Answers 100% Pass
What does kidneys do ? - ✔✔Remove water and waste - kidneys, test, and filter each
drop of blood and waste and extra water to the bladder as urine
Keep salt and other electrolytes in valance - electrolytes carry signals between nerves
and muscles
Control blood pressure - kidneys keep water/salt and balance and make an enzyme
called Renin that can raise blood pressure if it drops too low
Keeps bone strong - kit needs help convert vitamin D into an active form ( calcitrol ) So
calcium can be absorbed
Maintain acid base balance - kidneys help keep our blood and bodies at the pH level
that lets our organs work as well as possible
Helping ensure the right level of red blood cells - kidney sense if there are enough red
blood cells in the blood, not enough? They send a hormone erythropoietin to the bone
marrow to make more
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,What happens during a dialysis session? - ✔✔A blood pump pulls blood out of the
patient through one needle (arterial) and pushes it to a dialyzer.
Inside the dialer, blood is filter and cleaned: waste and water passes out of the blood
through hollow hair, like fiber in the dialyzer and into a cleaning fluid called dialysis
Then the blood goes back to the patient through another needle ( Venus )
Used dialysate is sent to the drain
The dialysis machine sets the rate of blood flow and mixes purified, water concentrates
to make and deliver dialysate. There are many safety checks and alarms in the machine
to make sure that the treatment is is being done right
What is Medicare and stage renal disease program? - ✔✔This program gives coverage
to patient who have worked enough to qualify for Social Security or to their
dependence
What are the different parts of Medicare? - ✔✔Medicare part a - covers hospitalizations
and is free for those who qualify
Medicare part B - outpatient care such as dialysis. Patient must pay a premium for part
B.
Medicare part D - pays for medication
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, Patient need to have a second health plan along with Medicare, such as Medicaid or
Medigap, to pay the balance that Medicare does not cover
Cms makes rules for ? - ✔✔CMS makes rolls that all dialysis clinics must follow if they
want to be paid. These rules are called the conditions for coverage for in stage renal
disease facilities.
What if some patients have employer group health plans? - ✔✔Some patients have
employer group health plans through their own job or a spouses job. Employee group
health plans are primary, they pay first for the first 30 months after a patient can get
Medicare. Medicare is secondary during those 30 months and May pay some all of what
employer group health plans don't cover
After the 30 months are up the insurance coverage switches, Medicare becomes primary
and employer group health plans a secondary. Group health plans tend to pay much
more than Medicare. This means that dialysis clinics can bring in more revenue. ( I
think the are called commercial pts )
When does Medicare start to pay? - ✔✔Patients who don't have Medicare when they
start dialysis must wait three months for it to start to pay if they do end center dialysis
If they train for PD/home therapies, Medicare starts to pay on the first day of their
month of dialysis
Medicare will also pay for a kidney transplant and three years post transplant care as
well, if three years after a successful transplant, Medicare will stop in the patient will
need other health insurance
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