Renal replacement therapies:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
1998
|
| Series: | Critical care nursing clinics of North America
10,2 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XII S., S. 159 - 258 Ill., graph. Darst. |
Staff View
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| 650 | 4 | |a Acute renal failure | |
| 650 | 4 | |a Hemodialysis | |
| 650 | 4 | |a Kidney Transplantation | |
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| adam_text | Renal Replacement Therapies
Contents
Preface xi
June Stark
Acute Renal Failure: Focus on Advances in Acute
Tubular Necrosis 159
June Stark
Acute renal failure (ARF) presents a challenge to all critical care practitioners because of the consistently
high mortality rate of 50% to 80% despite advances in many other areas of caring for the critically
ill. This article provides a comprehensive review of and update of the current advances in the treatment
and care of the critically ill patient with ARF. Among the advances to be discussed are the role of
nitric oxide and atrial natriuretic peptide in the pathophysiology and treatment of ATN. Several
suggestions are made to assist the practitioner to integrate this information into practice.
Continuous Renal Replacement Therapy: A National Perspective
AACN/NKF 171
Gigi Politoski, Barbara Mayer, Taylor Davy, and Marilyn D. Swartz
Many patients in acute renal failure (ARF) are now being treated in the critical care setting with
continuous renal replacement therapy (CRRT). It is essential that health care professionals caring for
patients undergoing CRRT have clinical and technical expertise to assure appropriate management
of the patient, as well as the technology. This article describes a program designed through the
continuing collaboration of the American Association of Critical Care Nurses (AACN) and the National
Kidney Foundation (NKF) to provide critical care nurses an opportunity to learn about CRRT.
CAVH: Principles and Practical Applications 179
Linda McAlpine
Continuous arteriovenous hemofiltration is a form of continuous renal replacement therapy (CRRT) in
which an extracorporeal circuit containing a hemofilter is placed between arterial and venous access
catheters for the purposes of fluid andsolute clearance in the critically ill patient. Anticoagulation therapy
and filter replacement fluid are components essential to the management of CAVH. Nursing implications
for the patient undergoing CAVH include being able to problem solve and troubleshoot for patient and
technical complications. Multidisciplinary development of standards of care for CAVH can facilitate
implementation of therapy as well as ensure uniformity of patient care delivery.
CAVHD: Transitioning form CAVH 191
Linda McAlpine
The first major variation to CAVH was continuous arteriovenous hemodialysis (CAVHD). In the
adaptation for CAVHD, dialysate is added to the circuit to achieve a countercurrent flow to the blood
path. By the mechanism of diffusion, improvement in solute and uremic toxin clearance was achieved.
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA
Volume 10 / Number 2 / June 1998 vii
With the addition of the dialysate to the circuit, accommodations must be made in the calculation
of filter replacement fluids. Institutional standards of care for CAVHD must be developed to comple¬
ment those for CAVH.
Adult/Pediatric CVVH: The Pump, the Patient, the Circuit 197
Catherine L. Headrick
Today, continuous venovenous hemofiltration (CVVH) is noted as a promising advancement in the
treatment of acute renal failure because it offers several advantages over traditional dialysis modalities
when used in critically ill, unstable patients. CWH uses the same basic convection and hemofiltration
concepts of CAVH, but has the added benefit of a pump driven circuit. The scope of this article is
CWH and the care of the pump, the patient, and the circuit.
Applications in Continuous Venous to Venous Hemofiltration:
Interactive Case Studies in the Adult Patient 209
Maureen Craig
This article is presented in a case study format. The emphasis is on nursing management of both
medical and surgical patient undergoing CWH.
Applications in Continuous Venous to Venous Hemofiltration:
Interactive Pediatric Case Study 215
Catherine L. Headrick
This case study describes a 1 month old boy diagnosed with mild congestive heart disease, tracheo
esophageal fistula, and grade I intraventricular hemorrhage. Multiple choice questions are dispersed
throughout the case study to test your knowledge. The answer key is found at the end of the case study.
Continuous Venous to Venous Hemofiltration: Implementing and
Maintaining a Program: Examples and Alternatives 219
Maureen Craig
This article discusses essential elements to be considered when implementing a continuous venous
to venous hemofiltration (CWH) program. This information comes from the author s experience at
the University of California Davis Medical Center. This article also describes various continuous renal
replacement therapies (CRRT), and elaborates on initiating a CWH program with examples and
alternatives for each step in the process.
Setting Up a Continuous Venovenous Hemofiltration Educational
Program: A Case Study in Program Development 235
Kay Clevenger
Continuous venovenous hemofiltration (CWH) offers distinct advantages for the critically ill patient
and is an efficient mode of dialysis for the hemodynamically unstable critically ill patient. This article
offers a practical strategy for preparing nurses for the technical aspects and care considerations of
the patient receiving CWH.
Ethical Decision Making: Models for the Dialysis
Dependent Patient 245
Charold L. Baer
Critically ill chronic renal failure patients are maintained and sustained using numerous complex
modern technologies, including dialysis. The ethical question that care providers must answer in
order to be accountable to the patient and society is: Am I using dialysis to sustain life or to prolong?
To assist clinicians in exploring this question more explicitly, the following are included in this article:
a perspective on the costs associated with dying in the hospital; physiologic and psychologic criteria that
have been proposed to help guide dialysis discontinuation; components related to patient autonomy; a
brief overview of related ethical principles, decision making models, and dilemmas; and a perspective
on patient advocacy in relation to the question posed.
Index 255
Subscription Information Inside back cover
Viii CONTENTS
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| physical | XII S., S. 159 - 258 Ill., graph. Darst. |
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| spelling | Renal replacement therapies June Stark, guest ed. Philadelphia [u.a.] Saunders 1998 XII S., S. 159 - 258 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Critical care nursing clinics of North America 10,2 Dialyse rénale Transplantation rénale Acute renal failure Hemodialysis Kidney Transplantation Kidneys Transplantation Renal Dialysis Dialyse (DE-588)4012064-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Dialyse (DE-588)4012064-8 s DE-604 Stark, June Sonstige oth Critical care nursing clinics of North America 10,2 (DE-604)BV011338306 10,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008193728&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Renal replacement therapies Critical care nursing clinics of North America Dialyse rénale Transplantation rénale Acute renal failure Hemodialysis Kidney Transplantation Kidneys Transplantation Renal Dialysis Dialyse (DE-588)4012064-8 gnd |
| subject_GND | (DE-588)4012064-8 (DE-588)4143413-4 |
| title | Renal replacement therapies |
| title_auth | Renal replacement therapies |
| title_exact_search | Renal replacement therapies |
| title_full | Renal replacement therapies June Stark, guest ed. |
| title_fullStr | Renal replacement therapies June Stark, guest ed. |
| title_full_unstemmed | Renal replacement therapies June Stark, guest ed. |
| title_short | Renal replacement therapies |
| title_sort | renal replacement therapies |
| topic | Dialyse rénale Transplantation rénale Acute renal failure Hemodialysis Kidney Transplantation Kidneys Transplantation Renal Dialysis Dialyse (DE-588)4012064-8 gnd |
| topic_facet | Dialyse rénale Transplantation rénale Acute renal failure Hemodialysis Kidney Transplantation Kidneys Transplantation Renal Dialysis Dialyse Aufsatzsammlung |
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