Fresenius ~ Water Treatment Study Guide

Fresenius ~ Water Treatment Study Guide Types of source water are_____ & _____ - Ground & Surface Example of ground water source - Wells & Springs Example of surface water source - Lakes, Ponds & Rivers FMC follows water quality standards according to _____ - AAMI Standards Bone disease can be caused by what in the product water - Fluoride & Aluminum Aluminum in product water put the patient at risk for - Neurological Deterioration Aluminum, chloramines, copper or zinc may cause _____ when present in dialysis water - Anemia Sepsis - Blood infection Endotoxin - remains of dead bacteria Characteristics of bacteria and/ or viruses - fever, chills, low BP, vomiting safe range for total Chlorine - 0.00-0.09 Hemolysis - Serious side effect if chlorine crosses dialyzer membrane Chloramine is a combination of - Chlorine & Ammonia Chlorine and Chloramines are added o City water - to kill bacteria Hemolysis - Pt complication due to the exposure of blood to chloride & Chloramines Symptoms of Hemolysis - Chest pain, SOB, Death Where does water Pathway of water start in the dialysis facility - Where is enters the facility Back flow Preventer - first piece of equipment that water goes thruin the dialysis facility Function of Back Flow Preventer - To prevent water from flowing back into water system recommended water temperature for ideal RO operation - 77 degrees F Function of the Booster Pump - Maintains sufficient pressure to the RO from the water supply Function of the Captive Air (expansion/bladder) Tank - maintains minimum system pressure while the booster pump cycles