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What are the four medications that pcts can administer per
davita p&p? -
ANSWER -Normal saline, heparin, lidocaine, topical
anesthetic spray
At what time are medications containing a preservative
discarded? - ANSWER -
28 days (except when the manufacturer specifies differently
such as Epogen
MDV at 21
days)
What size needle with the appropriately sized syringe should
be used when
drawing up heparin? - ANSWER -21g
x 1 inch
,Why would the nephrologist order a formulary exception of
Citrasate or CitraPure dialysate concentrate? - ANSWER -To
use as part of anti coagulation therapy during the dialysis
treatment when heparin is contraindicated
How do you verify your needle is not in the access when
administering Lidocaine? - ANSWER -Aspiration (pull back) of
syringe plunger and you do not see blood in the syringe
How do you administer topical anesthetic spray - ANSWER -
Wash access site,
clean site per
p&p
Spray topical anesthetic to each cannulation site 4-10 seconds
from a distance
of 3-7 inches. The skin will begin to
turn white
Dont frost the skin- numbing effect occurs
with blanching
What is the time frame during which single use medications
should be prepared
and administered? - ANSWER -4 hours (unless your state
specifies another
time
limit)
What are the six items included in documenting admistered
medications - ANSWER -Time and date, route of administration,
,reason for giving, medication dosage, reason for administering,
patient response
What are the six rights of medication administration? -
ANSWER -Time, route,
amount, medication, patient,
documentation
What are two reasons for water treatment - ANSWER -
Prevent equipment
damage and patient
safety
Aluminum in water used for dialysis causes - ANSWER -Anemia,
bone disease,
nausea and
vomiting
The maximum ultra-filtration (UF) rate should not exceed (unless
ordered by the
physician)? - ANSWER -13
mL/kg/hr
What are the four consequences of sodium loading during
dialysis - ANSWER -- Increased thirst
- Large fluid gains
- More hypotension
- Ischemic events during the hemodialysis treatment
, State 3 ways we can contribute to sodium loading during
dialysis - ANSWER -1.
Broth
2. Normal saline, hypertonic saline
3. Increased sodium in dialysate (high setting in machine or
sodium modeling)
What are the consequences if a patient is consistently fluid
overload - ANSWER
-Lvh increased central venous pressure, hypertension,
increased mortality,
pulmonary edema, increased
hospitalization rate
What is the difference between an arteriovenius fistula(AVF)
and an arteriovenius graft (AVG) - ANSWER -AVF-connection of
the patients native artery to native vein
AVG-uses artificial or biological material and requires 2
connections
What is the point where an artery and a vein are connected to
create an AVF? -
ANSWER -
anastomosis
Describe the four AVF evaluations for maturation based on the
KDOQI Rule of
6's - ANSWER -• 600 ml flow through access (on Doppler)
• 0.6 cm in depth under the skin
• 0.6 cm diameter (width of pencil eraser)