remove waste from the blood and also flow into the peritoneal cavity near the intestine throughout a tube implanted in the walls of the abdominal walls. Continuous ambulatory peritoneal dialysis is a dialysate solution instilled from a plastic container that is worn under a patient clothes and is drained every four hours. Continuous cycling peritoneal dialysis is a machinery used to cycle dialysate fluid when a patient sleeps at night. Nephrostomy drainage maintains the opening from the pelvis to both sides of the kidneys to the outside of the body. Renal transplant is implanting a donor’s kidney to replace the patient failed
Due to the IV, the patient’s sodium, potassium, and chloride levels returned to normal. Restoration of electrolytes happened due to rehydration. Kidneys stand in control for electrolyte and liquid equilibrium inside the body. When experiencing kidney failure, doctors use IV to restore the body to its normal functioning
Renal lab Introduction Every single organism in the world, such as humans needs water to live. Everyone has a different amount of water intake. Changes to the water intake can results in major catastrophic damages to the body if not addressed soon. All the water in the body gets filtered at the kidneys, only taking the important stuff it needs. Kidneys in the body filter the blood to remove any unwanted substances and produce urine to excrete them.
Mr. X, as a patient has a lot of needs, his condition requires a dynamic approach in nursing care. Through this case, we will be able to apply all the knowledge we gain from our mentors, co-nurses and our patients as well. We will be able to advance our skills and formulate our own strategies in response to the problem that arise and require nursing interventions. Mr. X’s condition requires further analysis and critical thinking, since diabetic nephropathy is common among ESRD patients and diabetes as one of the leading cause of ESRD. The nurses were able to utilize the standard of nursing care in the dialysis unit giving emphasis on the patients’ psychosocial aspect.
Purpose: This lab will examine the difference between the different samples of urine that have either too much glucose or a strong acidic (pH) level, to determine the five types of disorders that each sample of urine might have.
Introduction: In vertebrates, the kidney is in charge of osmoregulation, which helps maintain homeostasis. One of the main functions of the kidney is that it excretes unnecessary compounds, which then leave the body through urine. The urinalysis lab will determine the effects of different solutions on the volume of urine produced by the kidney in humans. The solutions tested were saline (the control), chicken broth, Diet Mountain Dew, beer, grapefruit juice, and baking soda.
Then, Blood is drawn from the vein in the patient’s arm and is allowed to be pumped through the tubing in the dialysis machine. Secondly, he tubing is bathed in a specially controlled dialysis fluid. Since the walls of the dialysis machine are partially permeable, small molecules such as Urea and other metabolic waste products will diffuse out of the tubing into the dialysis fluid. The filtered blood will then return to the vein in the patient’s arm. The dialysis Machine helps eliminate extra fluid off the body and also helps restore the proper balance of electrolytes in the
Apart from that, I realized just how important constant patient education sessions done by nurses to and for patients are. This article reminded me that indeed having the correct knowledge will enable a person to have the right skills then attitude and behavior towards health-promoting practices. This article also emphasized the nurses’ role on patient education of dialysis patients regarding their nutrition regimens. Nurses do indeed play an important role especially because unlike renal dietitians, they stay by the patient and monitor them at longer periods than any other health professional. I think that like in the journal article, greater attention to dietary education in dialysis patients and professionals must be given here in the Philippine setting.
The objective
Inroduction One of the most important components of hemodialysis (HD) treatment for end-stage renal disease (ESRD) is fluid removal in order to achieve fluid balance. Despite significant advances in fluid status assessment, there is no adequate technique for estimation of both overhydration and underhydration which are associated with determinable consequences. Volume overload is very common in end-stage renal disease (ESRD) patients undergoing standard thrice weekly haemodialysis (HD). Hypervolemic patients are at high risk for developing of cardiovascular events such as volume-dependent hypertension, increased arterial stiffness, left ventricular hypertrophy and congestive heart failure, the main causes of morbidity and mortality in HD patients [1]. On the other hand, the underhydration makes the patient more prone/vulnerable to suffer from volume depletion and intradialytic hypotension symptoms [2].
One of the nurses explained to me they had to maintain an absolute sterile technic because they wanted to prevent peritonitis, especially for this patient. His immune systems was already compromised or suppressed. They weighted the patient before the procedure. The nurses further explained the raison they had to weight the patient. It was because it would help them determine how many waste and fluids need to be filtered. Also they had to repeat that after each session and document, as well as the length of time it took to complete the dialysis session.
Complications of hemodialysis Although used as life sustaining therapy, hemodialysis has its own set of complications and it is indeed a challenge for nephrologists to deal with the complex relationships between the patients’ comorbidities, uremic syndrome and the potential complications of dialysis. The complications of hemodialysis have been grouped in several categories. 1) Vascular access complications a) Arteriovenous fistula complications An arteriovenous fistula is a connection of an artery to a vein in the arm made by a vascular surgeon. The fistula increases the blood flow in the vein and hence the venous pressure, causing the vein to grow stronger and larger.
The process of peritoneal dialysis by definition is: a cleansing fluid (dialysate) is circulated through a tube (catheter) inside part of your abdominal cavity (peritoneal cavity) (Mayo, 2016). The major complication of PD is peritonitis. The main cause of peritonitis is contamination at the connection site. To prevent this from happening, we must use sterile technique. Peritoneal dialysis is used for patients who are susceptible to fluid and cardiovascular disease. A patient with peritonitis may have cloudy dialysate outflow (the earliest sign), fever, abdominal tenderness, general malaise, nausea and vomiting (Mayo, 2016). The complications of PD also include pain, infections, poor dialysate flow, protein loss, hyperglycemia, respiratory
What is Dialysis? Dialysis is the process of cleansing the blood whether it be through hemodialysis or peritoneal dialysis. It is used to replace the kidney of a kidney failure patient. As said by The National Institute of Diabetes and Digestive and Kidney Disease (NIDDK), “Hemodialysis uses a special filter called a dialyzer that functions as an artificial kidney to clean your blood.” The NIDDK also said that peritoneal dialysis was when “A mixture of minerals and sugar dissolved in water, called dialysis solution, travels through a catheter into your belly.” But wait, there are still more questions to answer. When thinking about dialysis, three questions come to mind; what is it, what is the process, and is there an alternative method to