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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System Disorder)
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Active Learning Template: Therapeutic Procedure
ATI Ch. 25
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(Fill in the boxes)
description of procedure
Indications
Nursing Interventions
outcomes/evaluation
client education
potiential complications
nursing interventions due to the “potiential
complications
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ATI Ch. 28
Electrocardiography and Dysrhythmia Monitoring: Medical
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outcomes/evaluation
client education
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nursing interventions due to the “potiential
complications
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Active Learning Template: Therapeutic Procedure
Blood and Blood Products: Therapeutic Response to Blood
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(please answer every box! )
System Disorder ACTIVE LEARNING TEMPLATE: STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Health Promotion and Disease Prevention Alterations in Health (Diagnosis) Pathophysiol ogy Related to Client Problem ASSESSMENT SAFETY CONSIDERATIONS Expected Findings Risk Factors Diagnostic Procedures Laboratory Tests PATIENT-CENTE RED CARE Complications Medications Client Education Nursing Care Therapeutic Procedures Interprofessional Care
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