Your Guide to Home Hemodialysis Appendices: Glossary of Terms,

Transcription

1 appendices Your Guide to Home Hemodialysis Appendices: Glossary of Terms, in Personal Work Charts Record

2 Glossary of Terms appendices Adequacy of dialysis Air embolism Albumin Anticoagulant Anemia Alcohol-based hand rub (ABHR) Arterial line Arteriovenous fistula (AV fistula) Arteriovenous graft (AV graft) Blood pressure Blood urea nitrogen (BUN) Bruit A test to measure how well your blood is being cleansed by dialysis The entry of a pocket of air in the blood stream which can block blood circulation A protein in your blood, the level of which is used to measure your nutrition level A medication used to extend the length of time it takes for your blood to clot A condition where you have too few red blood cells in your blood A solution containing alcohol to clean your hands (also called hand sanitizer) The tubing that carries blood away from the body to the dialyzer An artery and a vein that are surgically connected and that increases in size due to increased blood flow A synthetic tube that is surgically inserted connecting an artery to a vein The pressure exerted by blood against the walls of a blood vessel A waste product of protein breakdown that is measured in the blood and then used to measure kidney function or the adequacy of dialysis The sound that is produced as blood flows through a fistula or graft Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

3 Calcium A mineral, important for bones and body functions, that needs to be monitored during kidney failure appendices Central venous catheter (CVC) Cholesterol Contamination Creatinine Dehydration De-ionization Diabetes Dialysate Dialysis Dialyzer Diastolic blood pressure Diffusion A soft, flexible tube with 2 lumens, usually inserted into a large vein in the neck A type of fat in your blood which, if the levels are elevated, may increase the risk for heart attack and stroke The introduction of germs that can occur when a sterile object comes into contact with an unsterile object A waste product of muscle breakdown measured in the blood, that is used to measure kidney function or the adequacy of dialysis A condition that occurs when there is not enough fluid in the body A process where minerals are removed from water by flowing it through ion exchange materials A disease that causes high blood sugar A special solution used for dialysis A treatment for kidney failure that removes wastes from the blood An item that contains tubes which filter the blood artificial kidney) The pressure in your blood vessels as the heart relaxes between heartbeats (the lower number in a blood pressure reading) The movement of particles, such as wastes, across a membrane from a higher concentrated area to a lower concentrated area so they become equal Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

4 Edema The collection of extra fluid in tissues causing swelling appendices Exit site Erythropoiesis-stimulating agents Fluid overload Germs Hand hygiene Hemodialysis Hemoglobin Hemolysis Heparin Hypertension Hypotension Insulin Interlink Laxative Locking solution The point where a catheter comes out of your body An injectable medication used to treat anemia The retention of too much fluid in the body Microscopic organisms that can cause disease A process to achieve a state of cleanliness of the hands The procedure which removes wastes and fluid and regulates electrolytes by passing blood through a dialyzer (filter) The part of the red blood cells that contains the oxygen that is carried throughout the body The breakdown or destruction of red blood cells A medication used in dialysis to prevent blood from clotting High blood pressure Low blood pressure A hormone that regulates blood sugar levels A type of needleless access cap for catheters A medication used to treat constipation A medication instilled in a dialysis catheter at the end of dialysis to prevent clotting of the catheter between treatments (usually citrate or heparin) Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

5 Nephrologist A medical doctor who treats kidney disease appendices No-touch technique Over-the-counter medication Osmosis Parathyroid hormone (PTH) Phosphorus Potassium Pulmonary edema Restless legs syndrome Reverse osmosis Rinse back Sterile Systolic blood pressure A technique where sterile parts of equipment are kept sterile by not touching them A medication that does not require a prescription to purchase The movement of fluid (usually water) through a semipermeable membrane A hormone produced by the parathyroid glands in the neck that controls calcium and phosphorus levels in your blood A mineral that can build up in kidney failure and can cause itching, bone and heart problems A mineral in the blood and tissues. High and low levels can cause potentially serious complications, therefore it must be closely monitored during kidney failure An accumulation of fluid in the lungs An uncomfortable feeling in the legs with an overwhelming urge to move them Process where water is forced through a semi-permeable membrane which does not allow minerals and bacteria to pass through the holes thereby purifying the water The use of fluid (normal saline) to return all the blood from the tubing to the body at the end of the dialysis treatment The absence of germs The highest pressure in the blood vessel that your heart creates in one heartbeat (the higher number in a blood pressure reading) Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

