FRESENIUS PCT TEST CERTIFICATION
SCRIPT FULL QUESTIONS AND
SOLUTIONS GRADED A
⩥ How is a large/major blood leak treated? Answer: In the case of a
large/major blood leak, where the dialysate appears bloody or blood
tinged, do not
return the blood
⩥ recommend weight gain for pt? Answer: 1.5-2.0 kg/day
⩥ Av graft advantages? Answer: Large surface area for cannulation
Technically easy to cannulate
Healing time is short
Variety shapes and configurations
Easy to implant, construct, and surgically repair
⩥ Av graft disadvantages? Answer: Increased rate of stenosis; increased
clotting
Increased infection rates
Increased bleed time at the end of a treatment
Require replacement, especially if the cannulation sites
, are not rotated
No collateral circulation develops
⩥ CVC advantages? Answer: Immediate use after verification of
placement Higher
No need for patient to achieve hemostasis at the end of
treatment
⩥ CVC Disadvantages? Answer: Higher potential for air embolism
Prone to infection and clotting
Last option and sometimes only option for patients
Lower BFRs=increased treatment time to improve
adequacy
Long-term use can lead to major vessel stenosis
Reversing the lines will cause increased recirculation and decreased
adequacy
⩥ Av fistula advantgates? Answer: Uses the patient's own vessels Length
of time to
Requires one anastomosis Isometric exercises may aid in development
Longer life span Lower
Decreased rate of complications
Collateral circulation develops
SCRIPT FULL QUESTIONS AND
SOLUTIONS GRADED A
⩥ How is a large/major blood leak treated? Answer: In the case of a
large/major blood leak, where the dialysate appears bloody or blood
tinged, do not
return the blood
⩥ recommend weight gain for pt? Answer: 1.5-2.0 kg/day
⩥ Av graft advantages? Answer: Large surface area for cannulation
Technically easy to cannulate
Healing time is short
Variety shapes and configurations
Easy to implant, construct, and surgically repair
⩥ Av graft disadvantages? Answer: Increased rate of stenosis; increased
clotting
Increased infection rates
Increased bleed time at the end of a treatment
Require replacement, especially if the cannulation sites
, are not rotated
No collateral circulation develops
⩥ CVC advantages? Answer: Immediate use after verification of
placement Higher
No need for patient to achieve hemostasis at the end of
treatment
⩥ CVC Disadvantages? Answer: Higher potential for air embolism
Prone to infection and clotting
Last option and sometimes only option for patients
Lower BFRs=increased treatment time to improve
adequacy
Long-term use can lead to major vessel stenosis
Reversing the lines will cause increased recirculation and decreased
adequacy
⩥ Av fistula advantgates? Answer: Uses the patient's own vessels Length
of time to
Requires one anastomosis Isometric exercises may aid in development
Longer life span Lower
Decreased rate of complications
Collateral circulation develops
