Medical Surgical Nursing

(Tina Sui) #1

  • Acute: high level of serum K+, fluid overload, or impending pulmonary edema,


acidosis, to remove certain medications or other toxins from the blood.



  • ½ of patients with CRF eventually require dialysis

  • Diffuse harmful waste out of body

  • Control BP

  • Keep safe level of chemicals in body

  • 2 types

  • Hemodialysis – Peritoneal dialysis


Principles for dialysis



  • Diffusion: toxins and wastes in the blood are removed

  • Osmosis: excess water is removed from the blood

  • Ultrafiltration: helps water to move faster under high pressure to an area of lower
    pressure


Hemodialysis



  • 3-4 times a week

  • Takes 2-4 hours

  • Machine (dialyzer)

  • filters blood and returns it to body

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