DaVita - PCT Study Guide Questions and Answers (Graded A)

Chlorine/Chloramine testing: - ANSWER-When: R/O runs 15 mins before patient shift every 4 hours Where: After Primary carbon tank sample port Acceptable result: Less than or equal to 0.1 mg/L Action if results are too high post primary tank: Repeat the test Define the term AKI - ANSWER-- Term incorporates a wide spectrum of kidney issues - Includes acute kidney failure as well as less catastrophic kidney function changes - May dialyze in an out-patient facility until kidney function recovers Give examples of pre-renal causes of AKI - ANSWER-- Obstruction - Volume Depletion - Impaired Cardiac Function Give examples of intra-renal causes of AKI - ANSWER-- Ischemic ATN - Sepsis - SIRS - Septic Shock - Anaphylaxis Drugs - Goodpasture Syndrome - Acute Glomerulonephritis - Trauma - Open Heart Surgery Give examples of post-renal causes of AKI - ANSWER-- Obstruction - Oliguric - Bladder Rupture - Pregnancy How do you help in restoring kidney function? - ANSWER-Find the cause of the AKI How do you protect kidneys from further injury? - ANSWER-Avoid substances to the kidney which may be toxic (radiographic contrast, amphotericin B, low dose aspirin, NSAIDS) What is important when monitoring weight and BP? - ANSWER-Keep a little extra fluid on them so it is available to the kidneys when they start filtering/ultrafiltrating on their own