Fresenius Nurse Final Exam Part 2
Graded A+
What insertion angle should be used for cannulation? fistula v/s graft - ANSWER-fistula 20-30/ graft 45
What is a good access flow reading?
ml/min for grafts
ml/min for fistulas
less than % from baseline - ANSWER-600-400-25
What is AW and how is it calculated? - ANSWER-In the weight loss plan, AW means "available weight", this
is calculated by subtracting the EDW from the patient's pre-tx weight
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, What is considered the best method currently available for determining tx effectiveness and is mandatory
in all FMC clinics? - ANSWER-UKM (Urea Kinetic Modeling)
What is FMCNA's goal for spKt/v and eKt/v? - ANSWER-Minimum 1.4 L for spKt/v and
1.2 L for eKt/v
What is termination BFR? - ANSWER-150-200 ml/min
What is the difference between spKt/v and eKt/v and how is it determined? - ANSWER-
~single pool or spKt/v is the amount of dialysis having been delivered upon completion of the HD tx, it's
the reduction from one pool of fluid (vascular space)
~double pool or eKt/v is the measured amount of dialysis accounting for the volume of urea distribution
in both intracellular and extracellular compartments representing the amount of urea distribution of
the entire body.
What is the procedure for drawing post tx lab work? - ANSWER-The UF is turned off, DFR turned off and
BFR decreased to 100 for 15 seconds, Blood pump stopped, arterial and venous clamped; vacutainer to
arterial bloodline port; invent sample 5-10 times
What is the recommended interdialytic weight gain? - ANSWER-1.5-2.0 kg/day
What is the tx steps for an air embolism - ANSWER-COLT!!! C-Clamp
venous line
O-Off the pump L-
Left Side
T-Trendelenburg
**Admin oxygen
What is tx initiated BFR? - ANSWER-100-150 ml/min
What is VAM? - ANSWER-Vascular Access Monitoring is an assessment tool to help determine the rate of
blood flow through an AV fistula or graft in ml/min
What lab tubes should not be spun in the centrifuge? - ANSWER-Collection tubes containing anticoagulants
What makes up the goal for fluid removal? - ANSWER-The AW (available weight), priming and rinseback
saline, and any other fluid the patient will receive during the tx (oral fluids, saline rinses, packed cells,
IDPN, IVPB medications etc. )
What must be evaluated and documented during tx? - ANSWER-Current time of evaluation, bp, BFR,
DFR, safety checks, arterial/venous pressures, fluid removed/administered, access check-hemosafe
device attached, patient's overall status, interventions, changes in dialysis presecription
This study source was downloaded by 100000812546443 from CourseHero.com on 09 -08-2023 14:21:15 GMT -05:00
https://www.coursehero.com/file/185714801/Fresenius-Nurse-Final-Exam-Part-2-Graded-Adocx/
Graded A+
What insertion angle should be used for cannulation? fistula v/s graft - ANSWER-fistula 20-30/ graft 45
What is a good access flow reading?
ml/min for grafts
ml/min for fistulas
less than % from baseline - ANSWER-600-400-25
What is AW and how is it calculated? - ANSWER-In the weight loss plan, AW means "available weight", this
is calculated by subtracting the EDW from the patient's pre-tx weight
This study source was downloaded by 100000812546443 from CourseHero.com on 09 -08-2023 14:21:15 GMT -05:00
https://www.coursehero.com/file/185714801/Fresenius-Nurse-Final-Exam-Part-2-Graded-Adocx/
, What is considered the best method currently available for determining tx effectiveness and is mandatory
in all FMC clinics? - ANSWER-UKM (Urea Kinetic Modeling)
What is FMCNA's goal for spKt/v and eKt/v? - ANSWER-Minimum 1.4 L for spKt/v and
1.2 L for eKt/v
What is termination BFR? - ANSWER-150-200 ml/min
What is the difference between spKt/v and eKt/v and how is it determined? - ANSWER-
~single pool or spKt/v is the amount of dialysis having been delivered upon completion of the HD tx, it's
the reduction from one pool of fluid (vascular space)
~double pool or eKt/v is the measured amount of dialysis accounting for the volume of urea distribution
in both intracellular and extracellular compartments representing the amount of urea distribution of
the entire body.
What is the procedure for drawing post tx lab work? - ANSWER-The UF is turned off, DFR turned off and
BFR decreased to 100 for 15 seconds, Blood pump stopped, arterial and venous clamped; vacutainer to
arterial bloodline port; invent sample 5-10 times
What is the recommended interdialytic weight gain? - ANSWER-1.5-2.0 kg/day
What is the tx steps for an air embolism - ANSWER-COLT!!! C-Clamp
venous line
O-Off the pump L-
Left Side
T-Trendelenburg
**Admin oxygen
What is tx initiated BFR? - ANSWER-100-150 ml/min
What is VAM? - ANSWER-Vascular Access Monitoring is an assessment tool to help determine the rate of
blood flow through an AV fistula or graft in ml/min
What lab tubes should not be spun in the centrifuge? - ANSWER-Collection tubes containing anticoagulants
What makes up the goal for fluid removal? - ANSWER-The AW (available weight), priming and rinseback
saline, and any other fluid the patient will receive during the tx (oral fluids, saline rinses, packed cells,
IDPN, IVPB medications etc. )
What must be evaluated and documented during tx? - ANSWER-Current time of evaluation, bp, BFR,
DFR, safety checks, arterial/venous pressures, fluid removed/administered, access check-hemosafe
device attached, patient's overall status, interventions, changes in dialysis presecription
This study source was downloaded by 100000812546443 from CourseHero.com on 09 -08-2023 14:21:15 GMT -05:00
https://www.coursehero.com/file/185714801/Fresenius-Nurse-Final-Exam-Part-2-Graded-Adocx/
