Hemodialysis separates solutes by differential diffusion through a cellophane membrane placed between the blood and dialysate solution, in an external receptacle. Blood is shunted through an artificial kidney (dialyzer) for the removal of excess fluid and toxins and then returned to the venous circulation. Because the blood must actually pass out of the body into a dialysis machine, hemodialysis requires an access route to the blood supply by an arteriovenous fistula or cannula or by a bovine or synthetic graft. Hemodialysis is a fast and efficient method of removing urea and other toxic products. It is usually performed three times per week for four hours and can be done in a hospital, outpatient dialysis center, or at home. Nursing Care PlansNursing care planning and goals for patients who are undergoing hemodialysis include monitoring of the AV shunt patency during the process, preventing risk for injury, monitoring fluid status, and providing information. Here are three (3) nursing care plans (NCP) and nursing diagnosis for hemodialysis:
Nursing Diagnosis Risk factors may include
Possibly evidenced by
Desired Outcomes
Recommended ResourcesRecommended nursing diagnosis and nursing care plan books and resources. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.
See alsoOther recommended site resources for this nursing care plan: Other care plans and nursing diagnoses related to reproductive and urinary system disorders:
Medical & Surgical Nursing (Notes)
Prev Article Next Article
The decision to initiate dialysis or hemofiltration in patients with renal failure depends on several factors. These can be divided into acute or chronic indications.
Goals
Two main types of dialysisI. Hemodialysis
Types of venous access for hemodialysis
Nursing ConsiderationsBefore the Hemodialysis
During the Hemodialysis
After Dialysis
Complications of Dialysis
Signs and Symptoms
II. Peritoneal dialysis
Three types of Peritoneal Dialysis
Nursing ConsiderationsPatient Preparation
During the Procedure
Complications of Peritoneal Dialysis
Choose the letter of the correct answer. Good luck!
Congratulations - you have completed MSN Exam for Renal Failure and Dialysis (PM).
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%% Your answers are highlighted below.
There are 45 questions to complete.
Monitor internal AV shunt patency at frequent intervals:
Administer medications as indicated:
Nursing Diagnosis
Risk factors may include
Possibly evidenced by
Desired Outcomes
Nursing Interventions
Monitor laboratory studies as indicated:
Nursing Diagnosis
Risk factors may include
Possibly evidenced by
Desired Outcomes
Nursing Interventions
Prev Article Next Article |