FRESENIUS LATEST
HEMODIALYSIS
STUDY GUIDE
What is a dialysate alarm? - ANSWERS-Temp, conductivity ONLY
What is a blood alarm? - ANSWERS-Patient, tubing, system. Blood is
not moving, needs fixed quickly
Why is a visible access important? - ANSWERS-Body has only 4-5
units of blood, the dialyzer pumps 400-500 mL or 1 unit of
blood/minute. After 3 minutes of an access being dislodged, a person is
dead.
Dislodgement - ANSWERS-out of the body
Separation - ANSWERS-disconnection
Arterial pressure should not exceed - ANSWERS--240
What is arterial pressure? - ANSWERS-resistance within the blood lines
between the patients access and the blood pump
END OF
PAGE
1
, FRESENIUS LATEST
HEMODIALYSIS
STUDY GUIDE
Safety checks include - ANSWERS-machine on home screen, NS line
double clamped, arterial chamber 85-95 % full, tranducers dry &
unclamped, pressures w/in range, BFR correct, DFR correct, Blood
pump speed set, heparin pump on, venous chamber full & in air detector,
venous line is threaded through venous clamp, acid bath correct, dialyzer
size correct, saline bag with at least 300 mLs, Hansens connected, red
end up, UF on
Never walk away from a patient during - ANSWERS-rinse back
Before using an external access what must you have on file? -
ANSWERS-confirmation of placement
Reminders for external access for patient - ANSWERS-never get it wet,
don't remove dressing (we will change the dressing or replace if it falls
off)
How long does it take for an AV fistula to mature? - ANSWERS-8-12
weeks
END OF
PAGE
2
, FRESENIUS LATEST
HEMODIALYSIS
STUDY GUIDE
How long does it take for an AV graft to mature? - ANSWERS-3-6
weeks
A low BP can make an access ... - ANSWERS-clot (keep stable to
control access flow)
What needle do you pull first when terminating treatment? -
ANSWERS-the arterial needle
How long do you allow a site to achieve hemostatis? - ANSWERS-10
minutes (you peek you leak)
How long should bandages be left on after hemostatis is achieved? -
ANSWERS-4-6 hours
What is a buttonhole and how is it created? - ANSWERS-Used on AV
Fistulas only for easy painless access to fistula, cannulate in same site
and same angle over 8-12 treatments
END OF
PAGE
3
HEMODIALYSIS
STUDY GUIDE
What is a dialysate alarm? - ANSWERS-Temp, conductivity ONLY
What is a blood alarm? - ANSWERS-Patient, tubing, system. Blood is
not moving, needs fixed quickly
Why is a visible access important? - ANSWERS-Body has only 4-5
units of blood, the dialyzer pumps 400-500 mL or 1 unit of
blood/minute. After 3 minutes of an access being dislodged, a person is
dead.
Dislodgement - ANSWERS-out of the body
Separation - ANSWERS-disconnection
Arterial pressure should not exceed - ANSWERS--240
What is arterial pressure? - ANSWERS-resistance within the blood lines
between the patients access and the blood pump
END OF
PAGE
1
, FRESENIUS LATEST
HEMODIALYSIS
STUDY GUIDE
Safety checks include - ANSWERS-machine on home screen, NS line
double clamped, arterial chamber 85-95 % full, tranducers dry &
unclamped, pressures w/in range, BFR correct, DFR correct, Blood
pump speed set, heparin pump on, venous chamber full & in air detector,
venous line is threaded through venous clamp, acid bath correct, dialyzer
size correct, saline bag with at least 300 mLs, Hansens connected, red
end up, UF on
Never walk away from a patient during - ANSWERS-rinse back
Before using an external access what must you have on file? -
ANSWERS-confirmation of placement
Reminders for external access for patient - ANSWERS-never get it wet,
don't remove dressing (we will change the dressing or replace if it falls
off)
How long does it take for an AV fistula to mature? - ANSWERS-8-12
weeks
END OF
PAGE
2
, FRESENIUS LATEST
HEMODIALYSIS
STUDY GUIDE
How long does it take for an AV graft to mature? - ANSWERS-3-6
weeks
A low BP can make an access ... - ANSWERS-clot (keep stable to
control access flow)
What needle do you pull first when terminating treatment? -
ANSWERS-the arterial needle
How long do you allow a site to achieve hemostatis? - ANSWERS-10
minutes (you peek you leak)
How long should bandages be left on after hemostatis is achieved? -
ANSWERS-4-6 hours
What is a buttonhole and how is it created? - ANSWERS-Used on AV
Fistulas only for easy painless access to fistula, cannulate in same site
and same angle over 8-12 treatments
END OF
PAGE
3
