CCHT Study Guide 2022

CCHT Study Guide 2022 You are the PCT taking care of Mr. Smith. He tells you that he has no ride today to go home after treatment. You - Refer him to the Social Worker You are the PCT taking care of Mr. Smith. He tells you that he has no ride today to go home after treatment. You - Elevated potassium level The patient is complaining that he is cold. He requests to be totally covered. You explain to the patient that the access has to remain undercover because: The fistula needle could be dislodged and you will be able to intervene right away. Mr. Wonder is new to dialysis, his schedule is M-W-F at 6 am. He used to run every morning and he is upset that he has to give his running to accommodate the dialysis schedule. You - Tell the patient that you will make every effort possible to adjust his schedule so he can continue to run every morning. The functional unit of a kidney is - Nephron A healthy kidney excretes - Phosphorus Renagel is a medication that is a - Phosphate binder Which one is the highest in Potassium - 2 cups of raisins What are some of the foods that are high in phosphorus - Milk and Cheese Water softener removes: - Magnesium and Calcium Chlorine and Chloramines are removed by: - Carbon Tanks Endotoxins are removed by: - Ultrafilter Anastomosis is the surgical connection between the: - Artery and vein A A M I Standards for cultured water is: -200 cfu A A M I Standards for dialysis is: - 50 cfu Hemodialysis is accomplished by which principles? Ultra filtration, diffusion, counter-current dialysis flow While assessing an access before cannulation you note an aneurysm. You should: - Avoid cannulating the area and notify the nurse or physician. Your patient complains of mild to moderate pain in access limb. The limb is note to be colder distally and paler than the other limb. The patient states that the pain increases in intensity while he is on dialysis. The patient could be experiencing: - Steal syndrome Patient has a bilateral amputation. How do you determine that the patient is fluid overloaded? -Listen to the lungs If it is not documented: -It is not done What is a high risk of safety and a hazard: - A small amount of water on the floor Your patient came in for dialysis accompanied by his daughter. He is hard of hearing. You have to assess his complaints. You: - Speak clearly in front of him. Your patient comes to dialysis accompanied by his wife. She tells you that since he started dialysis, he is not the same, and has been very depressed. You: - Refer him to the administrator and social worker Dialysis pH average is: - 6.8-7.4 The reuse tech spilled germicide on the floor. The first place you would look to see how to deal with the chemical spill is: -M S D S Book Your patient is complaining of feeling dizzy while on dialysis. You suspect that he has an episode of hypotension. The first thing you would do is place the patient: