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Questions And Answers
We cannot care for HBsAg ___ Patients at the same time as Hep B _____ - correct answer ✅Positive, Susceptable Most common infection in patients who dialyze with a CVC - correct answer ✅bacterial vascular access infections pH is the measurement of - correct answer ✅Acid/Base balance What is acceptable result when verifying the absence of residual bleach? - correct answer ✅Less than or equal to 0.5ppm When are dialysate conductivity and pH testing required to be preformed? - correct answer ✅Prior to initiating a tx and whenever dialysate concentrates (acid/ bicarbonate) are changed or replaced during tx. Acceptable test result for absence of peracetic acid? - correct answer ✅Less than or equal to 1ppm
Questions And Answers
Process that uses hydrostatic pressure to remove fluid? - correct answer ✅Ultrafiltration Fluid moves from low concentration to high concentration - correct answer ✅Osmosis Solutes are dragged across a semipermeable membrane with fluid - correct answer ✅Convection Particles move from high concentration to low concentration - correct answer ✅Diffusion What is Hyperkalemia? How does it affect the body? - correct answer ✅High Potassium, Irregular heartbeat, and muscle weakness What is your role in CKD-MBD management include? - correct answer ✅Reminding patients to take binders if they are eating snacks.
Questions And Answers
What extracorporeal circuit problem will cause an increase in the patients venous pressure? - correct answer ✅A clot in the drip chamber What three symptoms would alert you that a patients target weight may need to be increased? - correct answer ✅Excessive cramping, hypotension, dizziness, skin turgor What three symptoms may indicate that a Pt target weight may need to be decreased? - correct answer ✅Hypertension, edema, congestion in lungs, neck vein distension. An intradialytic weight gain (IDWG) of how much would be considered excessive? - correct answer ✅Greater than 5% of target weight The Max ultra-filtration rate should not exceed_________ Because it may lead to hypotensive episodes which increase the risk of organ stunning or mortality. - correct answer ✅13mL/kg/hr
Questions And Answers
When assessing an AVF: A whistle is an indication of a _______ Stenosis, A hammer pound is an indication of a stenosis. - correct answer ✅Outflow, inflow How many weeks does it take for a cannulation site to heal? - correct answer ✅Two weeks Why are patients in a supine position when accessing the catheter?
correct answer ✅Reduce incidence of Air Embolus What does the T and V stand for in Kt/V lab value and what are we checking for? - correct answer ✅Checking for "adequacy" t=time, V=volume When drawing for kt/v what do you reduce the blood flow rate to and how long do you wait to allow the arterial needle tubing and line to fill with non-recirculated blood for? - correct answer ✅100ml/min for 15 seconds
Questions And Answers
What is the max acceptable value for total chlorine? - correct answer ✅</= 0.1 ppm If the first chlorine check is positive what are the next steps? - correct answer ✅Recheck 2nd chlorine port How often do you check second chlorine port if the first one is positive? - correct answer ✅Every 30 minutes if 2nd port is negative Is it safe to do dialysis if the first chlorine port is positive and second negative? - correct answer ✅Yes otherwise stop dialysis what is the acceptable max # value for water hardness & can we do dialysis tx with hard water? - correct answer ✅1.0 and YES we can still dialyze safely with hard water
Questions And Answers
The RO must be running for how long before to insure we do not get a false positive? - correct answer ✅15min Hardness testing is done on water leaving the water softener what part of the tx day? - correct answer ✅End of day Which is the primary device for purifying the water used in dialysis - correct answer ✅Reverse Osmosis (RO) What can cause dialysis disequilibrium syndrome? - correct answer ✅Not enough dialysis or skipping tx In what position should you place a patient in experiencing an intradialytic hypotensive episode? - correct answer ✅Flat supine position What is the first thing you do for a pt having an anaphylactic reaction? - correct answer ✅Stop blood pump, stop tx, do not return blood
