Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne...
Transcript of Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne...
![Page 1: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/1.jpg)
Kidney Dialysis Replacement Options
andDiet
Jeanne Krawiec APRN
Jerry Tee, Patient Advocate
Nephrology Associates of Michigan
![Page 2: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/2.jpg)
When You Arrive To Class
• Please sign in
• Breaks as needed
• Review and keep as a reference your individual education packet
After Class• Please complete your quiz and evaluation form and
turn in to the speaker
• Be sure and mark which form of dialysis you would choose if you needed to start now
![Page 3: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/3.jpg)
General Presentation
• This class presents general information on treatment options for kidney disease and may not address individual concerns or answer all of your questions.
• More detailed information is available on a one-to one basis with the office Nurse Practitioner . Please let your doctor know if you are interested in this one-to-one education meeting.
![Page 4: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/4.jpg)
Goals for Discussion
• Renal replacement therapy: Hemodialysis (in-center, home, and nocturnal)
• Renal replacement therapy: Peritoneal dialysis
• Offer options available to you when kidneys stop working (personal, financial, and emotional aspects)
• Importance of diet
![Page 5: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/5.jpg)
Dialysis Treatment Options for Kidney Replacement Therapy
Lets talk about dialysis optionsWhich one would you choose if
needed?
![Page 6: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/6.jpg)
Treatment Options
• Hemodialysis
In-center, home,
Nocturnal
• Peritoneal Dialysis
• No Treatment
![Page 7: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/7.jpg)
Hemodialysis
![Page 8: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/8.jpg)
H-1
What is hemodialysis?• The word “hemo” refers to blood,
hemodialysis is a process which balances blood chemistry (electrolytes) and filters wastes and fluids from the blood
• The blood travels from you by means of an access, through a tubing and passes through a filter on a dialysis machine
• The filter cleans the blood
• The clean blood is returned to your body
![Page 9: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/9.jpg)
H-2
What happens during hemodialysis?• The dialysis machine
pumps the blood through the filter - called a dialyzer
• Two needles are inserted into your arm (Access)for each treatment – One withdraws the blood– One returns the filtered
blood to your body
![Page 10: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/10.jpg)
The Dialysis Machine
• Blood flows from you through a tubing that is attached to the machine
• A filter cleans the blood of wastes and toxins
• Medication can be added if needed (epo, heparin, iron, and vitamin D)
• Monitors treatment and blood pressure
• Solution called dialysate helps clean the blood
![Page 11: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/11.jpg)
Hemodialysis Options
• This therapy is performed at a dialysis center or in your own home.
• Can be during the day, evening or night (nocturnal)
![Page 12: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/12.jpg)
H-4
Traditional In-Center Hemodialysis Schedule
• 3 days a week• Average time is 4 hours per
treatmento Typical schedule is either
Monday-Wednesday-Friday or
o Tuesday-Thursday-Saturday• Start times : 6:00 am,
11am to 1 pm5pm to 6pm
![Page 13: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/13.jpg)
Nocturnal Dialysis
• Offers greater flexibility in your daytime schedule
• Can be done at home or in-center
• Good for those who are employed
• Average time for nocturnal dialysis is 6-8 hours and average start time is 8:00 pm.
• Due to longer treatment times a more liberal potassium, phosphorus and fluid intake is usually allowed.
![Page 14: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/14.jpg)
Home Dialysis Treatments
• Offer more flexible treatment times and days
• Fewer diet and fluid restrictions
• Fewer peaks and valleys (blood pressures, fluid balance, general feeling of well being
• Alternate treatment times 5-6 short day treatments of 2-3 hours each, or a longer nocturnal hours of 6-8.
• Fewer clinic visits, blood draw and physician visit usually once a month
• Care partner & space for supplies required
• Portable unit makes traveling easier
![Page 15: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/15.jpg)
Vascular Access
![Page 16: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/16.jpg)
AV Fistula
![Page 17: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/17.jpg)
Fistula or Graft
• Access created through surgery• Access is under the skin• Fistula = your natural vein + artery (not always
possible to create• Graft =artificial vein• Fistulas and grafts take about 3 months to “mature”
– meaning they cannot be used until then• Make it very important to make the decision for HD
early
![Page 18: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/18.jpg)
Access Care
If you have a dialysis access:
– What you can do – feel for “thrill” daily (like a strong pulse) avoid pressure from clothing or jewelry, no blood pressures or needle sticks in this arm
– Monitor for infection – watch for warmth, redness, swelling, soreness, drainage
– Protect your access
![Page 19: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/19.jpg)
Temporary Access
• Catheter
• Plastic tube inserted in vein in neck
• Sticks out from the body
• Risk of infection
• Cannot shower or get catheter wet
![Page 20: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/20.jpg)
Advantages of HD
• Trained personnel perform your treatment and monitor you during each HD session
• 4 days off a week without any treatment at all
• No equipment or supplies at home
• Hemodialysis centers are all over the country (and on cruise ships)!
