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such as creatinine and urea, as well as free water from the blood when the kidneys are in renal failure.
The blood is routed outside the body into a dialysis
Procedure
Baseline vital signs taken for reference
Access point is established Patient is connected to the dialysis machine in a closed
loop circuit Blood is pumped from the body into the dialysis machine Blood is pumped back into the body after cleansing Vital signs are taken at set intervals to monitor clients condition
Preparation
Access method is determined. Arteriovenous Fistula Arteriovenous Graft Central Venous Catheter
Patient is weighed. Vital signs taken and recorded.
Precautions
Complete History must be taken into account
Risk for infection Blood pressure instability
Dizziness
Nausea and Vommiting Fatigue First Use Syndrome
Nursing Responsibilities
Verification of Doctors orders
Proper client identification Proper client education about the procedure and its
uses and effects Secure client consent Proper vital signs monitoring Maintenance of Asepsis Patient safety
Peritoneal Dialysis
Dialysis method that uses the clients peritoneal
membranes in the filtration and diffusion process of cleansing the clients blood from waste products
Cheaper than Hemodialysis
Procedure
Access point is established
Dialysate is infused into the peritoneum After a set period of time, the dialysate is drained
Preparation
Access point is established
Sterility is ensured and maintained
Precaution
Clients diet
Risk for Infection and Peritonitis Hypovolemic shock
Edema
Hyper and Hypotension Difficulty of breathing
Nursing Responsibilities
Verification of Doctors orders
Proper client identification Proper client education about the procedure and its
uses and effects Secure client consent Proper vital signs monitoring Maintenance of Asepsis Patient safety
Cystoclysis
A continuous infusion of a sterile solution into
the bladder, usually by using a three-wayirrigation closed system with a triple-lumen catheter.
One lumen is used to drain urine;another is used to
inflate the catheter balloon, and the final lumen carries the irrigation solution.
CBI is primarily used following genitourinary surgery
Procedure
Position client for access of catheters
Set up irrigating solutions and prime tubing Set up catheter drainage bag
Preparation
3-way catheter is inserted
Maintain sterility Ensure that urine is being freely drained before
starting irrigation
Precaution
Infections
Bladder distention Bladder rupture
Nursing Responsibilities
Verification of Doctors orders
Proper client identification Proper client education about the procedure and its
uses and effects Secure client consent Proper vital signs and I&O monitoring Ensure free drainage of urine Maintenance of sterility Patient safety
heart and the ability of the heart to pump the blood into the arterial system.
Procedure
An incision is made usually on the clients upper arm A suitable vein is located for the insertion of the catheter The catheter is threaded aseptically into the vein The catheters distal tip must rest at the point where the superior vena cava joins with the right atrium of the heart To read, a 3-way tap is used to connect the manometer to an intravenous drip set on one side, and, via extension tubing filled with intravenous fluid, to the patient on the other 3-way tap is manipulated so that the path open is from the fluid bag to the manometer and closed to the patient. Fill manometer to adequate amount 3-way tap is manipulated so that the path is open from the manometer to the client and closed to the fluid bag. The fluid in the manometer will drain into the patient and will stop at the point where CVP is currenty at
Preparation
Maintain sterility