DFillRenMeds

connect artery and vein for heme

• looped graft internally between vein and artery
• external segment
• anastmosis of artery and vein, shunting arterial blood into vein

fluid, solute, and urea removed from body

• dializing solution through catheter, remains for 1 h +, then removed.
• -catheter into abdomen in hc setting
• -implanted cath every night at home

• Electrolyte imbal, bleeding at cath site, cardiac ischemia, irreg hb, air emblysm, anemia, htn, pulm edema, hf, fluid accumulation, pericarditis, hyperkalemia, bone disease, hypocalcemia, periph neuro, pneu, sleep dis, vitamin D def, anxiety depression.
• -avoid excessive fl intake, salt, phosph rich foods, (cheese milk beans nuts p butter, dark cola, potassium-kiwi, dried fruit, banana, avo) antacids and lax

Osmitrol mannitol

• edema, intra oc pressure k function in ARF
• IV only

• increase plasma osmotic pressure, proximal convaluted, elevates glom titrase, dec cerebral edema,
• se's pulm edema, renal f, extrav, fl imbal, hypotension

• EKG changes
• dysrhythmias
• muscle weakness
• flaccid paralysis
• cardiac arrest

• diminished DTR
• hyporeflexia
• leg cramps
• polyuria
• Think- not enough K+ to have dtrs, reflexes, keep leg from cramping, and you're peeing all of it out

• Irritability
• peaked T waves
• V/V/D (think too much, so overflowing K+)
• numbness and tingling
• anuria
• -think- you are full of K+ because you can't pee it out and are so full you are numb and tingling and throwing up and even your T wave is high

• confusion
• N/V
• cardiac dysrhythmias
• cardiac arrest

citrate, booze, alkalosis, CRF, anticonvulsants, diuretics, def of PTH, def of Vitamin D, Increased Mg, thy surg, burns, low albumin

• anxiety
• irritability
• osteoporosis
• tingling
• twitching
• muxcle spasms of hands and feet
• tetany
• diarrhea
• hyperactive dtr
• ca deposits in body tissues
• laryngeal spasms
• You don't have enough bone so your muscles are freaking out and reflexes, you have deposits in body tissues not where they're supposed to be, and you can't even swallow

multiple myeloma, high intake ca and antacids, inc pth

• anorexia
• constipation
• paralytic ileus
• polyuria
• renal stones
• decreasedd dtr
• decresed muscle tone
• lethargy and coma
• Think- so much bone that nothing else is working, dtr, muscles, think of trying to pee out extra bone and trying to pee out bone

• hypotension, vasodilation, heat, thirst, NV, loss of dtr, resp depression, hypotension

• anorexia, mental changes
• tremors
• arrhythmias
• seiz, cramps, tetany, dysphagia

• -most common, mild HTN and systemic edema
• Chlorothiazide, Hydrochlorothiazide (often w ACE), Metolazone (zaroxolyn),
• -early distal convoluted
• -impair Na Cl reab, leads to excr ofwater and elytes
• -hypokalemia, alkalosis, not effective in renal disease hold for hypotension

• Spironolactone, aldactone,
• Used to limed to limit K wasting of other Diuretics
• Inhinit salt reabsorb and K secretion
• distal convoluted
• Hyperkalemia, aces an add to this, ASA can inc diuretic eff, can inc digoxin

• Lasix/furosemide
• Nephrotic synd, CHF, CRF, pulm edema, hepatic cirrhosis
• most potent, anble to move large volumes quickly through kids by inhib tubular reab of Na and Cl
• SEs- hypokalemia, and other elytes, hypochloremic alkalosis, dehyd, vertigo, hypotension, circ collapse