Active Learning Template: Therapeutic Procedure
ATI Ch. 57
Hemodialysis and Peritoneal Dialysis: Assessment of an Arteriovenous Fistula
(Fill in the boxes)
Homework Answers
Description of the procedure
Hemodialysis is the process of removal of wastes from the blood via a fistula (ateriovenous fistula )
Peritoneal dialysis is the removal of wastes from the blood through peritoneal cavity.
Indication :
- Chronic kidney failure
- Acidosis
- To treat fluid overload
- Severe electrolyte imbalances
- In presence of uremic symptoms
- Ingestion of any toxic substance
Nursing intervention
- To monitor the patient throughout the procedure
- Keeping a track of vital signs
- Check and record the weight of the patient before and after procedure
- Assessing for any reactions during procedure
- Administer medication as per order
- Assess the blood reports if any before procedure
Outcomes
- The patient able yo understand the necessity of the procedure
- Patient snow to do PD by self
Client education
- Increase protein intake in food
- Restrict sodium, potassium, phosphorus in diet
- Fluid intake as per the order of the nephrologist
- Do not apply pressure on the fistula
- Avoid weight lifting ,tight sleeves, ornaments which can block blood circulation of the hand
- Avoid infection of the site
Potential complications
- Hypotension or hypertension
- Nausea and vomiting
- Headache
- Cramps
- Chest pain
- Fluid imbalances
Nursing intervention due yo potential complications
- Monitor blood pressure regularly throughout the procedure
- Administer antiemetics in case of nausea or vomiting
- In case of chest pain,stop dialysis and elevate lower limb
- Monitor blood glucose level.
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Active Learning Template: Therapeutic Procedure
ATI Ch. 57
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