Complete Real Exam Questions And Correct Answers
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Why would the parathyroid make to much parathyroid
horomone - ANSWER Healthy kidneys make calcitrol
Calcitrol let's gut absorb calcium
Failing kidney makes less calcitriol
Gut absorbs less calcium, lower Ca in blood
Drop in Ca tells parathyroid to release PTH
PTH steals Ca from bones to keep blood in balance
Since no calcitriol, glands continue to make PTH
Gland eventually grows so large it's unable to shut off
During in center HD how much blood is outside of body at a
time - ANSWER -
1/2
cup
Short Daily Home Hemodialysis must be done - ANSWER -5-
6days a week for
the 2.5-4 hour
per tx
,Why would someone want to do more HD than standard? -
ANSWER -Longer or more frequent HD is gentle and cause
fewer symptoms and may help Pt live longer, home puts pt in
charge
If supplements don't work for people with malnutrition -
ANSWER -Feeding
tube, IDPN,
TPN
You can shorten the transplant wait by - ANSWER -Receiving
incompatible blood type kidney( ABO) transplant
Receive from older pts (expanded criteria donor)
Donor exchange- family member or friend gives kidney to
someone else compatible while you receive a compatible
kidney
What is the solution, solvent, and solute in dialysis? -
ANSWER -Solution-
dialysate
Solvent-treated
water
Solute-electrolytes and
glucose
Why do we match the electrolytes in dialsyate closely to
patients blood? -
ANSWER -To avoid loss of electrolytes
during tx
,Solubility - ANSWER -How well a solute fully dissolved in a
solvent
concentraion - ANSWER -Only so much solute can be
dissolved before a
solvent become
saturated (full)
Why do we use 2 concentrates to make dialysate - ANSWER
-To avoid the
formation of
solids
acid concentrate - ANSWER -Has calcium and magnesium
bicarbonate concentrate - ANSWER -Has bicarb and carbonate
When water has bicarb and carbonate.... - ANSWER -We can't
add calcium and
magnesium without forming solids so we
dilute with water
What's in dialysate - ANSWER -Acid
Bicarb
Sodium
Magnesium
Potassium
, Calcium
Chloride
Glucose
Actetate
Citrate
Osmolarity (total solute level) must closely match - ANSWER -
Blood to keep to
much water from diffusing across
membrane.
What does potassium in dialysate do - ANSWER -Helps bring
patient to normal
plasma
levels
What does magnesium do in dialysate - ANSWER -Triggers
enzymes that are
key to carb
use
What does glucose do in dialysate - ANSWER -Prevent loss of
blood glucose
Can help diabetic and
malnourished pts
Normal sodium range in the blood -
ANSWER -135-147