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35 Cards in this Set

  • Front
  • Back

The National Kidney Foundation divides chronic kidney disease into five stages. What are these five stages based on?

The level of filtering the kidneys can do

The level of filtering that the kidneys can do is called the _________________.

Glomerular Filtration Rate (GFR)

A rate of greater than or equal to 90 GFR indicates ___________________

Stage 1 kidney disease

Less than 15 GFR indicates:

Stage 5 kidney disease

Normal blood pressure is considered ___________________________.

120/80mmHg or less.

Normal blood pressure range for patients who have chronic kidney disease is considered _________________.

130/80mmHg

The body naturally produces a blood pressure hormone which helps the body control the amount of fluid it retains and how relaxed the blood vessels are. What is the name of this hormone?

Renin

Who is responsible for determining the dialysis prescription?

The physician

The social worker is responsible to assist the patient with quality of care issues such as:

Transportation for treatment, assisted patient in setting your goals, Health Insurance, Financial concerns and support

When a patient with kidney disease performs peritonial dialysis by hand, every few hours, this type of dialysis is called ___________________.

CAPD (continuous ambulatory peritoneal dialysis)

Another form of peritoneal dialysis that uses a cycler to do exchanges while the patient is sleeping is known as ________________________.

CCPD (continuous cycling peritoneal dialysis)

Kidney failure can result from many different medical issues, however there is one that is the leading cause. The number one cause of kidney disease is _______________________.

type 2 diabetes

____________________________ is the second most common cause of kidney failure.

High blood pressure

End-stage renal disease patients will often prevent symptoms associated with uremia. Which is not a symptom of uremia?

Skin is cold and clammy

Caring for a vascular access is an important component to ensure that the access will last as long as possible. This is an essential part of their treatment. What would a patient do to assist with good hemodialysis access care?

Avoid pressure on the access during sleep

What would be the best chance of getting what a patient needs in feeling connected with others and connected in a relationship?

Asking those most able to help

What is a true statement about PD catheter patients?

Patients should take showers instead of baths to keep clean.

Medicare regulations Place requirements on all dialysis centers. One of these requirements is that the care team includes a nephrologist and ____________________.

Registered Nurse (RN), social worker, dietitian.

A determining factor in deciding when a patient should begin dialysis is their level of creatinine. Physicians measure the level of creatinine in the patient's body. In order to pay for dialysis, Medicare requires that creatinine levels be _________________ in diabetics and _______________ in non- diabetics.

6.0 in diabetic patients and 8.0 and non-diabetic patients.

Dialysis patients go through an array of emotions when they are first told their kidneys are failing and they must choose a form of treatment. This includes crisis, isolation, anger, depression, and rebuilding. What is the typical cause for crisis in a patient's life?

Unwanted change

Kidney treatment is considered a major life change. Some patients will face this type of life change with minimal emotional response and some will have a greater emotional response. In this situation, patient would benefit best by reaching out to other kidney disease patients with _____________________.

Expressing anger in a constructive manner

True or false, multiple organs can be transplanted at the same time

True

A normal kidney performs many functions. What function of the kidney cannot be replaced by dialysis?

Dialysis cannot make erythropoietin

If an individual patient experiences symptoms for 2 weeks or longer that they may be depressed what symptom is included in the depression?

Feeling worthless and large weight loss

Renal dietitians are registered with the American diabetic Association and have specialized training in renal nutrition. What would you expect the renal dietitian to do?

Develop a healthy eating plan and investigate eating habits

The American Diabetes Association recommends that the urine of a patient with diabetes should be tested once a year for microalbuminuria. If microalbuminuria is found early, what can be used to assist with the protection of kidney functions?

ACE inhibitors and ARB's

ACE inhibitors and a ARB's are

Medications to treat blood pressure

The depression mindset is comprised of several components. The statements such as "I can't handle this responsibility" would most be tied to which depression mindset?

Incompetence

It is important to develop a personal plan to cope with kidney disease for dialysis patients to adjust to crisis, isolation, anger, depression, and rebuilding related to treatment. What will create a "self talk" that is destructive?

Depression

One of the most important components in the treatment for kidney disease is having a strong Healthcare team. Who is the leader of the healthcare team?

The patient

What dialysis treatment option employes part of the body as a blood cleaning filter?

Peritoneal dialysis

The dialysis technician is a care team member that will interact with the patient the most and have many responsibilities to ensure quality Care. The technician responsible for cleaning the dialyzer would be

The ReUse technician

The heart's main function is to pump blood throughout the body. When the heart becomes weak, it is unable to perform properly. A weak heart will not push a strong enough blood flow throughout the body. This is known as

Congestive heart failure (CHF)

Symptoms of congestive heart failure include

Muscle weakness, swelling in the feet and legs, abdominal swelling, heart palpitation and mental confusion

The dialysis patient can experience fatigue, stiffness and muscle weakness. The care team member that would best assist the patient with this issue is

The physical therapist