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Where is the path urine takes to exit the body?
Urinary Track - Kidneys - Ureters - Bladder - Urethra
What is the relationship between dialysis and kidney function?
Fluid Removal, Waste Removal, Electrolyte Balance
What is a solvent?
Fluids into which something is dissolved
Water
What is a solute?
A component that will be dissolved into a solvent
Chloride
Potassium
Urea
Creatinine
What is a solution?
Fluid that contains a dissolved solute
Blood
What is a solution in the body?
Blood
Contains Water, Red and White Cells, Electrolytes, Glucose
What is a solution in dialysis?
Dialysate
Water
Acid
Bicarbonate
Where is water in the body?
Intracellular Fluid 70%
Plasma (blood)10%
Interstitial 20%
How is fluid removed in dialysis?
Osmosis
Where is fluid removed during dialysis?
Plasma (blood)
Where is most of the fluid located in the body?
Intracellular
What does TMP mean?
, Transmembrane Pressure
What does the TMP measure
the pressure difference across the membrane fibers inside the dialyzer
THe pressure across the dialyzer membrane
What is osmosis?
movement of fluid from an area of low solute concentration to an area of high solute
concentration until equilibrium is reached
What is diffusion?
The movement of particles or solutes from an area of high solute concentration to an
area of low solute concentration until equilibrium is reached?
What is ultraflitration?
The removal of fluid with added pressure
What is a major factor affecting ultrafiltration?
Pressure
What does a rise in TMP indicate during hemodialysis
Clotting
Water in the dialysate is referred to as
RO Water
If a patient does not have hypertension, what is the preferred access?
Fistula
What is the access of choice for hemodialysis?
Fistula
Why is this considered the most preferred access?
Lowest complication ratio
what is a counter current flow?
blood and dialysate flow in opposite directions for optimum diffusion
Why is counter current flow important in hemodialysis?
Improves waste removal
Is dialysate used in hemodialysis sterile?
The dialysate used in hemodialysis sterile is NO
The primarycause of anemia in the dialysis patient is a decrease in the production
of
Erythropoietin
Difussion can be defined as the movement of particles through __________ from
_____________
semipermiable membrane
greater to a lesser solute concentration
Access ________ can jeorpardize the adequacy of the dialysis treatment
recirculation
Inadequate ______ or improper priming may contribute to clotted fibers
heparization
Clotted fibers and air pockes decrease the surface area of the dialyser, which has
the most impact on _________
clearance
The adequacy of a dialysis treatment may be compromised by inadequate ______