Hemodialysis Exam
Study online at https://quizlet.com/_i1dre5
1. Pre-renal causes of AKI: obstruction, volume depletion, impaired cardiac function
*any situation that decreases BF to the kidneys is considered a pre-renal cause
2. Intra-renal causes of AKI: Issues due to actual injuries to the nephrons:
Sepsis, Septic shock, Trauma,
Open heart surgery
Ischemic ATN
Glomerulonephritis
Goodpasture syndrome
Anaphylaxis drugs
3. Post-renal causes of AKI: obstruction
oliguric
bladder rupture
pregnancy
4. Difference between AKI and CKD: AKI: Eliminating the cause of AKI may lead to the return of kidney
function
CKD: Can not eliminate cause CKD which is hypertension diabetes genetic disorders
5. How to help restore kidney function of AKI patient: find the cause
6. What to consider when caring for AKI vascular access: typically a catheter; careful to avoid
catheter related infections
7. how do you protect kidneys in AKI from further injury?: avoid toxic substances such as:
radiographic contrast, amphotericin B, low dose apsrin, NSAIDS
8. What is important when monitoring weight and BP of AKI patient?: keep a little
extra fluid on them so its available to the kidneys when they start filtering/ultra-filtrating on their own
9. AKI patients are at an increased risk for which complications?: hypovolemia and
hypotension
10. What makes dialysis patients more susceptible to HAIs?: immunosuppressed and more
vulnerable to infection which leads to the 2nd most common cause death in this population
11. Why are dialysis patients at increased risk for acquiring a HAI at the facility?-
: prolonged access to patients blood especially cvc patients
12. most common transition route for HAI'S: contact
13. most important intervention for preventing HAI: hand hygiene
, Hemodialysis Exam
Study online at https://quizlet.com/_i1dre5
14. How often are machine alarm test performed: before the imitation of every treatment
15. how long can a dialyzer be set up for once recirculation is complete?: 2 hours
16. why can't a set up remain longer: the growth of bacteria
17. what is the safe dialysate pH range?: 6.9-7.6
18. what is a strikethrough of an external transducer?: when fluid could have entered the
machine and contaminated the internal pressure transducer protector allowing bacteria to grow and causing patient
blood infections
19. why is it important for teammates to know when the water treatment system
disinfection was performed?: because the end-end disinfection process will introduce disinfectant
solution to the dialysis delivery systems through their water inlet
20. what is the most common infectious complication in hemodialysis patients-
: vascular access infection
21. What germ causes the most common infections in hemodialysis patients?: -
MRSA methicillin resistant staphylococcus aureus
22. why is wearing gloves important: Reduce the risk of hand contamination and prevents the transfer
of organisms on hands
23. why do you need to perform hand hygiene after wearing gloves: gloves have micro
pores
24. OSHA V CMS: OSHA: Requires employers to provide workers with safe work environment
CMS: concerted with patient care and patient safety
25. wha are v tags and why are they so important?: they state specific regulations that must
be met within a condition such as infection control, providing interpretive guidance for each regulation and citing
deficiencies by tag#
26. Is a cleaned dialysis machine considered a 'clean' area?: no
27. when should a sharps container be replaced?: When 3/4 full
28. 3 strategies recommended by the KDOQI to decrease risk of infection when
working with a CVC: 1. use a face mask when lumens or exit site is exposed
2. wear clean gloves and avoid touching exposed or dirty surfaces
3. minimizing Catheter lumen or exit sites from being exposed
29. HBsAg: Hepatitis B surface Antigen- tested monthly for susceptible its and non responders
30. Anti-HBs: Hepatitis B surface antibody
Study online at https://quizlet.com/_i1dre5
1. Pre-renal causes of AKI: obstruction, volume depletion, impaired cardiac function
*any situation that decreases BF to the kidneys is considered a pre-renal cause
2. Intra-renal causes of AKI: Issues due to actual injuries to the nephrons:
Sepsis, Septic shock, Trauma,
Open heart surgery
Ischemic ATN
Glomerulonephritis
Goodpasture syndrome
Anaphylaxis drugs
3. Post-renal causes of AKI: obstruction
oliguric
bladder rupture
pregnancy
4. Difference between AKI and CKD: AKI: Eliminating the cause of AKI may lead to the return of kidney
function
CKD: Can not eliminate cause CKD which is hypertension diabetes genetic disorders
5. How to help restore kidney function of AKI patient: find the cause
6. What to consider when caring for AKI vascular access: typically a catheter; careful to avoid
catheter related infections
7. how do you protect kidneys in AKI from further injury?: avoid toxic substances such as:
radiographic contrast, amphotericin B, low dose apsrin, NSAIDS
8. What is important when monitoring weight and BP of AKI patient?: keep a little
extra fluid on them so its available to the kidneys when they start filtering/ultra-filtrating on their own
9. AKI patients are at an increased risk for which complications?: hypovolemia and
hypotension
10. What makes dialysis patients more susceptible to HAIs?: immunosuppressed and more
vulnerable to infection which leads to the 2nd most common cause death in this population
11. Why are dialysis patients at increased risk for acquiring a HAI at the facility?-
: prolonged access to patients blood especially cvc patients
12. most common transition route for HAI'S: contact
13. most important intervention for preventing HAI: hand hygiene
, Hemodialysis Exam
Study online at https://quizlet.com/_i1dre5
14. How often are machine alarm test performed: before the imitation of every treatment
15. how long can a dialyzer be set up for once recirculation is complete?: 2 hours
16. why can't a set up remain longer: the growth of bacteria
17. what is the safe dialysate pH range?: 6.9-7.6
18. what is a strikethrough of an external transducer?: when fluid could have entered the
machine and contaminated the internal pressure transducer protector allowing bacteria to grow and causing patient
blood infections
19. why is it important for teammates to know when the water treatment system
disinfection was performed?: because the end-end disinfection process will introduce disinfectant
solution to the dialysis delivery systems through their water inlet
20. what is the most common infectious complication in hemodialysis patients-
: vascular access infection
21. What germ causes the most common infections in hemodialysis patients?: -
MRSA methicillin resistant staphylococcus aureus
22. why is wearing gloves important: Reduce the risk of hand contamination and prevents the transfer
of organisms on hands
23. why do you need to perform hand hygiene after wearing gloves: gloves have micro
pores
24. OSHA V CMS: OSHA: Requires employers to provide workers with safe work environment
CMS: concerted with patient care and patient safety
25. wha are v tags and why are they so important?: they state specific regulations that must
be met within a condition such as infection control, providing interpretive guidance for each regulation and citing
deficiencies by tag#
26. Is a cleaned dialysis machine considered a 'clean' area?: no
27. when should a sharps container be replaced?: When 3/4 full
28. 3 strategies recommended by the KDOQI to decrease risk of infection when
working with a CVC: 1. use a face mask when lumens or exit site is exposed
2. wear clean gloves and avoid touching exposed or dirty surfaces
3. minimizing Catheter lumen or exit sites from being exposed
29. HBsAg: Hepatitis B surface Antigen- tested monthly for susceptible its and non responders
30. Anti-HBs: Hepatitis B surface antibody
