Maricopa Community Colleges  NCE207   19992-20086 
Official Course Description: MCCCD Approval: 07/22/08
NCE207 19992-20086 LEC 4 Credit(s) 4 Period(s)
Fundamentals Of Hemodialysis
Principles of dialysis related to infection control, fluid and electrolytes, anatomy and physiology, dialyzer and dialysate composition. Renal diet, renal laboratory values, complications, initiation and termination of hemodialysis, and administration of intravenous solutions.
Prerequisites: Licensed practical (LPN) or registered nurse (RN) in the State of Arizona or other health professional with one year current experience.
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MCCCD Official Course Competencies:
 
NCE207   19992-20086 Fundamentals Of Hemodialysis
1. Explain the purpose of hemodialysis and the role of the health care team. (I)
2. Describe the principles of fluid and electrolyte balance. (II)
3. Explain normal renal function and common causes for renal failure. (III)
4. Describe end stage renal disease and related symptoms. (IV)
5. List and describe lab values which determine the appropriate protocol for hemodialysis. (V)
6. Summarize nursing care interventions of the patient receiving hemodialysis therapy. (VI)
7. Compare and contrast hemodialysis protocols. (VII)
8. Describe patient care issues related to hemodialysis. (VIII)
9. Differentiate among the types and functions of dialyzers. (IX)
10. Describe specific emergency situations and complications related to hemodialysis. (X)
11. Explain documentation of an end stage renal disease patient. (XI)
12. Explain the implications related to the termination of hemodialysis. (XII)
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MCCCD Official Course Outline:
 
NCE207   19992-20086 Fundamentals Of Hemodialysis
    I. Principles of Hemodialysis
        A. Team role and responsibility
        B. Occupational health risks
        C. Infection control
      II. Fluid and Electrolytes
          A. Fluid and electrolyte balance
          B. Laboratory reports
        III. Renal Function and Failure
            A. Normal renal function
            B. Abnormal changes
            C. Causes for renal failure
          IV. End Stage Renal Disease
              A. Definition
              B. Incidence
              C. Uremia
            V. Laboratory Values
                A. Laboratory reports
                B. Normal values
                C. Protocol based upon laboratory values
              VI. Management of Renal Failure
                  A. Diagnostic procedures
                  B. Complications of renal failure
                  C. Nutrition
                  D. Pharmacology
                  E. Psychosocial considerations
                  F. Nursing management
                VII. Hemodialysis Procedures and Protocols
                    A. Periabdominal dialysis
                    B. Hemodialysis
                    C. Kidney transplant
                  VIII. Patient Care Issues
                      A. Patient preparation
                      B. Hemodialysis procedure
                      C. Treatment monitoring
                      D. Access
                      E. Heparinization
                      F. Safety checks
                      G. Sodium variations
                    IX. Types and Functions of Dialyzers
                        A. Dialyzer components
                        B. Osmosis
                        C. Diffusion
                        D. Ultrafiltration
                        E. Transmembrane pressure
                        F. Dialysate composition
                        G. Machine functions
                        H. Blood and Dialysate alarm
                        I. Arterial and venous pressures
                        J. High flux dialysis
                        K. Water system and reuse
                      X. Emergencies and Complications
                          A. Hypertension
                          B. Chest pain
                          C. Formaldehyde and renalin reactions
                          D. High and low venous pressures
                          E. Arterial pressure
                          F. Seizures
                          G. Blood loss
                          H. Pyrogen reaction
                          I. Dialyzer reaction
                        XI. Documentation End Stage Renal Disease
                            A. Disease Process
                            B. Legal Aspects
                            C. Dialysis flowchart
                          XII. Termination of Hemodialysis
                              A. Legal ethical considerations
                              B. Patient rights
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