CHT BONENT EVALUATION EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Ph - ✔✔Dialsyate ph must be close to blood ph so it doesn't change ph of blood
(7.0-7.4)
Normal blood ph is 7.35-7.45 (weak base)
Bleach PH is 11
White vinegar PH is 2.9
✔✔bypass mode - ✔✔Can be triggered by low/high conductivity alarms, ph, and temp
also by blood leak alarms
✔✔Pyrogen filter - ✔✔After the proportioning system dialysate flows through this filter to
remove and "bad" bacteria and endotoxins
✔✔Neuropathy in HD patients may be caused by - ✔✔Waste that is not removed during
tx.
✔✔normal pulse ox reading - ✔✔Is higher than 90%
✔✔A low pulse ox in a dialysis patient could mean - ✔✔The patient has steal syndrome
✔✔pericariditis - ✔✔Inflammation of a heart sac (pericardium)
✔✔Normal temp for dialysis patients is - ✔✔96.8
✔✔Hypertension - ✔✔high blood pressure
✔✔hypotension - ✔✔Low blood pressure
✔✔orthostatic hypotension - ✔✔temporary low BP and dizziness when suddenly rising
from a sitting or reclining position, 15mmhg or more
✔✔normal pulse - ✔✔60-100
, ✔✔Tachycardia - ✔✔fast heart rate, above 100 bpm
✔✔Bradycardia - ✔✔slow heart rate (less than 60 bpm)
✔✔pulse - ✔✔The wave of blood in an artery caused by each heart beat
✔✔Arrthymia - ✔✔irregular heartbeat
✔✔Dyspnea - ✔✔shortness of breath
✔✔apnea - ✔✔absence of breathing
✔✔Afebrile - ✔✔without fever
✔✔febrile - ✔✔fever
✔✔Kuf - ✔✔Ultrafiltration coefficient, how water permeable a dialyzer is and how much
fluid can pass through the membrane at a given pressure
✔✔high flux dialyzer - ✔✔Have a kuf greater than 15
✔✔How to manual find the tmp - ✔✔Pt hourly UF rate divided by the dialyzer Kuf
✔✔Technician role in pruritus - ✔✔Ask nurse about oatmeal bath or abeeno soap
Take phosphate binders
Urge pts to come to tx and stay
✔✔pericarditis - ✔✔Painful swelling of sag around heart, can be heard through a
stethoscope (pericardial friction rub) , in CKD pts it is often due to poor dialysis or a
virus. Some cases the sac can squeeze heart so hard it can't work
✔✔symptoms of pericarditis - ✔✔Fever
Fatigue
Irregular heart beat
Dry cough
Constant pain in center of chest (sharp stabbing worse laying down than sitting up)
✔✔Tx for pericarditis - ✔✔Good dialysis, pain pill, anti inflammatory, antibiotics
✔✔Technician role for pericarditis - ✔✔Report chest pain to nurse
If before don't start tx till nurse assessment
Give pt full dialysis tx
QUESTIONS SET A+
✔✔Ph - ✔✔Dialsyate ph must be close to blood ph so it doesn't change ph of blood
(7.0-7.4)
Normal blood ph is 7.35-7.45 (weak base)
Bleach PH is 11
White vinegar PH is 2.9
✔✔bypass mode - ✔✔Can be triggered by low/high conductivity alarms, ph, and temp
also by blood leak alarms
✔✔Pyrogen filter - ✔✔After the proportioning system dialysate flows through this filter to
remove and "bad" bacteria and endotoxins
✔✔Neuropathy in HD patients may be caused by - ✔✔Waste that is not removed during
tx.
✔✔normal pulse ox reading - ✔✔Is higher than 90%
✔✔A low pulse ox in a dialysis patient could mean - ✔✔The patient has steal syndrome
✔✔pericariditis - ✔✔Inflammation of a heart sac (pericardium)
✔✔Normal temp for dialysis patients is - ✔✔96.8
✔✔Hypertension - ✔✔high blood pressure
✔✔hypotension - ✔✔Low blood pressure
✔✔orthostatic hypotension - ✔✔temporary low BP and dizziness when suddenly rising
from a sitting or reclining position, 15mmhg or more
✔✔normal pulse - ✔✔60-100
, ✔✔Tachycardia - ✔✔fast heart rate, above 100 bpm
✔✔Bradycardia - ✔✔slow heart rate (less than 60 bpm)
✔✔pulse - ✔✔The wave of blood in an artery caused by each heart beat
✔✔Arrthymia - ✔✔irregular heartbeat
✔✔Dyspnea - ✔✔shortness of breath
✔✔apnea - ✔✔absence of breathing
✔✔Afebrile - ✔✔without fever
✔✔febrile - ✔✔fever
✔✔Kuf - ✔✔Ultrafiltration coefficient, how water permeable a dialyzer is and how much
fluid can pass through the membrane at a given pressure
✔✔high flux dialyzer - ✔✔Have a kuf greater than 15
✔✔How to manual find the tmp - ✔✔Pt hourly UF rate divided by the dialyzer Kuf
✔✔Technician role in pruritus - ✔✔Ask nurse about oatmeal bath or abeeno soap
Take phosphate binders
Urge pts to come to tx and stay
✔✔pericarditis - ✔✔Painful swelling of sag around heart, can be heard through a
stethoscope (pericardial friction rub) , in CKD pts it is often due to poor dialysis or a
virus. Some cases the sac can squeeze heart so hard it can't work
✔✔symptoms of pericarditis - ✔✔Fever
Fatigue
Irregular heart beat
Dry cough
Constant pain in center of chest (sharp stabbing worse laying down than sitting up)
✔✔Tx for pericarditis - ✔✔Good dialysis, pain pill, anti inflammatory, antibiotics
✔✔Technician role for pericarditis - ✔✔Report chest pain to nurse
If before don't start tx till nurse assessment
Give pt full dialysis tx
