Davita Basic Training Final Test Questions with Correct Answers

in KT/V what is K? - Clearance treatment factors that decrease K - DFR, BVP, UF goal, adequate anticoagulation In KT/V what is T? - time what factors influence T? - longer blood/dialysate contact time, more frequent treatments or extra treatments In KT/V what is V? - Volume what factors influence V? - height, weight, sex, age, amputations needle gauge and suggested BFR - 17g = 200-250 16g= 250-350 15= 350-450 14= >450 procedure for post BUN lab draw - UF decreased to 50ml place in bypass decrease BFR to 100 ml/pm draw from arterial line lab draw mistakes that would falsely increase Kt/V - drawing without lowering BFR drawing from veinous line not waiting full 15 seconds lab draw mistakes that would falsely decrease Kt/V - Diluting pre BUN sample waiting longer than 15 seconds What does the acronym RIFLE stand for? - *RISK *INJURY *FAILURE *LOSS *END STAGE RENAL DISEASE Define AKI - AKI occurs when persons experience a sudden loss of kidney function. restoring function is still possible. 3 - examples of pre, intra and post-renal causes of AKI - pre- volume depletion, decreased CO output renal vascular obstruction intra- glomerulonephritis, contrast induced, chemotherapy post- benign prosthetic hypotrophy, kidney stones outline treatment goals for AKI patient dialyzing in in the out-patient facility - restoring function: eliminate cause, protect from further damage protect from further injury: prevent hypotensive injury, avoid toxic kidney meds why is accuracy important in monitoring weight and BP? to avoid hypotension and hypovolemia AKI patients are at increased risk for: infection and GI bleed protect vascular access explain the difference between AKI and CRF - AKI is a sudden loss of function with restoring function still possible CRF is not reversible outline the treatment goals for a patient with CKD - slow the progression manage comorbidities controlling symptoms minimizing the effects of CKD in patients lifestyle renal replacement therapy modality education encouraging patients to actively participate in their healthcare