DaVita PCT Final Exam Graded A+

What mechanical issues cause an inaccurate BP reading? - ANSWER-Deflating the BP cuff by squeezing, kinked lines, velcro, etc. What is Left Ventricular Hypertrophy? How does LVH occur? - ANSWER-When the heart's lower left pumping chamber has thickened and is not pumping efficiently and is caused from hypertension that was caused by fluid overload. What type of products should dialysis pts with dermatological issues use? - ANSWER-Hyperfatted lotions and soaps What is your role in fluid and electrolyte management? - ANSWER-Do not overload patient with Na or Saline, Correct fluid removal goal, Educate and talk to patients, Report symptoms to nurse What are the hematological systemic effects of dialysis? - ANSWER-Anemia, platelet dysfunction, and fibrous growths What does CKD-MBD stand for? - ANSWER-Chronic Kidney Disease Mineral and Bone Disorder What does CKD-MBD lead to? - ANSWER-Bone disease, Soft tissue calcification, and abnormalities in Vit D, Ca, and PO4 metabolism. What is a wet crash? - ANSWER-A hypotensive patient who is fluid overloaded. How do you convert pounds to kilograms? - ANSWER-Divide by 2.2 How do you convert milliliters to kilograms? - ANSWER-Move decimal left twice. What is TRAMP when charting medications? - ANSWER-Time, Route, Amount, Medication, & Patient What does SMART stand for in DaVita communication? - ANSWER-Simple, Meaningful, Actual, Read, & Teach How do you respond to a Final Water Quality Alarm? - ANSWER-Put all How many days after opening must you throw away a medication or vaccine & how do you label a new case? - ANSWER-Discard after 28 days and label new case with initials and date to toss. According to CMS guidelines, when are stations to be cleaned & disinfected? - ANSWER-Only after a patient is declared clinically stable and has vacated the station