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PCT Fresenius exam | LATEST UPDATED|150 ACTUAL EXAM COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED | ALREADY GRADED A+

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PCT Fresenius exam | LATEST UPDATED|150 ACTUAL EXAM COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED | ALREADY GRADED A+

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PCT Fresenius exam | 2025-2026 LATEST UPDATED|150 ACTUAL EXAM

COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT |

100% VERFIED | ALREADY GRADED A+

What are the functions of a healthy kidney? - (answer)REGULATE, SYNTHESIS,

ENDOCRINE:

Regulate fluid balance, blood volume, electrolytes, acid-base balance, synthesize

calcitrol (active vitamin D), secrete erythropoietin and release renin




what is the glomerular filtration rate in the five stages of kidney disease? -

(answer)flow rate of filtered fluid through the kidney




stage 1: 90+

stage 2:60-89

stage 3: 30-59

stage 4: 15-29

stage 5: <15

,what are the types and stages of kidney failure? - (answer)acute renal failure:

sudden onset, severe, usually reversible. can be caused by drug toxicity,

dehydration, or motor vehicle accident




Chronic renal failure: slow onset, progressive, permanent. can be caused by

diabetes, hypertension, or genetic disease such as glomerulonephritis or

nephrosclerosis




what are the signs and symptoms of renal failure or uremia? - (answer)elevated

serum levels of BUN/Creatinine, phosphorus, potassium. anemia, nerve damage,

yellow-gray appearance of skin, fluid overload, dyspnea, edema, hypertension,

proteinuria, uremia, lethargy, weakness, headache, itching, fatigue, nausea

restlessness, mental change, loss of appetite.




what is anemia and how is it treated? - (answer)lack of RBC (decreased or lack of

erythropoietin production). iron binds with hemoglobin in RBC and transports

oxygen. it is treated using erythropoieting stimulating agents and usually

administered IV.

,which of the functions of healthy kidneys are replaced by dialysis? -

(answer)removal of waste products and regulation of fluid balance. dialysis does

not regulate endocrine production




list briefly and describe three modalities of treatment for end stage renal disease -

(answer)Hemodialysis: uses vascular access to draw blood from patient and send to

dialyzer and into semipermeable membrane where diffusion removes waste

products and ultrafiltration removes fluid. provides approximately 15% of the

normal function of the kidney.

peritoneal dialysis: continuous cycling peritoneal dialysis and continuous

ambulatory peritoneal dialysis. both types use permanent catheter in highly

vascularized peritoneal cavity. dialysate is infused into peritoneal space and

allowed to dwell and then drained. excess fluid and waste is removed through

osmosis and diffusion




what is the difference between hemodialysis and peritoneal dialyisis? -

(answer)Hemo: outpatient, dialyzer is used to remove waste from blood via

diffusion and fluid is removed through ultra filtration.

, peritoneal: home setting, peritoneal membrane is the semipermeable membrane

that filters waste and fluid removal occurs via osmotic pressure and concentration

gradients caused by the dextrose solution and dwell times.




when is it known that a patient has developed sensitivity to a dialyzer? -

(answer)seen within the first half hour of treatment. sneezing, itching, pain at

access site, chest pain, rashing, hives, fever are symptoms.




alarm conditions - (answer)Blood: blood leak, air detector, venous/arterial

pressure, TMP. stops the blood pump therefor blood is not cleaned and no

ultrafiltration. potential for clotting due to stagnant blood

Dialysate: conductivity high/low, temperature. dialysate goes into bypass so no

cleaning of blood. uf continues.




what are the body fluid compartments? - (answer)50-70% of body is water.

intracellular, extracellular, intravascular, interstitial.

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