MN 515 Unit 2

Identify a standard nursing terminology set used in your practice. Comment on its strengths and weaknesses, and its value to your area of nursing. Provide two references in APA format

I have include some terminology word frequently used in Hemodialysis Nursing

Kt/V Clearance x time / volume. A measurement that indicates how well waste products have been removed by dialysis treatment. The is the ultimate gold standard in hemodialysis making sure each client makes Kt/v shows how well their blood is being cleansed so they can live a productive life.

Dialysate flow rate The rate at which dialysate flows through the dialyzer.

Chronic kidney disease (CKD) A term used widely to describe kidney damage or reduced kidney function (regardless of the cause) that persists for more than 3 months. Sometimes CKD leads to kidney failure, which requires dialysis or a kidney transplant to keep a person alive.

Access A means to get into the body. Accesses to the bloodstream for hemodialysis are fistulas, grafts, etc. Access to the peritoneal cavity for peritoneal dialysis is a catheter.

Acute renal failure A sudden and severe decrease in kidney function that may be short term. Also known as AKI these types of patients still have the ability to excrete urine just not as efficient the kidneys need to rest for a short time to regain normal function. They might require dialysis temporary

Artificial kidney A filtering device that is used to remove excess fluid and waste products from the body. Also known as a “dialyzer” or a “hemodialyzer.”

Blood urea nitrogen (BUN) A way to measure the combination of waste products (nitrogen and urea) in the blood normally excreted by the kidneys.

Bruit The sound produced by the blood flowing through a blood vessel, as well as through a fistula, graft or shunt. Thrill A fine vibration or buzzing over an area of high or turbulent blood flow in the body. When the nurse does her assessment of the AVF of AVG this is what we listen for with a stethoscope and feel for +T/B

Catheter A flexible, hollow tube through which fluids enter or leave the body. For peritoneal dialysis, a catheter is placed by a doctor in the abdomen (peritoneal cavity). For hemodialysis, a venous catheter may be placed in the neck, chest or leg as a short-term solution. A fistula or a graft is the preferred access type for hemodialysis.

Chronic renal (kidney) failure Damage to the kidneys that is usually progressive in nature and cannot be reversed, reducing the filtration and waste removal functions of the kidneys.

Dialysate A solution consisting of water and chemicals (electrolytes) that passes through the artificial kidney to remove excess fluids and waste products from the blood. Also called “bath.”

Dialysis treatment plan A plan that is based on the individual needs of a person with end stage renal disease (ESRD) to reestablish physical balance.

Dry weight The weight of a dialysis patient when excess fluid has been removed. Also known as “ideal weight.”

End stage renal disease (ESRD) Total and permanent kidney failure. When the kidneys fail, the body retains fluid and harmful waste builds up. A person with ESRD needs treatment to replace the work of the failed kidneys.