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DAVITA final exam Questions with Detailed
Verified Answers
kidney excretory functions
Ans: normalize electrolytes, remove wastes, provide fluid & acid base balance
fxn of acid concentration
Ans: concentration gradient for diffusion/osmosis to take place
fxn of bicarbonate
Ans: buffers acid concentrate (in dialysate) & normalizes pH (in pt)
hyperkalemia
Ans: > 5.5 mEq extreme muscle weakness, abn heart rhythm, cardiac arrest
hypokalemia
Ans: < 3.5 mEq fatigue, muscle weakness, paralysis, resp failure, arrhythmias, cardiac
instability/arrest
kidney endocrine fxn
Ans: renin & EPO secretion, vit D activation
common causes of CKD
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Ans: diabetes,
hypertension,
polycystic kidney disease
how much of normal kidney fxn replaced by hemodialysis
Ans: 15%
signs & symptoms of fluid imbalance
Ans: hypertension, edema, shortness of breath
consequence of prolonged fluid overload & hypertension
Ans: left ventricular hypertrophy (LVH)
treatment for pericarditis
Ans: decrease/stop heparin, more frequent dialysis
common cause of hypertension
Ans: fluid overload
why dialysis pts are anemic
Ans: primary cause: lack of EPO
secondary cause: inad. iron stores, inad. dialysis, malnutrition, blood loss during
treatment
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how PCT can avoid contributing to lowered hemoglobin & blood loss
Ans: verify EPO stimulating agent is correct, rinse back until venous line pink, avoid
repeat lab draws
four key elements contributing to CKD-mineral bone disorder (CKD-MBD)
Ans: Ca+ , P , PTH, Vit D (calcitriol)
pre- , intra- & post-renal causes of AKI
Ans: pre: obstruction, vol depletion, impaired cardiac fxn, decreased cardiac output
intra: ischemic ATN, sepsis, acute interstitial nephritis, septic shock, anaphalaxis,
drugs...
post: obstruction, bladder rupture, pregnancy
AKI patients are at increased risk for which complications
Ans: hypovolemia & hypotension
most common infections in ICHD patients
Ans: bacterial vascular access infections
what organism causes the most infections in ICHD patients
Ans: MRSA
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what is strikethrough
Ans: fluid penetration & contamination of internal pressure transducer
HBsAg, HBsAb, HBcAb
Ans: HBsAG Hep B Surface ANTIGEN >> monthly testing
HBsAB Hep B Surface ANTIBODY
HBcAB Hep B Core ANTIBODY
Hep B and cross-contamination amongst pts
Ans: -care for HBsAg+ & Hep B immune at the same time
-care for Hep B susceptible pts & those receiving vaccination at the same time
-care for Hep B immune & susceptible pts at same time
most common transmission route for HAIs & reason for increased risk of HAIs
Ans: contact transmission & bc pts are immunosuppressant
total proportion of dialysate used at davita
Ans: 45X
2 most frequent K+ Rx's
© Get it right 2025 Getaway - Stuvia US All rights reserved
DAVITA final exam Questions with Detailed
Verified Answers
kidney excretory functions
Ans: normalize electrolytes, remove wastes, provide fluid & acid base balance
fxn of acid concentration
Ans: concentration gradient for diffusion/osmosis to take place
fxn of bicarbonate
Ans: buffers acid concentrate (in dialysate) & normalizes pH (in pt)
hyperkalemia
Ans: > 5.5 mEq extreme muscle weakness, abn heart rhythm, cardiac arrest
hypokalemia
Ans: < 3.5 mEq fatigue, muscle weakness, paralysis, resp failure, arrhythmias, cardiac
instability/arrest
kidney endocrine fxn
Ans: renin & EPO secretion, vit D activation
common causes of CKD
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
Ans: diabetes,
hypertension,
polycystic kidney disease
how much of normal kidney fxn replaced by hemodialysis
Ans: 15%
signs & symptoms of fluid imbalance
Ans: hypertension, edema, shortness of breath
consequence of prolonged fluid overload & hypertension
Ans: left ventricular hypertrophy (LVH)
treatment for pericarditis
Ans: decrease/stop heparin, more frequent dialysis
common cause of hypertension
Ans: fluid overload
why dialysis pts are anemic
Ans: primary cause: lack of EPO
secondary cause: inad. iron stores, inad. dialysis, malnutrition, blood loss during
treatment
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
how PCT can avoid contributing to lowered hemoglobin & blood loss
Ans: verify EPO stimulating agent is correct, rinse back until venous line pink, avoid
repeat lab draws
four key elements contributing to CKD-mineral bone disorder (CKD-MBD)
Ans: Ca+ , P , PTH, Vit D (calcitriol)
pre- , intra- & post-renal causes of AKI
Ans: pre: obstruction, vol depletion, impaired cardiac fxn, decreased cardiac output
intra: ischemic ATN, sepsis, acute interstitial nephritis, septic shock, anaphalaxis,
drugs...
post: obstruction, bladder rupture, pregnancy
AKI patients are at increased risk for which complications
Ans: hypovolemia & hypotension
most common infections in ICHD patients
Ans: bacterial vascular access infections
what organism causes the most infections in ICHD patients
Ans: MRSA
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
what is strikethrough
Ans: fluid penetration & contamination of internal pressure transducer
HBsAg, HBsAb, HBcAb
Ans: HBsAG Hep B Surface ANTIGEN >> monthly testing
HBsAB Hep B Surface ANTIBODY
HBcAB Hep B Core ANTIBODY
Hep B and cross-contamination amongst pts
Ans: -care for HBsAg+ & Hep B immune at the same time
-care for Hep B susceptible pts & those receiving vaccination at the same time
-care for Hep B immune & susceptible pts at same time
most common transmission route for HAIs & reason for increased risk of HAIs
Ans: contact transmission & bc pts are immunosuppressant
total proportion of dialysate used at davita
Ans: 45X
2 most frequent K+ Rx's
© Get it right 2025 Getaway - Stuvia US All rights reserved
