(latest version verified for accuracy) |
Latest Update 2026
In center hemo must be done -CORRECTANSWER 3x a week for about 4 hours
Cons of in center HD -CORRECTANSWER Most limitation on Diet, fluid than other
modalities
Requires the most medication
Most symptoms
Patients who run 4 hour tx -CORRECTANSWER Are 30% less likely to die than pts who
run shorter times
Each 30 mins extra of tx increase life by 7%
Patients are 50% more likely to die after -CORRECTANSWER 2 day no treatment
weekend, the last 12 hours of the 2 days the risk of death triples
diastolic blood pressure -CORRECTANSWER When the heart is at rest.
Benefits of nocturnal in center -CORRECTANSWER You get 2x as many txs as
standard because it is longer and more gentle with fluid removal
Rarely cramp
,Easy on heart
Fewer limitations on food and drink
Free days
72% better survival rate than standard in center
You check blood pressure with -CORRECTANSWER Stethoscope and
sphygmomanometer
Nocturnal in center hemo must be done -CORRECTANSWER 3x a weeks about 8
hours per tx
If BP site is below the heart.... -CORRECTANSWER The reading will be to high
Benefits of nocturnal home hemo -CORRECTANSWER Better protein level
Don't need binders
No fluid limits
Fewer symptoms
Less heart damage
Live as long as people who get a deceased kidney transplant
If BP site is above the heart.... -CORRECTANSWER The reading will be to low
Home hemo must be done -CORRECTANSWER 3x a week 4-6 hours per tx
,Benefits of PD -CORRECTANSWER Can do alone at home or work
Only need 1-2weeks of training
Allows for a more normal diet
Allows pt to feel more normal
peritonitis -CORRECTANSWER inflammation of the peritoneum, this can scar the
peritoneum and make PD no longer possible, can be avoided by doing a sterile
exchange
2 types of PD -CORRECTANSWER Continuous ambulatory peritoneal dialysis (CAPD)
Automated peritoneal dialysis (APD)- uses cycled at night done 8-10 hours during sleep
During in center HD how much blood is outside of body at a time -CORRECTANSWER
1/2 cup
Short Daily Home Hemodialysis must be done -CORRECTANSWER 5-6days a week
for the 2.5-4 hour per tx
a bp cuff that is too small will cause a -CORRECTANSWER Higher reading
Nocturnal home hemomust be done -CORRECTANSWER At home 3-7 nights a week 8
hours per tx
, A no cuff that is to big for a patients arm ... -CORRECTANSWER Lower reading
Why would someone want to do more HD than standard? -CORRECTANSWER Longer
or more frequent HD is gentle and cause fewer symptoms and may help Pt live longer,
home puts pt in charge
peritoneal dialysis -CORRECTANSWER the lining of the peritoneal cavity acts as the
filter to remove waste from the blood through tiny blood vessels.
Placed in abdomen and sometimes chest wall
Dialysate sits in catheter for a few hours and excess water and waste flows from BV to
the dialysate. The dialysate is then drained and replaced. (Exchange)
Pt can use a cycle mahjne while they sleep
Can also be done by hand 4xa day and can be done anywhere.
In dialysis patients the reason BP drops during or close to the end of tx is because -
CORRECTANSWER The total blood volume drops, from the water removal
regular respiration rate -CORRECTANSWER 12-16 breaths per minute
In dialysis patients water may enter the lungs due to water weight gains this can cause -
CORRECTANSWER Sob or trouble breathing