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Renal Failure Treatment

774 Words4 Pages

Renal Failure Treatment

What happened when the kidneys fail to function? The normal kidney removes the wastes and harmful material in the body by making urine. When the kidneys fail, wastes and extra fluids accumulate in the blood. There are other numerous symptoms accompany with kidney failure such as nausea, trouble sleeping, poor appetite, trouble breathing, swelling of the feet or ankles, puffiness around the eyes and so on. The treatment is required with the aid of a specialist who helps to decide which treatment is efficient and when the time to start the treatment. The decision is made based on symptoms, how much kidney function the patient has left, and the nutritional health. There are two steps of choosing the suitable treatment based on the patient …show more content…

In this type of treatment, the blood is cleaned inside the body not outside the body. The lining of the abdomen (also called the peritoneum) acts as a detergent (natural filter). A cleansing solution called dialysate flows into the abdomen through a soft tube called a PD catheter. The catheter is placed during minor surgery so wastes and extra fluid pass from the blood into the cleansing solution. After some hours, the doctor drains the used solution from the abdomen and refills with a fresh cleansing solution to begin the process again. Removing the used solution and adding fresh solution takes about a half hour and is called an exchange. There are two types of peritoneal dialysis which are Continuous Ambulatory Peritoneal Dialysis (the exchange must be done 4-6 times a day) and the second one is Continuous Cycling Peritoneal Dialysis (CCPD). With CCPD, there is a machine called a cycler does the exchanges automatically. Moreover, CCPD can be done while the patient is sleeping. However, if the patient does CCPD, he or she may need to do 1 or 2 exchanges by her/him self during the day to make sure that wastes and extra fluid are being cleared from the blood

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Assess for prothrombin time during treatment (2 sec deviation from control time, bleeding time, and clotting time); monitor for bleeding, pulse, and BP. Assess for nutritional status: liver (beef), spinach, tomatoes, coffee, asparagus, broccoli, cabbage, lettuce, greens. Administer IV route after diluting with D5, NS 10 ml or more give 1 mg/min or more. IV route only when other routes not possible (deaths have occurred). Perform/provide Store in tight, light-resistant container Evaluate

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I.V. fluids such as normal saline are utilized to increase volume and aid in the prevention of acute kidney injury. These I.V. fluids are initiated as soon as possible and are continued until the creatinine kinase level drops below 1,000 U/L. Diuretics such as Lasix are sometimes administered to promote the excretion of fluid. Bed rest is typically ordered for patients with rhabdomyolysis. In some cases, if compartment pressure exceeds 25 mm Hg, a fasciotomy and debridement may be

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By installing a pneumatic delivery system, the hospital system could have the licensed caregivers focus more time on providing excellent care to our patients. There are some noted concerns that using a pneumatic tube system for laboratory specimen delivery may increase the risk of hemolysis in a blood sample (Lima-Oliveira et al., 2014). However, this risk of hemolysis does not pose a substantial harm to patients and is clinically insignificant in the vast majority of cases. This is particularly true in the case of the Alvin C. York Medical Center as the units that would utilize the pneumatic tube system are units that do not serve patients with acute medical conditions. The delay that currently exists due to the extended length of time it takes to transport a specimen from one side of the campus to the other is likely more of a detriment to patient care as the risk of hemolysis from rapid

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Some of the requirements include Ms. Mullins would only be allowed to drink a certain water and a tube placed in Ms. Mullins stomach would require draining 5-6 times a day. Also home dialysis is usually

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• Wearing a catheter at the moment. • District nurse visits once a week. He was recently in hospital for the catheter change as it was infected.

