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Understanding Hemodialysis Patient Guide and Meal

Dialysis scenario: RN initiates first hemodialysis via temporary right IJ catheter, prepares upcoming AV fistula, and educates patient using Med/Surg text p.1383 and National Kidney Foundation guidelines.

Alice Edwards
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Name:Date:Tn-C1a.ss Activity: Dialysis ___Scenario:You are a registered nurse at the local dialysis clinic caring for a new patient. They have atemporary right internal jugular vein hemodialysis catheter and is scheduled to have anarteriovenous (AV) fistula placed within 1 week. You access the dialysis catheter and performtheir first treatment without any complications. However, the patient has some questions.Directions:Using your med/surg book starting on page 1383 or theNational Kidney Foundation(www.kidney.org) website complete the questions below. Always try to explain complexprocesses in easy-to-understand language. Once complete, save and upload this activity intothe dialysis in-class activity assignment area.1. Patient Question: "I'm not quite sure I completely understand hemodialysis. Can you explain what itis and how it works?"Hemodialysis filters waste and extra fluid from the blood using a machine called dialyzer. It is used totreat advanced kidney failure. It can help control your blood pressure, balance minerals likepotassium, sodium and calcium. This can be done in a hospital or at home for three sessions a weeklasting about four hours.2. Patient Question:"Can you please create a sample 2-day meal plan that includes breakfast, lunch,and dinner?"*Make sure to include foods the patient should avoid.Day 1Day 2BreakfastEggs, Greek yogurt andOatmealZucchini bread, lowpotassium smoothie andomeletLunchChicken Salad withCranberry-Raspberry GelatinChicken Fajitas with TurkeyBacon, Egg and Cheese
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