T6 Dialysis CRRT Kidney Transplant

• How does peritoneal dialysis filter?

  Uses glucose in dialysate to create an osmotic gradient.
• How does hemodialysis filter?

  It uses a pressure gradient.
• How long does it take for an AV fistula to mature before it can be used for hemodialysis?

  3 months.
• How long does it take for an AV graft to heal?

  2 - 4 weeks.
• What is a risk for AV fistulas and grafts related to ischemia?

  Distal ischemia or steal syndrome and aneurysms.
• What is steal syndrome?

  Pain distal to access site, numbness or tingling of fingers, poor capillary refill.
• What is CRRT?

  Continuous Renal Replacement Therapy.
• How is CRRT used in acute settings?

  It can be used to treat AKI to remove uremic toxins and fluids.
• What is the difference between CRRT and HD?

  CRRT is slower, continuous, fluid volume can be removed over days, has no dialysate needed, does not require constant monitoring by HD nurse but instead ICU nurse.
• How often should a hemofilter be changed for CRRT?

  Every 24 - 48 hours.
• What color should the ultrafiltrate be?

  Clear yellow.
• How soon should urine flow from the ureter after a transplant?

  It may happen immediately.
• What is the primary cause of cancers after a kidney transplant?

  Immunosuppression.
• What cancer is most common after a kidney transplant?

  Skin cancer.