Fresenius Water Treatment Exam, Fresenius Hemodialysis
Study Guide UPDATED 2024
Types of water sources? - (answers)Surface and Ground
Examples of surface water? - (answers)lakes, streams, rivers, reservoirs
Examples of ground water? - (answers)Wells, springs
FMC follows water quality standards according to who's standards? -
(answers)AAMI
Bone disease can be caused by ________ in product water? - (answers)Aluminum
Aluminum in product water put the patient at risk for ________? -
(answers)Anemia
Aluminum, chloramphenicol, copper or zinc may cause _______ when present in
water used for dialysis? - (answers)Hemolysis
The presence of bacteria in the bloodstream is? - (answers)Sepsis
Parts of a bacteria cell wall, released from dead bacteria is? - (answers)Endotoxin
What are characteristics of bacteria/viruses? - (answers)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? - (answers)Less than 0.1 ppm (0.00-0.09 ppm)
A serious side effect if chlorine crosses the dialyzer membrane is? -
(answers)Hemolysis
Chloramphenicol is a combination of ________ and _________ ? -
(answers)Chlorine and Ammonia
Chlorine and chloramphenicol are added to city water for what reason? -
(answers)To reduce or eliminate bacteria
A patient complication due to the exposure of blood to chlorine an chloramines is?
- (answers)Hemolysis
Examples of the symptoms the patient might experience from Hemolysis. -
(answers)1. Chest pain
2. Shortness of breath
3. Cherry pop red / translucent blood
Where does the water pathway start in the dialysis facility? - (answers)City Water
Inlet
, The first piece of equipment that the water goes through in the dialysis facility is
the? - (answers)Backflow Preventer
What is the function of the backflow preventer? - (answers)Prevents water from
flowing back into the city's water suppl.
The recommended water temperature for ideal RO operation is? - (answers)77
degrees F
What is the function of the water booster pump? - (answers)Boosts incoming city
water pressure
What is the function of the Captive Air Tank (bladder tank)? - (answers)Help
maintain a minimum pressure
What is the function of the Chemical Feed pump? - (answers)Help adjust the pH
level of the water
What is the function of the Sediment Filters? - (answers)Removes larger particles
from the incoming water
What is the function of the multimedia filter? - (answers)Removes particles 10
microns in size or larger
Study Guide UPDATED 2024
Types of water sources? - (answers)Surface and Ground
Examples of surface water? - (answers)lakes, streams, rivers, reservoirs
Examples of ground water? - (answers)Wells, springs
FMC follows water quality standards according to who's standards? -
(answers)AAMI
Bone disease can be caused by ________ in product water? - (answers)Aluminum
Aluminum in product water put the patient at risk for ________? -
(answers)Anemia
Aluminum, chloramphenicol, copper or zinc may cause _______ when present in
water used for dialysis? - (answers)Hemolysis
The presence of bacteria in the bloodstream is? - (answers)Sepsis
Parts of a bacteria cell wall, released from dead bacteria is? - (answers)Endotoxin
What are characteristics of bacteria/viruses? - (answers)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? - (answers)Less than 0.1 ppm (0.00-0.09 ppm)
A serious side effect if chlorine crosses the dialyzer membrane is? -
(answers)Hemolysis
Chloramphenicol is a combination of ________ and _________ ? -
(answers)Chlorine and Ammonia
Chlorine and chloramphenicol are added to city water for what reason? -
(answers)To reduce or eliminate bacteria
A patient complication due to the exposure of blood to chlorine an chloramines is?
- (answers)Hemolysis
Examples of the symptoms the patient might experience from Hemolysis. -
(answers)1. Chest pain
2. Shortness of breath
3. Cherry pop red / translucent blood
Where does the water pathway start in the dialysis facility? - (answers)City Water
Inlet
, The first piece of equipment that the water goes through in the dialysis facility is
the? - (answers)Backflow Preventer
What is the function of the backflow preventer? - (answers)Prevents water from
flowing back into the city's water suppl.
The recommended water temperature for ideal RO operation is? - (answers)77
degrees F
What is the function of the water booster pump? - (answers)Boosts incoming city
water pressure
What is the function of the Captive Air Tank (bladder tank)? - (answers)Help
maintain a minimum pressure
What is the function of the Chemical Feed pump? - (answers)Help adjust the pH
level of the water
What is the function of the Sediment Filters? - (answers)Removes larger particles
from the incoming water
What is the function of the multimedia filter? - (answers)Removes particles 10
microns in size or larger