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Related Concept Videos

Dialysis01:27

Dialysis

326
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
326
Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

95
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
95
Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

398
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
398
Factors Affecting Renal Clearance: Renal Impairment01:17

Factors Affecting Renal Clearance: Renal Impairment

100
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
100
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

436
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
436
Drug Therapy01:28

Drug Therapy

46
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
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Medication Safety in Dialysis Care.

Carol Lee1,2, Katie Bam3, Andrea M Bernard4,2

  • 1Senior Director Patient Safety, Fresenius Medical Care, Waltham, MA.

Nephrology Nursing Journal : Journal of the American Nephrology Nurses' Association
|November 20, 2023
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Summary

Outpatient dialysis staff manage the entire medication process, facing unique challenges. This study reviews strategies a national dialysis network uses to enhance staff support and patient safety in medication management.

Keywords:
administrationdialysisdrug preparationeducationmedicationresourcessafety

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Area of Science:

  • Nephrology
  • Clinical Pharmacy
  • Healthcare Management

Background:

  • Outpatient dialysis facilities present distinct challenges for medication management.
  • Dialysis personnel are responsible for all medication process stages, from order transcription to patient monitoring.
  • Ensuring patient safety requires addressing the specific needs of medication practices in dialysis settings.

Purpose of the Study:

  • To explore strategies employed by a national dialysis network to support clinical staff.
  • To identify methods for improving patient safety within the dialysis medication process.
  • To provide insights into best practices for medication management in outpatient dialysis.

Main Methods:

  • Review of strategies implemented by a national dialysis network.
  • Analysis of initiatives focused on staff education and resource provision.
  • Examination of approaches to enhance medication process steps.

Main Results:

  • The national dialysis network implemented various strategies to support clinical staff.
  • These strategies aimed at improving the medication process and enhancing patient safety.
  • Focus was placed on education and resource availability for dialysis staff.

Conclusions:

  • Supporting clinical staff through targeted education and resources is crucial for safe medication practices in dialysis.
  • Proactive strategies can mitigate challenges in the outpatient dialysis medication process.
  • Continuous improvement in medication management is essential for patient safety in dialysis settings.