6 Target weight The weight you would be at if you are free of excess fluid in tissues and BP is within correct range appendices Tego Tunnel infection Ultrafiltration Ultraviolet (UV) sterilization Venous line A type of needleless access connector for catheters An infection that extends under the skin around the catheter The removal of fluid from blood as it passes through a dialyzer A process that sterilizes water by passing it through a glass tube surrounded by a UV light which kills bacteria The tubing that returns blood back to the body after it leaves the dialyzer References Adapted from the Canadian Association of Nephrology Nurses and Technologists (CANNT) Nephrology Nursing Standards and Practice Recommendations page 65 Baxter Corporation Fresenius Medical Care Gambro Healthcare Humber River Home Hemodialysis Manual Lakeridge Health - Going Home on Hemodialysis Manual London Health Sciences Centre Home Hemodialysis Manual National Kidney Foundation Kidney Disease Outcomes Quality Initiative University Health Network Home Hemodialysis Manual Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

7 Appendix appendices Blood Work Record Your level Blood work Why it is important Usual Range Date Date Date Date Date Creatinine Measure how well your kidney is working and how well your blood is cleansed by dialysis BUN Potassium Can be dangerous if it is too high or too low. Keep it in a safe range with dialysis, diet and medications Calcium Need to be balanced to maintain strong bones and teeth and to help muscles work Phosphorous Parathyroid Hormone (PTH) Albumin Measures nutrition g/l Blood Sugar Measures diabetes control Hemoglobin Measures anemia g/l Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

8 appendices Home Hemodialysis Treatment Record Example: Side 1 PRESCRIPTION Ideal Weight: Sodium: Flow Rate: kg meq/l ml/min Conductivity: Access: Potassium: Calcium: Dialyzer: Phosphate: Bicarb: Changes to Prescription: ml kg To Remove: + = kg BP Pulse Temp POST Weight: kg BP Pulse Temp Conductivity: Changes to Prescription: kg To Remove: + = kg BP Pulse Temp POST Weight: kg BP Pulse Temp Conductivity: Changes to Prescription: kg To Remove: + = kg BP Pulse Temp POST Weight: kg BP Pulse Temp Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

9 appendices Example Side 2 Conductivity: Changes to Prescription: kg To Remove: + = kg BP Pulse Temp POST Weight: kg BP Pulse Temp Conductivity: Changes to Prescription: kg To Remove: + = kg BP Pulse Temp POST Weight: kg BP Pulse Temp Conductivity: Changes to Prescription: kg To Remove: + = kg BP Pulse Temp POST Weight: kg BP Pulse Temp Conductivity: Changes to Prescription: kg To Remove: + = kg BP Pulse Temp POST Weight: kg BP Pulse Temp Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

10 appendices Training Outline Use this checklist to track your progress during training 1. Orientation to the Unit 2. Treatment options 3. Knowing what to expect 4. How dialysis works 5. Water treatment / training 6. How to care for my access: Cannulation CVC 7. Self-assessment (BP, pulse, wt., temp) 8. Hand hygiene, no-touch technique 9. Preparing machine Blood circuit Dialysate circuit 10. Dialysis procedure: Initiation of treatment Heparin / anticoagulation Monitoring treatment Completion of treatment (rinse back) 11. Blood collection 12. Centrifuge 13. Discarding / disinfecting equipment 14. Common alarms 15. Recirculation 16. Power failure 17. How to manage alarms and warnings 18. How to manage complications: Low blood pressure Muscle cramps Headache Restless legs Air embolism Breakdown of red blood cells Bruising Fever and chills Infection Line displacement / dislodgement Poor blood flow Diffculty with cannulation 19. How to order supplies 20. What to do when travelling 21. Healthy eating 22. Medications and administration 23. Follow-up care 24. First home visit Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

11 appendices Notes Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record

12 appendices Notes Your Guide to Home Hemodialysis Appendices: Glossary of Terms, Personal Work Charts Record