• Hemodialysis in other countries is possible
• Hemodialysis can be at home, with varied hours and days, or all night at home or in a dialysis center
![Page 21: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/21.jpg)
Disadvantages of HD
• You MUST make the trip to a dialysis center 3 times a week
• Some patients feel “washed out” after their treatments
• Sometimes you can experience low blood pressure, nausea, cramps and headache with treatment (although the chance of these occurring is less if you follow the kidney team directions)
![Page 22: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/22.jpg)
Peritoneal Dialysis
![Page 23: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/23.jpg)
P-2
How does peritoneal dialysis work?• PD uses your peritoneal membrane
- the lining of your abdomen - as the filter
• Solution is placed in the abdomen in contact with the peritoneal membrane for several hours
• Waste and fluids pass through the filter, then the solution and waste are drained from your abdomen
![Page 24: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/24.jpg)
P-9
What happens during peritoneal dialysis?
Waste products in blood (shown by trash cans) and excess water (shown as water drops) cross the membrane and are drawn into the dialysis solution (LIKE A MAGNET)
![Page 25: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/25.jpg)
P-2
How does peritoneal dialysis work?• PD uses your peritoneal membrane
- the lining of your abdomen - as the filter
• Solution is placed in the abdomen in contact with the peritoneal membrane for several hours
• Waste and fluids pass through the filter, then the solution and waste are drained from your abdomen
![Page 26: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/26.jpg)
P-6
How do I perform a CAPD(continuous ambulatory peritoneal dialysis) treatment?
Connect Drain
![Page 27: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/27.jpg)
P-7
How do I perform a CAPDtreatment (cont.)
Fill Disconnect/dwell
![Page 28: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/28.jpg)
P-3
The Catheter
• For PD, a tube called a catheter is surgically placed through the wall of your abdomen as a permanent access for PD (2-8 weeks to heal)
• About 6-10” of the catheter extends out of the body
• Take showers, no baths
• Swim in own pool only
• Clean catheter site daily
![Page 29: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/29.jpg)
When Are CAPD Exchanges Done?
• One exchange takes 20 – 30 minutes
• Use clean, draft-free, well lighted areas
• Supplies are mailed to your home
• 4 per day
– When you wake up
– Lunch time
– Dinner time
– Bed time
![Page 30: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/30.jpg)
P-5
Automated
Peritoneal
Dialysis
What is APD?
• Dialysis exchanges are done at home, with the help of a “cycler” machine
• 1 manual exchange during the day• The cycler machine does exchanges while
you sleep and can be used additionally during the day
• In the morning, you detach the tubing from the cycler
![Page 31: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/31.jpg)
P-10
How do I learn to do peritoneal dialysis?
During training you will learn how to:
• Do an exchange
• Take your blood pressure
• Check your weight and evaluate fluid
• Care for your exit site and catheter
• Understand your diet and medication
• Evaluate signs and symptomsof infection
![Page 32: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/32.jpg)
P-13
How does a patient get supplies?
• Your physician writes your prescription
• You will learn how to order your supplies and arrange for delivery
• Supplies are delivered by a dialysis equipment and supply company
• A van driver delivers the supplies and carries them into your home
![Page 33: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/33.jpg)
Advantages of PD
• More involvement in your care
• More flexible lifestyle
• No needles or blood contact
• Less “washed out feeling”
• Supplies are delivered to you, wherever you are (given enough advance notice)
• Remaining kidney function lasts longer
• Fewer clinic visits
![Page 34: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/34.jpg)
Disadvantages of PD
• Catheter and body image
• Weight gain possible (extra 500 calories daily)
• Must do every day
• Need to store supplies
• The PD dialysate solution may affect your blood sugars due to the sugar in the solution
• Infection
– Peritonitis – infection of the peritoneal membrane
![Page 35: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/35.jpg)
“No Treatment” Option for Kidney Failure
What happens if I decide I don’t want dialysis?
• If no treatment is chosen, a kidney failure patient does not have long to live
• Hospice referral
• Your kidney team and your family can help you with this decision
![Page 36: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/36.jpg)
Nutrition and Kidney Failure
![Page 37: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/37.jpg)
What should I eat when my kidneys are not working right?
