Hemodialysis Exam with 100% Correct
Solutions
Water used for dialysate must be treated because dialysis patients? - ANSWER-Are
exposed to large volumes of water during dialysis.
the substance which may be added to municipal drinking water supplies to make the
water clearer? - ANSWER-Alum
The water softener performs the following activity? - ANSWER-removes calcium and
magnesium from water
What is a limitation of reverse osmosis (RO) system? - ANSWER-thin film composite
membranes break down when exposed to chlorine and chloramines
What is the most common way that water treatment systems are disinfected? -
ANSWER-chemical
contamination of water by bacteria / endotoxins may cause ? - ANSWER-pyrogenic
how often should the RO operating parameters be checked? - ANSWER-daily
what is acceptable level of post softener hardness? - ANSWER-0.8 grain per gallon
AAMI standards for testing bacteriologic for water and dialysate should take place
when? - ANSWER-monthly
the total allowed by AAMI for microbial count of dialysate is? - ANSWER-200 CFU/ml
the total allowed by AAMI for endotoxin count of dialysate is? - ANSWER-2EU/ml
how often should the carbon tanks be checked for chlorine and chloramines? -
ANSWER-each shift
large amounts of aluminum in water used for dialysate could cause? - ANSWER-bone
disease
dialyzers are reprocessed mainly because? - ANSWER-reprocessing reduces the cost
of dialysis treatments
, what organization sets the standards and recommendations for dialyzer reprocessing? -
ANSWER-AAMI
what test must be performed on new dialyzers? - ANSWER-TCV (total cell volume)
what are the steps for dialyzer reprocessing after a dialysis treatment? - ANSWER-pre-
cleaning , performance test , dialyzer rejection , disinfection
the germicide used for dialyzer reprocessing? - ANSWER-peracetic acid
the definition of "contact time"? - ANSWER-amount of time the germicide remains in the
dialyzer
according to AAMI standards who must check the dialyzer to verify quality control
information - ANSWER-two people , one of whom should be patient
if the dialyzer has improperly prepared germicide it can cause - ANSWER-bacteria or
endotoxin contamination
best definition of what a dialyzer reprocessing manual is for - ANSWER-summary of all
reuse specifications, policies, procedures, training materials, manuals , methods,
samples of forms and labels
the two criteria for rejecting a reprocessed dialyzer are - ANSWER-less than 80% of
original fiber bundle volume , aesthetic appearance
Mrs. P a 40 year old woman whose kidneys are failing due to hypertension. She does
not have diabetes or cardiac problems. If her blood vessels are in good condition what
type of access is preferable ? - ANSWER-arteriovenous fistula (AVF)
when assessing a fistula or graft what do you listen for prior to starting dialysis -
ANSWER-bruit
one of the main complications for "flipping" the needle in AVF cannulation is -
ANSWER-infiltration
which direction should the venous needle be placed - ANSWER-antegrade
the reason for rotating needle sites on a fistula is to - ANSWER-prevent aneurysms
define infiltration - ANSWER-a needle tip that punctures a vessel and goes out the other
side so blood escapes into the tissues
a long term complication of a fistula is - ANSWER-thrombosis
Solutions
Water used for dialysate must be treated because dialysis patients? - ANSWER-Are
exposed to large volumes of water during dialysis.
the substance which may be added to municipal drinking water supplies to make the
water clearer? - ANSWER-Alum
The water softener performs the following activity? - ANSWER-removes calcium and
magnesium from water
What is a limitation of reverse osmosis (RO) system? - ANSWER-thin film composite
membranes break down when exposed to chlorine and chloramines
What is the most common way that water treatment systems are disinfected? -
ANSWER-chemical
contamination of water by bacteria / endotoxins may cause ? - ANSWER-pyrogenic
how often should the RO operating parameters be checked? - ANSWER-daily
what is acceptable level of post softener hardness? - ANSWER-0.8 grain per gallon
AAMI standards for testing bacteriologic for water and dialysate should take place
when? - ANSWER-monthly
the total allowed by AAMI for microbial count of dialysate is? - ANSWER-200 CFU/ml
the total allowed by AAMI for endotoxin count of dialysate is? - ANSWER-2EU/ml
how often should the carbon tanks be checked for chlorine and chloramines? -
ANSWER-each shift
large amounts of aluminum in water used for dialysate could cause? - ANSWER-bone
disease
dialyzers are reprocessed mainly because? - ANSWER-reprocessing reduces the cost
of dialysis treatments
, what organization sets the standards and recommendations for dialyzer reprocessing? -
ANSWER-AAMI
what test must be performed on new dialyzers? - ANSWER-TCV (total cell volume)
what are the steps for dialyzer reprocessing after a dialysis treatment? - ANSWER-pre-
cleaning , performance test , dialyzer rejection , disinfection
the germicide used for dialyzer reprocessing? - ANSWER-peracetic acid
the definition of "contact time"? - ANSWER-amount of time the germicide remains in the
dialyzer
according to AAMI standards who must check the dialyzer to verify quality control
information - ANSWER-two people , one of whom should be patient
if the dialyzer has improperly prepared germicide it can cause - ANSWER-bacteria or
endotoxin contamination
best definition of what a dialyzer reprocessing manual is for - ANSWER-summary of all
reuse specifications, policies, procedures, training materials, manuals , methods,
samples of forms and labels
the two criteria for rejecting a reprocessed dialyzer are - ANSWER-less than 80% of
original fiber bundle volume , aesthetic appearance
Mrs. P a 40 year old woman whose kidneys are failing due to hypertension. She does
not have diabetes or cardiac problems. If her blood vessels are in good condition what
type of access is preferable ? - ANSWER-arteriovenous fistula (AVF)
when assessing a fistula or graft what do you listen for prior to starting dialysis -
ANSWER-bruit
one of the main complications for "flipping" the needle in AVF cannulation is -
ANSWER-infiltration
which direction should the venous needle be placed - ANSWER-antegrade
the reason for rotating needle sites on a fistula is to - ANSWER-prevent aneurysms
define infiltration - ANSWER-a needle tip that punctures a vessel and goes out the other
side so blood escapes into the tissues
a long term complication of a fistula is - ANSWER-thrombosis
