Med Viva 38

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Author:
cathy4xo
ID:
88653
Filename:
Med Viva 38
Updated:
2011-06-01 02:02:39
Tags:
Dialysis
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Description:
Dialysis
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  1. Name 4 issues regarding dialysis in a diabetic patient.
    • 1. Visual impairment
    • 2. Increased infection risk
    • 3. Glycaemia control
    • 4. Access may be difficult due to PVD
  2. What are the pros of haemodialysis?
    • Shorter time needed (efficiency)
    • Reduced infection risk
  3. What are the cons of haemodialysis?
    • Rapid fluid removal (hypovolaemia, electrolytes e.g. hyperK+)
    • Anticoagulation & vascular access may lead to haemorrhage
    • Equipment malfunction - air embolism
    • Hypersensitivity to dialyser - shock
    • Emergencies between treatments (APO,sepsis)
  4. What are the pros of peritoneal dialysis?
    • Favours younger pts - dexterity, independence
    • May preserve renal functions better
  5. What are the cons of peritoneal dialysis?
    • Sepsis (peritonitis, catheter
    • Ultrafiltration failure - fluid over loaded
    • Peritoneal membrane failure
  6. Describe how is haemo and peritoneal dialysis carried out?
    • Haemo - hospital 3d/wk for 5h each time; home needs skills
    • Peritoneal - night automated or continuous ambulatory
  7. Name 5 benefits of kidney donation.
    • COMPARED TO DIALYSIS:
    • Better QoF

    • COMPARED TO CADAVERIC:
    • Shorter waiting time
    • Reduced chance of rejection
    • Less time on ice - better function
    • More well-planned

    (Also rewarding to donator! :p)
  8. Describe the procedure of a kidney transplant?
    • Open OR laporascopic nephrectomy
    • 4-10 days hospital stay
    • 2-12 weeks recovery
    • At increased risk of kidney disease only if the other kidney is damaged

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