![Page 38: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/38.jpg)
Why is diet important?
Affects how well you will feel
It is part of your treatment for kidney failure
![Page 39: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/39.jpg)
What are the important parts of my kidney diet?
• Protein
• Sodium
• Potassium
• Phosphorus
• Calories
• Fluid
![Page 40: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/40.jpg)
Protein – the body’s building blocks
Sources: chicken, turkey, fish, pork, beef and eggs
Albumin levels in you blood show if you are getting enough protein
Good albumin levels help with fluid removal during dialysis
Low albumin levels hold on to water in your tissues
Protein heals and repairs the body
![Page 41: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/41.jpg)
Phosphorus – for strong bones, teeth, and healthy muscles
“Phosphate Binders” help remove phosphorus from the body
Some high sources are dairy products, nuts and seeds, peanut butter, chocolate, liver, dried beans and peas, colas, whole grain breads and cereals.
Too much phosphorus can weaken bone and damage tissues
![Page 42: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/42.jpg)
Calories – your body’s fuel
HD calorie needs about the same as usual
PD usually need to limit calories
Diabetics will need to carefully monitor blood sugars
Calories keep your body working
![Page 43: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/43.jpg)
Salt – more than just a way to flavor food
Salt and sodium will be limited in both HD and PD
Salt is often hidden in many foods
Salt can increase blood pressure and thirst
![Page 44: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/44.jpg)
Potassium – helping muscles and nerves work right
HD diet is limited to control potassium
PD diet is not usually limited in potassium
Some high sources are potatoes, tomatoes, oranges, bananas, tropical fruits, and melon
No star fruit: has caused death for unknown reasons in dialysis patients
Potassium keeps muscles like your heart working as they should
![Page 45: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/45.jpg)
Fluid – what does fluid do in your body?
Too much fluid in your body is called edema
HD fluid is usually limited to 50 ounces daily (or less)
PD fluid is not usually limited
Sources: water, soda, milk, ice, soup, ice cream, coffee, tea and gelatin
Fluid can increase your blood pressure and weight
![Page 46: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/46.jpg)
How do we count fluid?
1. Know your fluid limit!
2. Get an empty pitcher
3. Measure water to equal your fluid limit and put it in your pitcher
4. Remove fluid from your pitcher as you drink it
Count anything that is liquid at room temperature
![Page 47: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/47.jpg)
Post Quiz
Circle the best answers
1. A treatment for kidney failure that
filters blood inside the body and can
be done at home is called:
A. Hemodialysis
B. Peritoneal Dialysis
C. Plasma exchange
![Page 48: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/48.jpg)
Question #2 & #3
2. The best choice for a hemodialysis access is when they connect your natural artery to a vein. This type of access is called a:
A. Catheter
B. Graft
C. Fistula
3. A treatment for kidney failure that uses a machine to clean the blood outside of the body & can be done at home or in-center is called:
A. Hemodialysis
B. Blood transfusion
C. Transplant
![Page 49: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/49.jpg)
Question #4 & #5
4. Advantages of home dialysis treatments include all but the following:
A. More liberal fluid intake and less dietary restrictions
B. Treatments can be done in the comfort of your own home
C. Less independence with treatments and less control over your life. Not suitable for people who work
5. Advantages of in-center dialysis treatments include:
A. Professional staff is available to perform your treatments and monitor you during the procedure
B. Four free days per week of no treatment at all
C. Ability to set your own dialysis schedule and treatment time
![Page 50: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/50.jpg)
Questions # 5 & #6True of False
• 1. Dialysis catheters have higher rates of complications such as infection when compared to the fistula or graft.
True False
2. Placement of a fistula or graft requires admission to the hospital for one week.
True False
![Page 51: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/51.jpg)
Questions # 7 & #8
7. High protein foods include chicken, fish, egg beaters and Twinkies.
True or False
8. 3 ounces of meat is about the size of a deck of cards.
True or False
![Page 52: Kidney Dialysis Replacement Options and Diet · Kidney Dialysis Replacement Options and Diet Jeanne Krawiec APRN ... •4 days off a week without any treatment at all ... •If no](https://reader035.fdocuments.net/reader035/viewer/2022062604/5fbfc4067b00f133375a9aff/html5/thumbnails/52.jpg)
Questions
• Questions on diet and kidney replacement therapy?
• Questions on dialysis options?
Please complete your class evaluation and post test and turn it in to the presenter. Join us at our next class on Kidney
Transplants and the Emotional and Financial aspects of CKD