d. Discuss these possible complications of hemodialysis for this patient and what assessments you would perform....

d. Discuss these possible complications of hemodialysis for this patient and what assessments you would perform. with Infection/bleeding of access site and Disequilibrium syndrome

Expert Solution

Haemodialysis
Complications can be :-
1. Hypotension ( low blood pressure ) - This is related to the speed and amount of fluid removed from your blood. Giving you some intravenous fluids can easily reverse this. Symptoms can vary. Tell the nurse if you experience dizziness, nausea, cramps in legs or any ‘funny feeling’. The best way to prevent this is for you to stick to the fluid restrictions that are set for you so that you avoid gaining too much fluid/weight between dialysis sessions.
2. Fluid overload- Between sessions, patients can some times develop a condition called fluid overload. This is due to excess fluid building up in your body. Fluid overload can be mild and manifest itself as swollen ankles, or high blood pressure, or severe breathlessness.
Constantly becoming fluid overloaded is not good , as it causes the blood pressure to rise and eventually damage the heart. If you think you are overloaded, contact the dialysis unit to organise extra dialysis to remove the fluid. If you are breathless or unwell, do not delay in contacting the dialysis unit.
3. Hyperkalemia - This means that there is too much potassium in the blood. This can be dangerous and life-threatening. High potassium can affect the muscles of the body including the heart, which could stop beating. By sticking to the diet, that the dietician has prescribed for you, you can avoid this serious complication.

Assessments for bleeding and infection from access site.
After dialysis, the needles will be removed from your fistula or graft. Your nurse will take every care to ensure that bleeding has stopped before you leave the unit.
If you should develop further bleeding, from your access site, apply a dry dressing to the site, apply gentle pressure to the area, and return to the unit immediately.

Assessment for disequilibrium syndrome
The treatment of disequilibrium after it has developed is aimed at reducing the intracranial pressure of the patient. Standard maneuvers are to give mannitol or hypertonic saline to raise the blood osmolality and to hyperventilate the patient

Nightingale answered 2 years ago

Purple Team : Discuss preoperative and postoperative care of the rhinoplasty patient and possible postoperative complications of...

Purple Team : Discuss preoperative and postoperative care of the rhinoplasty patient and possible postoperative complications of a patient undergoing a rhinoplasty. Gold Team : Discuss the signs and symptoms that a patient will exhibit with tuberculosis and the type of precautions that must be followed when caring for a patient with tuberculosis

What are pertinent assessments for a diabetic patient?

Discuss six possible complications that can arise in the pueperium?

Discuss nursing interventions that decrease risk for complications while the patient is in the PACU.

Gastroesophageal Reflux Disease discuss any possible secondary complications and suggestions treatments. What are the success rates...

Gastroesophageal Reflux Disease discuss any possible secondary complications and suggestions treatments. What are the success rates of these treatments.

For each scenario below, outline the appropriate patient teaching you would perform. Osteoarthritis An established patient...

For each scenario below, outline the appropriate patient teaching you would perform. Osteoarthritis An established patient with a history of osteoarthritis is undergoing ongoing therapy, which includes drug therapy and gentle exercise regimen. The patient is discouraged because of increased pain and loss of mobility. The physician instructs you to provide printed information regarding therapeutic diets and exercise for the patient. In addition, you are to review intended effects of the prescribed drug therapy. How do you handle this patient-teaching...

Bariatric sugery Obesity patient why this is important for the patient How do you educate them What complications...

Bariatric sugery Obesity patient why this is important for the patient How do you educate them What complications can occur after this surgery? What client education topics are important to reinforce for this client?

6. Describe how you will assess for a DVT 7. What are other possible postoperative complications...

6. Describe how you will assess for a DVT 7. What are other possible postoperative complications of knee arthroplasty?

Discuss the possible damage with short term and long term complications of a firefighter inhaling heated...

Discuss the possible damage with short term and long term complications of a firefighter inhaling heated air and in respiratory distress. Prioritize the necessary interventions to stabilize the patient, then discuss an in depth plan of care for recovery.

what is the range of complications of pneumonia in older adults and how would you address...

what is the range of complications of pneumonia in older adults and how would you address these with the patient and significant others? what preventive measures can be instituted to prevemt or lessen the severity of pneumonia ?

Question