Veidlapa Nr. M-3 (8)
Study Course Description
Hemodialysis
Course Code
RBN_009
Branch of Science
Anatomy; Clinical medicine
ECTS
19.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Ineta Sosāre
Residency Speciality
Speciality
Paediatric nephrologist
Supervisor of Medical Speciality
Ineta Sosāre
Contacts
-
About Study Course
Objective
To ensure the acquisition and improvement of theoretical knowledge and practical skills, in accordance with laws and regulations of the Republic of Latvia, in order to prepare the doctor for certification in the specialty of paediatric nephrologist.
Learning Outcomes
Knowledge
1.Able to demonstrate knowledge of hemodialysis procedure, indications, complications, patient control and treatment.
Skills
1.To insert CVC, set up hemodialysis equipment, connect and disconnect the patient, manage the dialysis session, control the effectiveness of dialysis, prevent dialysis complications.
Competences
1.Using the knowledge of kidney pathophysiology, the origin of chronic end-stage renal disease, symptomatology, complications, treatment, hemodialysis procedure, as well as the modern practical actions for dialysis patients resulting from this knowledge, diagnose end-stage kidney disease, treat it, organise patient rehabilitation and prevent complications.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Studies literature, prepares for seminars.
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
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1.
Examination |
-
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-
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Report on work during the rotation cycle; testing of theoretical knowledge in the form of questions.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Kinetic principles of HD. HD equipment: HD machine, blood and dialysate circulation lines, dialyzer, dialysate, water.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Short-term and long-term vascular access - CVC, AVF, shunt, aortic valve replacement, tunnelled catheters: construction methods, indications, complications. Recirculation, stenosis.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Dialysis in case of acute renal failure: indications, dosage, equipment.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Chronic hemodialysis: indications, dose selection, determination of effectiveness. Dry weight, fluid drainage.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Dialysis dose and adequacy control - Kt/V, URR, nPCR. HD patient control algorithm for HD patient. Diet.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Anticoagulation in hemodialysis, types, complications.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Complications of dialysis: dialysis hypotension, embolus, dysequilibrium syndrome, hemolysis, anaphylaxis, amyloidosis. Infections.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Hemodialysis hypertension, pathogenesis, tactics, drug therapy.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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HD water purification criteria and technique. Complications related to water purity.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Hemodialyzers: HD membranes, selection principles, biocompatibility.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Drug therapy in patients with HD, drug clearance, doses.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Psychosocial and ethical aspects of dialysis. Paediatric rehabilitation and integration.
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Total ECTS (Creditpoints):
19.00
Number of Residency Seminars:
12
Length (weeks):
14
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Oxford Textbook of Clinical Nephrology, 3 sējumos. Edited by: Neil N. Turner, Norbert Lameire, et.al. 2018, Oxford University Press.
2.
National Kidney Foundation Primer on Kidney Diseases. 7th Edition. Scott Gilbert, Daniel Weiner. Elsvier, September 11, 2017
3.
Textbook of Dialysis Therapy. Dr. Jigar Shrimali, Nephro
4.
Handbook of Dialysis Therapy. Allen R. Nissenson, Richard E. Fine. Elsvier, 2016
Other Information Sources
1.
UpToDate in Medicine — CD-ROM database, BDR Inc., Boston.
2.
Žurnāli (Pediatric Neprology, Kidney International, Nephrology Dialysis Transplantation, Journal of American Society of Nephrology)