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Ms. Turner is a certified hemodialysis technician who functions in the role of Lead Machine Instrument in the Hemodialysis Department. She is responsible for the water purification system under the supervision of the Nurse Manager which is the most critical component to providing the Veteran with their hemodialysis treatment. She is also responsible for the unit inventory and because of her attention to detail the Veterans’ needs are fulfilled and without delay in care. Her position requires specialized advanced knowledge and skill which provides for a safe and efficient environment for Veterans to receive their treatments. In addition to these roles and responsibilities, Ms. Turner functions in the role of a patient care technician providing

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Dialysis basically acts as an artificial kidney by filtering the blood of the patients on it. Dialysis can be both a good and a bad thing. The good in it is works just like a kidney would for a temporary fix, the bad is that sessions last three hours, several times a week. Dialysis is very harsh on the patient’s bodies, especially the ones that become dependent on it. It basically drains their bodies and causes them to become very weak and most of them aren’t able to work anymore.

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Policy and Procedure CAUTI Prevention Policy Name: Catheter Associated UTI Prevention Purpose: To identify causes and take measures for the prevention of Catheter Associated Urinary Tract Infections (CAUTI) in the healthcare setting Population: Healthcare members and patients who are caring for a urinary catheter either at home or in the hospital setting Introduction: The mission of this policy is to inform healthcare workers of the proper procedures to follow in regards to the prevention of catheter associated UTI’s in the hospital setting. In order for this mission to be accomplished, all workers must follow this policy in the clinical and work environment. The main goal is to prevent unnecessary catheter associated infections.

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They use machines that are specifically designed for one thing and if it does not work then the next step is unknown. In this society they “get these cases nine or ten a night.” (Bradbury, 13), meaning the calls are regularly about someone overdosing. Therefore “this machine pumped all of the blood from the body and replaced it with fresh blood and serum.” (Bradbury 12) because “you take out the old and put in the new and you're okay.”

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Perfusion : Perfusion is the process of a body delivering blood to a capillary bed in itsbiological tissue. The word is derived from the French verb "perfuser" meaning to "pour over or through"[3]. Tests verifying that adequate perfusion exists are a part of a patient's assessment process that are performed by medical or emergency personnel. The most common methods include evaluating a body's skin color, temperature, condition and capillary refill.

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Then the travel time from the location of the deceased to the person in need, also gets added. Now if the person is living they can bring them to the hospital, match blood samples, and donor criteria. Once finalized, with both people in the same hospital, they begin the procedure; in this case the kidney stays max 1-2 hours outside the body. This result in the low chances of a viable organ from the dead to reach and save the life of the living.

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Evidence based practice is a big part of the medical field and what we as nurses use to take care of patients in the hospital. An example would be the sterilization technique of catheterization and the importance of pericare before inserting a catheter into a patient. Sterilization technique ensures that there is no introduction of bacterial agents that may cause serious infectious such as sepsis, and death. Even if a nurse is using the best devices, it does not matter without proper sanitary care (The Fight Against UTIs Continues, 2011). Pericare is an essential component of caring for a patient with a catheter.

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Human body and its health problems had been unknown for centuries until the evolution of the medical field in the late 1800s which lead to a rise in the average life expectancy from thirty six to a sweeping seventy eight. Then specialists started to identify the structure and the function of each organ. That’s when they found how important some organs as well as the human body cannot work properly without it. The kidney is one of those organs due to how fundamental it can

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The prognosis is known as 'looking to the future ' in medical terms. This includes creating an individual treatment plan based on the needs of the patient. If the diagnosis was correct and the treatment plan was effective, the patient should then, at least notice some difference in their condition, if not be cured altogether after a number of

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723 Words | 3 Pages

Intermittent catheterization, allowing the patient to be involved in the insertion and removal of a catheter, and educating patients on the use of indwelling catheters can increase human dignity and decrease catheter associated urinary tract infections. Intermittent catheterization is when a catheter is inserted to drain the bladder and is immediately taken out once the bladder is emptied. The use of intermittent catheterization over indwelling catheterization can increase human dignity, especially in home settings, by allowing patients to have more independence in their self-care (Woodward, Steggal, & Tinhunu, 2013). Indwelling catheters contain drainage systems that can be embarrassing and inconvenient for patient’s. Intermittent catheterization gets rid of the drainage systems, allowing

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