NURS 4700 NURSING CONCEPTS AND INTERVENTIONS EXAM 1 STUDY GUIDE RATED A MARQUETTE UNIVERSITY
What is dialysis? When does it begin
✔✔-External machine that acts as kidney; two methods available include
peritoneal dialysis and hemodialysis
-Begun for uremia failing conservative management and initiated with
GFR <15
What is peritoneal dialysis?
✔✔3 phases:
1. Inflow: prescribed amount of fluid that's infused into peritoneal area
within 10 minutes
2. Dwell: where diffusion and osmosis occurs
3. Drain: takes 15-30 minutes, may have to massage area
-Can do it in comfort of own home
PD: nursing assessment and interventions
✔✔1. Dry weight each morning
2. PD procedure is sterile: connector port is cleaned with iodine
3. Assess catheter and insertion site
3. Assess for complications: *cloudy PD fluid (infection, peritonitis)*,
hernia, lower back problems, bleeding, pulmonary complications, protein
loss
Hemodialysis: AV fistula or graft
✔✔-Post-op: don't sleep on side of affected arm, don't carry heavy objects
with affected arm, assess bruit and thrill
-*In affected arm, NEVER*: take BP, draw blood, insert IV
-If pain or coldness in fingers: notify MD