GLOSSARY

Access – The means for performing dialysis, including a subclavian (under the collar bone) catheter, a PD catheter, or fistula or graph. Usually in the arm, but can be in thigh or in the groin for an emergency treatment.

Albumin A simple form of protein

Cannulate – The process of inserting a needle that allows flow of fluid

Catheter – Tubing, but in dialysis, it is surgically placed in the chest (heart) for hemodialysis and the abdomen for PD.

Colonoscopy – An exam of the rectum and small intestine that looks for irregular lining, including polyps, ulcers, tumors, inflammation, or bleeding

Creatinine – A part of the blood that can indicate reduced kidney function or kidney damage. This is determined with a blood test.

Davida – A company that provides dialysis

Dialyzate – Fluid used to remove impurities during dialysis

Dialysis – A treatment used to clean the blood and remove waste and additional fluid from the blood when kidneys do not function properly. There are at least three different methods of dialysis: hemo dialysis, home hemodialysis and peritoneal dialysis (PD), which is usually done in the home.

EPO – Erythropoietin. Kidney patients fail to produce the protein hormone, Erythropoietin. So we get a synthetic form (EPO) that stimulates red blood cell production in the bone marrow.

ESRD – End-Stage Renal Disease. The final stage of Chronic kidney Disease (CKD). Dialysis or a kidney transplant are necessary to live.

Fistula – A surgical procedure that connects a vein and artery. This is preferred to a graft, but EXCERCISE is critical to helping the fistula grow and mature for many years’ use. A tourniquet is used in dialysis to cannulate a fistula.

Fresenius – A company that provides dialysis

Graft – An arteriovenous (AV) graft connects a vein to an artery with a pliable plastic tube to allows stronger blood flow necessary for dialysis. Requires upkeep and can have difficulties not generally experienced in fistulas. A tourniquet is not necessary to cannulate a graft.

Hematuria – Blood in the urine. Can be gross, which is visible to the naked eye, or microscopic, which is visible only under magnification.

Hemodialysis – Using a machine in a clinic cleans the blood as described above, using a temporary catheter or permanent access (fistula or graf).  https://www.kidney.org/atoz/content/hemodialysis

HLA – Human leukocyte antigen is a protein – or marker – found on most human cells.

Home Hemo – Some patients have the skill and facilities to manage their hemodialysis at home, cannulating themselves and managing their own care.

Hospitalist – A doctor who works with patients admitted to a hospital.

Mammogram – An X-ray of the breast(s) to look for irregularities such as lumps or calcium deposits that could indicate breast cancer

Nephrologist – A kidney specialist

Nocturnal – Overnight dialysis shift, usually 8 hours

Pap Smear – Also called a Pap Test, this test screens for cancer on a woman’s cervix, which is the opening to the uterus..

Paracentesis – Using a long hollow needle to remove fluid or gas from a cavity in the body

Patient Advocate – A hospital employee (in this case) who can provide insight into health care with concern for the patient and family. This advocate is your spokesperson who considers your needs and can help you resolve concerns about the care you need and the quality of that care and ensures that your input is included in decision-making.

PD – peritoneal dialysis – Dialysis that takes place in the abdomen with a catheter and dialysis fluid. PD can be performed in the gravity fed method or with a PD machine.

Pull – The amount of fluid a patient has removed during dialysis treatment

Rinseback – The amount of saline pushed through your access to force blood from the machines and into your body when treatment is finished

Rx – Prescription or medication. Abbreviation for the Latin recipere, to take.

TB test – Test for Tuberculosis (TB), a potentially serious infectious disease spread by droplets of tiny droplets coughed or sneezed into the air

Tourniquet – In dialysis, a rubber strip that is tied around the limb with the access to stop the blood flow, just as used in placing an IV or taking blood. The tourniquet is released when the cannulation is complete.

Urea – The compound found in urine and other bodily fluids that results from protein metabolism

Ureter – The tube connecting the kidney to the bladder. The left is typically longer the right, making the left kidney preferred for transplantation.

Urethra – The tube passing urine from the bladder to the outside

Urologist – A specialist in the male and female urinary tracts and male reproductive organs

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