DAVITA BASIC TRAINING FINAL 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