Fundamentals of Nursing
Fundamentals of Nursing
8th Edition
ISBN: 9781451185614
Author: Carol Taylor PhD MSN RN, Carol Lillis MSN RN, Pamela Lynn MSN RN
Publisher: LIPPINCOTT WILLIAMS+WILKINS
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Chapter 41, Problem 10PFN
Summary Introduction

When a family is considered as a system, the individual behavior is affected by his or her family, also any changes in the behavior of the individual in turn influence the family. The family stressor includes changes in the structure of the family and role, the emotion of guilt, helplessness, absence of control over common practice and trouble for financial strength. On the other hand, the family can also produce the social support required to help the patient to adjust and manage stress.

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DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?
DaVita Dietitian Reference Manual Module 7-Adequacy of Hemodialysis DISCUSSION QUESTIONS Define the following abbreviations: • UKM • URR . . • Kt/V What are the minimum DaVita outcome goals for Kt/V and URR? How is the DaVita Quality Index calculated for Kt/V? Discuss effect of adequacy on: ⚫ Phosphorus . ⚫ Potassium • Hemoglobin • Appetite, intake and weight ⚫ Albumin . How is residual renal function measured? What term is used for residual clearance of urea? What are advantages and disadvantages of each dialysis access? Which dialyzes the least efficiently and why?
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