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Exam (elaborations)

Davita Exam Module 1 With 100% Correct Answers 2024

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Davita Exam Module 1 With 100% Correct Answers 2024 What are the 4 transport mechanisms in hemodialysis? - answerUltrafiltration, Convection, Diffusion, and Osmosis What is Ultrafiltration? - answerfluid is pushed through semi-permeable membrane What is Convection? - answerfluid drags solutes across the semi-permeable membrane What is Diffusion? - answerparticles moving from high to low concentration What is Osmosis - answerfluid is moving from low to high concentration What are the kidneys excretory functions? - answerTo normalize electrolytes, remove wastes, provide fluid and acid base balance How do we replace normal excretory kidney functions? - answernormalize electrolytes by using acid concentrate and provide fluid balance through ultrafiltration What is the function of the acid concentration? - answercreates concentration gradient for diffusion and helps normalize electrolytes/ What is the function of bicarbonate in the dialysate solution? - answerbuffers acid concentration What is the function of bicarbonate when it diffuses into the patient's blood? - answerNormalizes body pH What are the signs and symptoms of hyperkalemia? - answerextreme muscle weakness, abnormal heart rhythm and poss cardiac arrest (>5.5 mEq) What are the signs and symptoms of hypokalemia? - answerfatigue, muscle weakness, respiratory failure, cardiac instability, arrhythmias, and cardiac arrest (<3.5 mEq) What is normal blood pH range? - answer7.35-7.45 What are the kidneys endrocrine functions? - answerRenin secretion, erythropoietin, and vitamin D activation How do we replace normal endocrine kidney functions? - answerWe provide medications What is Chronic Kidney Disease? - answerabnormalities of kidney structure or function present for more than 3 months How much of normal kidney function is replaced by hemodialysis? - answerabout 15% What is uremia and how does it affect the body? - answerbuildup of wastes in the blood due to kidney failure and affects all body systems What are the most common causes of CKD in the USA? - answerDiabetes Hypertension Polycystic Kidney Disease Outline the treatment goals for a patient with CKD - answer-slowing the progression of ckd -managing comorbidities and complications -controlling symptoms -minimizing the effects of ckd on patients' lifestyles -kidney replacement therapy modality education -encouraging patients to actively participate in their healthcare Why is it so important to know what caused your patient's CKD? - answerso we can inquire about possible problems during data collection and assessment Signs and symptoms of fluid imbalance - answerHypertension Edema Shortness of Breath Why is sodium balance important? - answerLeads to Volume Expansion, increased CO, increased peripheral vascular resistance, and increased BP What would you advise for a patient who complains of dry, itchy skin? - answerhyper-fatted soaps and lotions What would you advise for a patient who complains of Peripheral Neuropathy? (nerve pains in extremities) - answermonitor for change in motor function, decrease strength in legs. burning feet, restless legs. tell not to walk barefoot and have good fo

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