Fresenius Water Treatment Exam, Fresenius Hemodialysis Study Guide 2023 with complete solution Graded A+

Types of water sources? - CORRECT ANSWER Surface and Ground Examples of surface water? - CORRECT ANSWER lakes, streams, rivers, reservoirs Examples of ground water? - CORRECT ANSWER Wells, springs FMC follows water quality standards according to who's standards? - CORRECT ANSWER AAMI Bone disease can be caused by ________ in product water? - CORRECT ANSWER Aluminum Aluminum in product water put the patient at risk for ________? - CORRECT ANSWER Anemia Aluminum, chloramphenicol, copper or zinc may cause _______ when present in water used for dialysis? - CORRECT ANSWER Hemolysis The presence of bacteria in the bloodstream is? - CORRECT ANSWER Sepsis Parts of a bacteria cell wall, released from dead bacteria is? - CORRECT ANSWER Endotoxin What are characteristics of bacteria/viruses? - CORRECT ANSWER 1. Grows rapidly 2. Too large to cross an intact dialysis membrane, but can cross a damaged/torn membrane 3. May produce endotoxins or biofilm Safe range for total chlorine is? - CORRECT ANSWER Less than 0.1 ppm (0.00-0.09 ppm) A serious side effect if chlorine crosses the dialyzer membrane is? - CORRECT ANSWER Hemolysis Chloramphenicol is a combination of ________ and _________ ? - CORRECT ANSWER Chlorine and Ammonia Chlorine and chloramphenicol are added to city water for what reason? - CORRECT ANSWER To reduce or eliminate bacteria A patient complication due to the exposure of blood to chlorine an chloramines is? - CORRECT ANSWER Hemolysis Examples of the symptoms the patient might experience from Hemolysis. - CORRECT ANSWER 1. Chest pain 2. Shortness of breath 3. Cherry pop red / translucent blood Where does the water pathway start in the dialysis facility? - CORRECT ANSWER City Water Inlet The first piece of equipment that the water goes through in the dialysis facility is the? - CORRECT ANSWER Backflow Preventer What is the function of the backflow preventer? - CORRECT ANSWER Prevents water from flowing back into the city's water suppl. The recommended water temperature for ideal RO operation is? - CORRECT ANSWER 77 degrees F What is the function of the water booster pump? - CORRECT ANSWER Boosts incoming city water pressure What is the function of the Captive Air Tank (bladder tank)? - CORRECT ANSWER Help maintain a minimum pressure What is the function of the Chemical Feed pump? - CORRECT