FRESENIUS ORIENTATION FINAL
EXAM (HEMO DIALYSIS) QUESTIONS
& ANSWERS
Nephrons - Correct Answers -Functional unit of the kidneys
Nephrons are composed of? - Correct Answers -The glomerulus (tangled cluster of
capillaries surrounded by the bowmans capsule) and the tubules
Kidneys help maintain good health because - Correct Answers -They filter fluid, waste,
and extra electrolytes from capillaires into the tubules
4 functions of the kidney - Correct Answers -Excretory, regulatory, filtration and
endocrine
Excretory function of the kidney - Correct Answers -Kidneys rid the body of waste
products and excess fluid and electrolytes
Uremia is - Correct Answers -A build up of waste products in the blood
Regulatory function of the kidney - Correct Answers -Maintain acid/base balance. Fluid
balance and electrolyte balance
Filtration function of the kidney - Correct Answers -Nephrons retain some things and
filter out and reabsorb others
Endocrine function of the kidney - Correct Answers -Kidneys produce hormomes one is
renin which constricts blood vessels reulting in increasing BP, erythropoitentin signals
bone marrie tonprosuce RBC kidneys also convert the storage form of VIT D, VIT D
helps ansorbe calcium from the gut
The #1 cause of CRF - Correct Answers -Diabetes
The #2 cause of CRF - Correct Answers -Hypertension
Stage 5 renal failure - Correct Answers -Has only 10-15% kidney function left
, Renal failure effects on the digestive system - Correct Answers -Uremian causes N/V
diarrhea loss of appetite
Renal failure effects on the skin - Correct Answers -Dry itchy darkened
Renal failure effects on the cardiovascular - Correct Answers -K causes muscle
weakness including heart weakness which can lead to arrhytmias cardiac arrest and
death fluid can cause increasesd BP and edema
Renal failure effects on the skeletal system - Correct Answers -With calcitriol there is
decreased ansorption id calcium from the gut. The parathyroid hormone also rises as a
result. In order to keep blood calcium in normal range calcium is taken from the bones
(dut to high PTH) vausing weak and brittel bones. Calcium then combines with
phosphorus and is deposited in sodt tissues
Renal failure effects on the lung - Correct Answers -Fluid in lungs causes SOB and also
puts PT at risk for pulmonary infection
3 types of renal replacement - Correct Answers -Peritoneal dialysis
Hemodiaysis
Tramsplant
Safe levels of total chlorine for patinets - Correct Answers -0.00-0.09
15 minutes - Correct Answers -Length of time the RO has to run for samples to be
obtained for total chlorine testing
AAMI - Correct Answers -Association for the advancement of medical instrumentation
0.10ppm - Correct Answers -Action level for total chlorine which necessitates taking
corrective measures to restore water to the safe range
Adsorption - Correct Answers -To attract or hold on to a surface, the binding of chlorine
and chloramine molecules to the activated carbon surface
Alternate water supply - Correct Answers -A plan approved by the medical director and
provides instructions for the facility should the municipal water supply should be
interupted
Backflow prevention device - Correct Answers -Keeps water from flowing backwards
into the incoming water supply
Sediment filters - Correct Answers -Filters particles from feed water
SDS - Correct Answers -Softener delivery system mixes and delivers dyalisate to single
patient machines
EXAM (HEMO DIALYSIS) QUESTIONS
& ANSWERS
Nephrons - Correct Answers -Functional unit of the kidneys
Nephrons are composed of? - Correct Answers -The glomerulus (tangled cluster of
capillaries surrounded by the bowmans capsule) and the tubules
Kidneys help maintain good health because - Correct Answers -They filter fluid, waste,
and extra electrolytes from capillaires into the tubules
4 functions of the kidney - Correct Answers -Excretory, regulatory, filtration and
endocrine
Excretory function of the kidney - Correct Answers -Kidneys rid the body of waste
products and excess fluid and electrolytes
Uremia is - Correct Answers -A build up of waste products in the blood
Regulatory function of the kidney - Correct Answers -Maintain acid/base balance. Fluid
balance and electrolyte balance
Filtration function of the kidney - Correct Answers -Nephrons retain some things and
filter out and reabsorb others
Endocrine function of the kidney - Correct Answers -Kidneys produce hormomes one is
renin which constricts blood vessels reulting in increasing BP, erythropoitentin signals
bone marrie tonprosuce RBC kidneys also convert the storage form of VIT D, VIT D
helps ansorbe calcium from the gut
The #1 cause of CRF - Correct Answers -Diabetes
The #2 cause of CRF - Correct Answers -Hypertension
Stage 5 renal failure - Correct Answers -Has only 10-15% kidney function left
, Renal failure effects on the digestive system - Correct Answers -Uremian causes N/V
diarrhea loss of appetite
Renal failure effects on the skin - Correct Answers -Dry itchy darkened
Renal failure effects on the cardiovascular - Correct Answers -K causes muscle
weakness including heart weakness which can lead to arrhytmias cardiac arrest and
death fluid can cause increasesd BP and edema
Renal failure effects on the skeletal system - Correct Answers -With calcitriol there is
decreased ansorption id calcium from the gut. The parathyroid hormone also rises as a
result. In order to keep blood calcium in normal range calcium is taken from the bones
(dut to high PTH) vausing weak and brittel bones. Calcium then combines with
phosphorus and is deposited in sodt tissues
Renal failure effects on the lung - Correct Answers -Fluid in lungs causes SOB and also
puts PT at risk for pulmonary infection
3 types of renal replacement - Correct Answers -Peritoneal dialysis
Hemodiaysis
Tramsplant
Safe levels of total chlorine for patinets - Correct Answers -0.00-0.09
15 minutes - Correct Answers -Length of time the RO has to run for samples to be
obtained for total chlorine testing
AAMI - Correct Answers -Association for the advancement of medical instrumentation
0.10ppm - Correct Answers -Action level for total chlorine which necessitates taking
corrective measures to restore water to the safe range
Adsorption - Correct Answers -To attract or hold on to a surface, the binding of chlorine
and chloramine molecules to the activated carbon surface
Alternate water supply - Correct Answers -A plan approved by the medical director and
provides instructions for the facility should the municipal water supply should be
interupted
Backflow prevention device - Correct Answers -Keeps water from flowing backwards
into the incoming water supply
Sediment filters - Correct Answers -Filters particles from feed water
SDS - Correct Answers -Softener delivery system mixes and delivers dyalisate to single
patient machines