CCHT Study 100% REVISION

CCHT Study 100% REVISION What are the two main types of dialysis? - ANSWER hemodialysis and peritoneal dialysis How are dialysis clinics paid by Medicare for dialysis treatment? - ANSWER Prospective payment system bundles What does "Pay for Performance" mean? - ANSWER Clinics that don't meet certain quality standards will have their payments cut What federal body are dialysis clinics required to work with? - ANSWER Centers for Medicare and Medicaid services What are "clinical practice guidelines"? - ANSWER Efforts to improve patient outcomes by finding best practices What are the steps of the CQI process? - ANSWER Identify improvement needs, analyze the process, identify root causes and then implement the "plan, do, check, act cycle" What is the PDCA cycle? - ANSWER Plan, Do, Check, Act What is an example of a boundary you should keep between you and your patients? - ANSWER You should not invite patients to your home. How do you become a CCHT? - ANSWER Take a test given by an approved program after 6 months of dialysis work What is a nephron made up of? - ANSWER glomerulus and tubule What is the most common cause of renal failure in the U.S.? - ANSWER Diabetes What is a problem of kidney failure caused by a build up of wastes in the blood? - ANSWER Uremia What causes secondary hyperparathyroidism in people with kidney failure? - ANSWER The kidneys no longer make active Vitamin D What word means too much potassium? - ANSWER Hyperkalemia What is the patients dry weight? - ANSWER The weight after a treatment when all or most excess water is gone Your patient Mrs. M asks to stop her treatment 20 minutes early. What do you say? - ANSWER "You need every minute of treatment you can get, to avoid complications." What should you do if a patient asks you a question you don't know the answer to? - ANSWER Refer the patient to a member of the care team that can answer the question The dialysis team member with special training in helping people cope with changes related to kidney disease is the: - ANSWER Social worker What is a solution made up of? - ANSWER A solvent and a solute A semipermeable membrane is a filter that: - ANSWER Allows only certain sized particles to pass through What happens in diffusion? - ANSWER Solutes move through a membrane from an area of higher concentration to a lower one What would lead to faster diffusion? - ANSWER Small particles, warm solution, large pores What best describes osmosis? - ANSWER Water moves through a membrane from a low solute concentration to a higher one What role does ultrafiltration play in dialysis? - ANSWER removes water from the patients blood What is the intravascular fluid compartment? - ANSWER Blood inside the blood vessels During dialysis, levels of waste in the blood should: - ANSWER decrease What type of pressure when blood is pulled from the needle? - ANSWER Negative What is a gradient? - ANSWER A difference Why are synthetic dialysis membranes more biocompatible? - ANSWER They absorb more proteins from the blood What is a way to remove solutes? - ANSWER Convection What are the two compartments of the dialyzer? - ANSWER Blood and dialysate What substances might be included in a dialysate prescription? - ANSWER Bicarbonate, sodium, postassium What is the purpose of a proportioning system? - ANSWER Make dialysate by mixing fresh concentrate with fixed amounts of treated water Where is conductivity most often checked? - ANSWER Dialysate mixing and before dialysate enters the dialyzer What condition occurs due to dialysate that is too hot? - ANSWER hemolysis What are the two types of ultrafiltration systems? - ANSWER Volumetric and Flow Control What best describes a transducer protector? - ANSWER A mechanical device in the machine that converts air pressure into