DAVITA -QUESTIONS WITH 100% VERIFIED
ANSWERS
acute kidney injury - ✔✔*AKI*
- includes AKI + less catastrophic renal function changes
yes - ✔✔can AKI patients dialyze in out-patient facilities?
pre-renal AKI causes - ✔✔Caused by:
obstruction
volume depletion
impaired cardiac function
intra-renal AKI causes - ✔✔Caused by:
ischemic ATN
sepsis
SIRS
septic shock
anaphylaxis drugs
goodpasture syndrome
acute glomerulonephritis
trauma
open heart surgery
post-renal AKI causes - ✔✔caused by:
,obstruction
oliguric
bladder rupture
pregnancy
finding the cause - ✔✔what can help restore kidney function of an AKI patient in an out-
patient facility
avoid toxic substances - ✔✔how do you protect kidneys from further injury?
true - ✔✔when monitoring weight and BP in an AKI pt, it is important to keep a little extra
fluid on them so it is available to the kidneys when they start filtering/ultrafiltering on their
own (t/f)
hypovolemia and hypotension - ✔✔AKI pts are at an increased risk for which complications?
true - ✔✔AKI patients will typically have a dialysis catheter (t/f)
no - ✔✔can you eliminate the cause of CKD?
CKD common causes - ✔✔hypertension
diabetes mellitis
genetic disorders (PKD)
CKD treatment goals - ✔✔- slow the progression
- manage comorbidities and complications
- control symptoms
,- minimize effects of pt lifestyle
- renal replacement therapy
- encourage pts to actively participate in their healthcare
clearance of urea - ✔✔"K" in Kt/V
decreases clearance of urea (K) - ✔✔- inadequate coagulation
- decreased BFR
- poor priming
- not following P&P
- pt not staying on tx for prescribed time
increases clearance of urea (K) - ✔✔- increased BFR
- correct DFR
- correct dialyzer
- correct target weight
- amaputation factor
time of dialysis session - ✔✔"t" in Kt/V
influences time of dialysis session (t) - ✔✔- running prescribed tx time
- getting off tx early
- missing tx
- following physician orders
volume of urea distribution in pts body - ✔✔"V" in Kt/V
, influences volume of urea distribution - ✔✔amputation
age
height
sex
access type *(bad access = decreased volume)*
200-250 - ✔✔17 gauge BFR range
250-350 - ✔✔16 gauge BFR range
350-450 - ✔✔15 gauge BFR range
>450 - ✔✔14 gauge BFR range
post BUN lab draw procedure - ✔✔1. turn off UFR or decrease to 50
2. decrease DFR to 300 or put in bypass
3. decrease BFR to 100
4. wait 15 secs (all access types) and draw ptt
Lab draw mistakes that would falsely increase Kt/V - ✔✔- drawing without lowering BFR
- drawing from the venous line
- not waiting full 15 seconds
lab draw mistakes that would falsely decrease Kt/V - ✔✔- Diluting pre tx arterial BUN sample
with saline
- waiting longer than 15 seconds to draw sample
ANSWERS
acute kidney injury - ✔✔*AKI*
- includes AKI + less catastrophic renal function changes
yes - ✔✔can AKI patients dialyze in out-patient facilities?
pre-renal AKI causes - ✔✔Caused by:
obstruction
volume depletion
impaired cardiac function
intra-renal AKI causes - ✔✔Caused by:
ischemic ATN
sepsis
SIRS
septic shock
anaphylaxis drugs
goodpasture syndrome
acute glomerulonephritis
trauma
open heart surgery
post-renal AKI causes - ✔✔caused by:
,obstruction
oliguric
bladder rupture
pregnancy
finding the cause - ✔✔what can help restore kidney function of an AKI patient in an out-
patient facility
avoid toxic substances - ✔✔how do you protect kidneys from further injury?
true - ✔✔when monitoring weight and BP in an AKI pt, it is important to keep a little extra
fluid on them so it is available to the kidneys when they start filtering/ultrafiltering on their
own (t/f)
hypovolemia and hypotension - ✔✔AKI pts are at an increased risk for which complications?
true - ✔✔AKI patients will typically have a dialysis catheter (t/f)
no - ✔✔can you eliminate the cause of CKD?
CKD common causes - ✔✔hypertension
diabetes mellitis
genetic disorders (PKD)
CKD treatment goals - ✔✔- slow the progression
- manage comorbidities and complications
- control symptoms
,- minimize effects of pt lifestyle
- renal replacement therapy
- encourage pts to actively participate in their healthcare
clearance of urea - ✔✔"K" in Kt/V
decreases clearance of urea (K) - ✔✔- inadequate coagulation
- decreased BFR
- poor priming
- not following P&P
- pt not staying on tx for prescribed time
increases clearance of urea (K) - ✔✔- increased BFR
- correct DFR
- correct dialyzer
- correct target weight
- amaputation factor
time of dialysis session - ✔✔"t" in Kt/V
influences time of dialysis session (t) - ✔✔- running prescribed tx time
- getting off tx early
- missing tx
- following physician orders
volume of urea distribution in pts body - ✔✔"V" in Kt/V
, influences volume of urea distribution - ✔✔amputation
age
height
sex
access type *(bad access = decreased volume)*
200-250 - ✔✔17 gauge BFR range
250-350 - ✔✔16 gauge BFR range
350-450 - ✔✔15 gauge BFR range
>450 - ✔✔14 gauge BFR range
post BUN lab draw procedure - ✔✔1. turn off UFR or decrease to 50
2. decrease DFR to 300 or put in bypass
3. decrease BFR to 100
4. wait 15 secs (all access types) and draw ptt
Lab draw mistakes that would falsely increase Kt/V - ✔✔- drawing without lowering BFR
- drawing from the venous line
- not waiting full 15 seconds
lab draw mistakes that would falsely decrease Kt/V - ✔✔- Diluting pre tx arterial BUN sample
with saline
- waiting longer than 15 seconds to draw sample
