Davita PD exam review Questions &
Correct Solutions
What does DQI stand for? - ANSWER DaVita Quality Index
What is the purpose of DQI? - ANSWER It is a score/report *Create a focus on patient
outcomes that will affect patient health*
How do current outcomes affect our patients? example: peritonitis trends going up,
implementing monthly infection quiz to decrease
What does CMT stand for? - ANSWER Clinical Management Tool
What is the purpose of CMT? - ANSWER Creates a patient flowsheet that highlights
labs, treatments, etc. Used in core team meetings to identify focus/unstable patients.
How often do core team meetings occur and what tool do we use? - ANSWER Weekly
& clinical management tool (CMT)
Quick score - ANSWER reimbursement
Bundled medications - ANSWER Medicaid, some private insurance companies will pay.
Covers following:
- Access mngmt: *heparin*
- Access pain: *lidocaine/prilocaine EMLA*
- Anemia: *Epogen*
- Antibiotics PO: *Cephalexin, Cefdinir, Sulfamethaxozole/Trimethoprim, Ciprofloxacin*
- Antibiotics topical: *gentamicin, mupriocin, bactroban, anasept*
- Fluid mngmt: *Furosemide, Bumetanide, Torsemide (any duiretic w/IDE), ethacrynic
acid*
MBD: *Cincalcet, Calcitriol, Hectorol, Zemplar*
Welldyne - ANSWER dispensing pharmacy
Calcimimetics that are bundled are ordered through what? - ANSWER clinical insight
T/F: Giving patients medication from facility stock to administer at home is a violation of
the nurse's scope of practice. - ANSWER True
What electrolyte is the "driver" - ANSWER PO4
In relation to MBD labs, kidney disease causes... - ANSWER *PO4 increases* which
causes PTH to increase; causing Calcitriol to increase. *Ca will decrease* in
bones/teeth/blood and "Free" Ca will increase.
, (side note: Serum Ca is protein + free = "total "& Ionized Ca = "free" )
What does QAPI stand for? - ANSWER - Quality Assessment & Performance
Improvement
V tag purpose? - ANSWER - CMS regulations and rationales
- assisting in P&P development
The nurses responsible for home dialysis training must be... - ANSWER 12 as a RN and
3 as a modality in dialysis
Ca - ANSWER blood clotting, muscle and bone formation
Albumin > 4 can cause... - ANSWER third spacing
(side note: as Albumin decreases, serum Ca or total Ca decreases since Albumin is the
main protein Ca binds to; does bind to other anions/proteins. Remember: Total Ca=
protein bound Ca and free Ca but we cannot measure protein bound Ca b/c it is too
large so we guess the free Ca based on Albumin hence formula Ca + 0.8 (4 - serum
albumin) = ionized/corrected/free Ca)
Adynamic bone disease - ANSWER intact PTH < 150 pg/ml; post parathyroid patients
do not apply
SHAPES protocol does - ANSWER Epogen dosing
Process development - ANSWER break large tasks down, investigate and share BDP
and know what works in one area won't work in all
Hungry bone syndrome - ANSWER low Ca after prolonged time. The sudden
withdrawal of PTH stops osteoblastic bone reabsorption leading to increase bone
uptake of Ca, PO4 and Mag
Patients with low albumin may have edema w/o - ANSWER fluid overload
Hgb > 12, hold - ANSWER iron
If a patient is above target hgb and do not require ESA - ANSWER should not be
managed with IRONWORKS protocol per P&P
Iron requirements for CKD - ANSWER TSAT < 20% & ferritin < 200
TW for PD is defined as - ANSWER weight at which the patient has a *normal blood
pressure* and *no fluid in the lungs*
Correct Solutions
What does DQI stand for? - ANSWER DaVita Quality Index
What is the purpose of DQI? - ANSWER It is a score/report *Create a focus on patient
outcomes that will affect patient health*
How do current outcomes affect our patients? example: peritonitis trends going up,
implementing monthly infection quiz to decrease
What does CMT stand for? - ANSWER Clinical Management Tool
What is the purpose of CMT? - ANSWER Creates a patient flowsheet that highlights
labs, treatments, etc. Used in core team meetings to identify focus/unstable patients.
How often do core team meetings occur and what tool do we use? - ANSWER Weekly
& clinical management tool (CMT)
Quick score - ANSWER reimbursement
Bundled medications - ANSWER Medicaid, some private insurance companies will pay.
Covers following:
- Access mngmt: *heparin*
- Access pain: *lidocaine/prilocaine EMLA*
- Anemia: *Epogen*
- Antibiotics PO: *Cephalexin, Cefdinir, Sulfamethaxozole/Trimethoprim, Ciprofloxacin*
- Antibiotics topical: *gentamicin, mupriocin, bactroban, anasept*
- Fluid mngmt: *Furosemide, Bumetanide, Torsemide (any duiretic w/IDE), ethacrynic
acid*
MBD: *Cincalcet, Calcitriol, Hectorol, Zemplar*
Welldyne - ANSWER dispensing pharmacy
Calcimimetics that are bundled are ordered through what? - ANSWER clinical insight
T/F: Giving patients medication from facility stock to administer at home is a violation of
the nurse's scope of practice. - ANSWER True
What electrolyte is the "driver" - ANSWER PO4
In relation to MBD labs, kidney disease causes... - ANSWER *PO4 increases* which
causes PTH to increase; causing Calcitriol to increase. *Ca will decrease* in
bones/teeth/blood and "Free" Ca will increase.
, (side note: Serum Ca is protein + free = "total "& Ionized Ca = "free" )
What does QAPI stand for? - ANSWER - Quality Assessment & Performance
Improvement
V tag purpose? - ANSWER - CMS regulations and rationales
- assisting in P&P development
The nurses responsible for home dialysis training must be... - ANSWER 12 as a RN and
3 as a modality in dialysis
Ca - ANSWER blood clotting, muscle and bone formation
Albumin > 4 can cause... - ANSWER third spacing
(side note: as Albumin decreases, serum Ca or total Ca decreases since Albumin is the
main protein Ca binds to; does bind to other anions/proteins. Remember: Total Ca=
protein bound Ca and free Ca but we cannot measure protein bound Ca b/c it is too
large so we guess the free Ca based on Albumin hence formula Ca + 0.8 (4 - serum
albumin) = ionized/corrected/free Ca)
Adynamic bone disease - ANSWER intact PTH < 150 pg/ml; post parathyroid patients
do not apply
SHAPES protocol does - ANSWER Epogen dosing
Process development - ANSWER break large tasks down, investigate and share BDP
and know what works in one area won't work in all
Hungry bone syndrome - ANSWER low Ca after prolonged time. The sudden
withdrawal of PTH stops osteoblastic bone reabsorption leading to increase bone
uptake of Ca, PO4 and Mag
Patients with low albumin may have edema w/o - ANSWER fluid overload
Hgb > 12, hold - ANSWER iron
If a patient is above target hgb and do not require ESA - ANSWER should not be
managed with IRONWORKS protocol per P&P
Iron requirements for CKD - ANSWER TSAT < 20% & ferritin < 200
TW for PD is defined as - ANSWER weight at which the patient has a *normal blood
pressure* and *no fluid in the lungs*
