QUESTIONS AND ANSWERS NEW
GENERATION
What is important when monitoring weight and BP for acute patients?
keep patients wet to avoid hypotensive episodes
What do you need to consider in regards to acute patents vascular access?
Usually have a CVC
- follow policy and procedure to prevent infections
Why is it important to know what caused your patient's CKD?
to inquire about possible problems during data collection and assessments
Kt/V: What is K?
clearance of urea
What treatment factors decrease K?
not waiting 3-5 minutes after giving heparin with treatment initiation to prevent
clotting
What factors influence V (volume)?
sex, age, weight, height, amputations
Needle gauge and suggested BFR
17: 200-250
16: 250-350
15: 350-450
14: >450
What do you do if a patient wants to get off early?
educate and document, still draw lab on habitual patients, MUST NOTIFY NURSE
Lab draw mistakes that would falsely increase Kt/V
not waiting the full 15 seconds to draw the BUN
What is the role of the PCT prior to treatment initiation?
DATA COLLECTION
,Squeezing the BP cuff can damage the machine: T/F
True
4 reasons we document in the medical record
1. proof that care was rendered
2. provides data continuity and planning of patient care
3. permanent legal record
4. communication tool
Pre-treatment patient data collection/assessment
Data collection: before initiation
Assessment: 30 minutes into treatment
Post treatment data collection/assessments
after treatment
-NOT DURING RINSEBACK
What are possible consequences of poor or incomplete documentation
attack on your care
What are the six items included in charting administered medications?
REASON FOR ADMINISTERING
What are the 5 W's to be used when completing an AOR
who should report an AOR
what type of incident
when should it be reported
where should they be reported
why
What are the four consequences of sodium loading during dialysis?
Thirsty
Increase Fluid Intake
Increased intradialytic weight gain
Increased ultrafiltration rate
What is the purpose of UF profiling?
fit to the patient to prevent crashing and allow for vascular refill
, Why do we measure the pH in the dialysate
to verify acid-base balance is within an acceptable range
Conductivity and pH alarm causes
no concentrate
improper bicarb
calcium or magnesium precipitate
line of filter occlusion from debris
improper calibration
Temperature alarm causes
lower temperature, increases BP
hemolysis occurs at 42 degrees calcium which releases potassium
Power
the appropriate intervention is to remove venous line from air detector clamp before
starting hand crank
Arterial Pressure High alarm causes
separation of tubing
Venous pressure high alarm causes
kink in tubing
infiltration
clotting in the venous drip chamber
Davita Quality Index
the purpose of selecting the component measure for DQI is to encourage continuous
improvement across a broad range of disease management processes
DQI success is achieved by
-managing individual patients first and allowing scores to follow
-knowing each team members role and improving DQI scores
-using the CQI (continuous quality improvement) process to help identify trends and
make improvements
(answer all of the above)
Importance of P&P