Center City Health Dialysis 5/1/16 Susan Johnson, RN Client: Sally Layton

SUBJECTIVE

Shortness of breath and “heavy feeling” in legs for one day
Last dialysis 4/27/16
OBJECTIVE

62-year-old female with end-stage renal disease on hemodialysis
Reports continued oliguria
Dialysis shunt patent: left arm AV (arteriovenous) dialysis fistula intact, + bruit, + thrill
Hemodialysis scheduled for 1230
Bilateral lower extremities +1 pitting edema
Lungs bilateral crackles in bases on auscultation
BP 182/96, HR 88
ASSESSMENT

Routine hemodialysis for renal failure
PLAN

Follow up with nephrologist to discuss removing more fluid at dialysis
Maintain patient on renal transplantation list
Questions

Define oliguria, and provide the word parts.
What is the purpose of dialysis?
Oliguria is a sign of a small amount of remaining kidney function. When the kidneys no longer function at all, what amount of urine output would be expected?
Provide definitions for arteriovenous, bilateral, edema, and auscultation
What are the main differences between hemodialysis and peritoneal dialysis?