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Today’s video is all about peritoneal dialysis vs hemodialysis for Nursing Students and NCLEX Review.

Two common treatments for kidney failure are hemodialysis and peritoneal dialysis. With the right nursing assessments and interventions, your kidney failure patient can have a better chance at recovery.

We’re going over the roles that potassium plays in each of these two types of dialysis, as well as how stenosis monitoring can be used to prevent complications.

00:00 Introduction
01:10 Hyperkalemia in Hemodialysis
02:27 Assessing Fluid Status
03:35 Medications to Hold Before Hemodialysis
04:50 Medications Removed During Hemodialysis
05:45 Dialysis Disequilibrium Syndrome
07:20 Caring for a Fistula
09:12 Avoiding Fistula Complications
10:35 Peritoneal Dialysis
11:23 Peritonitis Risk
12:31 Respiratory Distress With Peritoneal Dialysis
13:39 Repositioning With Outflow Problems

#KidneyFailure #Dialysis #Hemodialysis #Peritonealdialysis

Cathy covers hemodialysis, including nursing care before, during, and after the procedure. Peritoneal dialysis, including nursing associated with the procedure. Key complications of hemodialysis, including disequilibrium syndrome and hypotension. Peritonitis, which is a key complication of peritoneal dialysis. Post-op nursing care and patient teaching associated with a kidney transplant.

Our Medical-Surgical video tutorial series is taught by Cathy Parkes BSN, RN, CWCN, PHN and intended to help RN and PN nursing students study for their nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #KidneyTransplant #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN #Renal #Hemodialysis

0:00 What to Expect
0:31 Hemodialysis
2:06 Nursing Care
2:47 Peritoneal Dialysis
3:23 Nursing Care
4:09 Dialysis Complications
4:19 Disequilibrium Syndrome
4:55 Hypotension
5:26 Peritonitis
5:57 Kidney Transplant
6:17 Nursing Care
6:40 Signs and Symptoms
6:51 Patient Teaching
7:17 Quiz Time!
8:27 Bloopers

🚨Head over to our interactive study guide and index ANYTIME and find out exactly which card we’re referencing. https://bit.ly/MedSurgIndex

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All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.

Dialysis services at UC San Diego Health: https://health.ucsd.edu/care/kidney/dialysis

UC San Diego Health Licensed Clinical Social Worker, Norma Reggev, discusses hemodialysis as a treatment option for failing kidneys with patient testimonials. Discussion includes In Center Hemodialysis and Home Hemodialysis.

0:00 - Hemodialysis
1:34 - When Should Dialysis Begin?
2:00 - What is Dialysis?
2:25 - How Hemodialysis Works
3:15 - In-Center Hemodialysis Considerations
3:42 - Patient Shares Their Experience With In-Center Hemodialysis
7:30 - Home Hemodialysis Considerations
8:35 - Patient Shares Their Experience With Home Hemodialysis
12:23 - Types of Vascular Access

.

Research from Mayo Clinic finds that half of elderly patients who start dialysis after age 75 will die within one year.

Lead study author and a health care delivery scholar with the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Dr. Bjorg Thorsteinsdottir says many elderly patients and their families feel that they have no choice but to start dialysis, with several expressing regret from having initiated therapy.

The findings were presented at the American Society of Nephrology's Kidney Week 2013 in Atlanta.

The objectives of hemodialysis are to extract toxic nitrogenous substances from the blood and to remove excess water. In hemodialysis, the blood, laden with toxins and nitrogenous wastes, is diverted from the patient to a machine, a dialyzer, in which the blood is cleansed and then returned to the patient. Diffusion, osmosis, and ultrafiltration are the principles on which hemodialysis is based.

The toxins and wastes in the blood are removed by diffusion—that is, they move from an area of higher concentration in the blood to an area of lower concentration in the dialysate. The dialysate is a solution made up of all the important electrolytes in their ideal extracellular concentrations.

The electrolyte level in the patient’s blood can be brought
under control by properly adjusting the dialysate bath. The semipermeable membrane impedes the diffusion of large molecules,
such as red blood cells and proteins.

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