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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.

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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 a temporary right internal jugular vein hemodialysis catheter and is scheduled to have an arteriovenous (AV) fistula placed within 1 week. You access the dialysis catheter and perform their first treatment without any complications. However, the patient has some questions. Directions: Using your med/surg book starting on page 1383 or the National Kidney Foundation (www.kidney.org) website complete the questions below. Always try to explain complex processes in easy-to-understand language. Once complete, save and upload this activity into the dialysis in-class activity assignment area. 1. Patient Question: "I'm not quite sure I completely understand hemodialysis. Can you explain what it is and how it works?" Hemodialysis filters waste and extra fluid from the blood using a machine called dialyzer. It is used to treat advanced kidney failure. It can help control your blood pressure, balance minerals like potassium, sodium and calcium. This can be done in a hospital or at home for three sessions a week lasting 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 1 Day 2 Breakfast Eggs, Greek yogurt and Oatmeal Zucchini bread, low potassium smoothie and omelet Lunch Chicken Salad with Cranberry-Raspberry Gelatin Chicken Fajitas with Turkey Bacon, Egg and Cheese

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