FRESENIUS ~ NOTES EXAM
QUESTIONS AND ANSWERS
Hand Hygiene - Correct Answers -wash 40-60 seconds
sanitizer 20-30 seconds
PPE includes - Correct Answers -gown, gloves, & face shield
2nd cause of ESRD - Correct Answers -Hypertension
pt need to take binders - Correct Answers -so Phosphorus doesnt build up in the
arteries and cause heart dieases
Kalemia - Correct Answers -Potassium
Hypo - Correct Answers -Low
Hyper - Correct Answers -High
2K acid bath vs 3K acid bath - Correct Answers -3K has more potassium and is used for
pt with less potassium problems
signs of to high or to low calcium - Correct Answers -tremors, weakness, muscle
cramps
What does a rise in TMP indicate - Correct Answers -Clotted fibers in the dialyzer
What does the TMP measure - Correct Answers -the pressure difference across the
membrane fibers inside the dialyzer
Monitor the pump pressure on RO - Correct Answers -Changes in pressure may affect
the water produced
the higher the acid bath - Correct Answers -the slower it takes the Potassium to level
out in the dialyser
Calcitriol - Correct Answers -active Vitamin D made by the kidney's
Arterial lines / negative pressure - Correct Answers -sucks in
Venous lines / positive pressure - Correct Answers -pushes out
, Minimum Fluid Rate should be - Correct Answers -600
the Bigger the Dialyzer - Correct Answers -the bigger the surface area
Ultrafiltration - Correct Answers -removal of fluid
crenation - Correct Answers -shrinking of a red blood cell
water follows - Correct Answers -sodium
When KECN drop 20 points or below 200 means - Correct Answers -clotting in the
dialyzer
Tachy - Correct Answers -rapid
TMP level "0" - Correct Answers -check that transducers are plugged in and unclamped
cramping - Correct Answers -pulling to much fluid to fast
Bypass - Correct Answers -still pulls fluid out, it just doesn't clean it
1st choice - Correct Answers -Fistula ~ fewer complications and last much longer
2nd choice - Correct Answers -Graft ~ artificial and is more prone to complications
3rd choice - Correct Answers -catheter ~ prone to more complications and infections
Anuerysms - Correct Answers -weakened area of internal access
sign of anuerysms - Correct Answers -Large bump at access site
infiltration - Correct Answers -when needle is pushed thru other side of wall vein
blood pump should be at _____ when priming - Correct Answers -150
the blood pump should be at what when in recirculation - Correct Answers -300-400
Thrombosis - Correct Answers -blood clot
trendelenburg position - Correct Answers -laying on back side with head lower than feet
HyperKalemia can result in - Correct Answers -Cardiac Arrhythmia , sudden cardiac
death
What alarm will not stop the blood pump - Correct Answers -Blood Pressure Alarm
QUESTIONS AND ANSWERS
Hand Hygiene - Correct Answers -wash 40-60 seconds
sanitizer 20-30 seconds
PPE includes - Correct Answers -gown, gloves, & face shield
2nd cause of ESRD - Correct Answers -Hypertension
pt need to take binders - Correct Answers -so Phosphorus doesnt build up in the
arteries and cause heart dieases
Kalemia - Correct Answers -Potassium
Hypo - Correct Answers -Low
Hyper - Correct Answers -High
2K acid bath vs 3K acid bath - Correct Answers -3K has more potassium and is used for
pt with less potassium problems
signs of to high or to low calcium - Correct Answers -tremors, weakness, muscle
cramps
What does a rise in TMP indicate - Correct Answers -Clotted fibers in the dialyzer
What does the TMP measure - Correct Answers -the pressure difference across the
membrane fibers inside the dialyzer
Monitor the pump pressure on RO - Correct Answers -Changes in pressure may affect
the water produced
the higher the acid bath - Correct Answers -the slower it takes the Potassium to level
out in the dialyser
Calcitriol - Correct Answers -active Vitamin D made by the kidney's
Arterial lines / negative pressure - Correct Answers -sucks in
Venous lines / positive pressure - Correct Answers -pushes out
, Minimum Fluid Rate should be - Correct Answers -600
the Bigger the Dialyzer - Correct Answers -the bigger the surface area
Ultrafiltration - Correct Answers -removal of fluid
crenation - Correct Answers -shrinking of a red blood cell
water follows - Correct Answers -sodium
When KECN drop 20 points or below 200 means - Correct Answers -clotting in the
dialyzer
Tachy - Correct Answers -rapid
TMP level "0" - Correct Answers -check that transducers are plugged in and unclamped
cramping - Correct Answers -pulling to much fluid to fast
Bypass - Correct Answers -still pulls fluid out, it just doesn't clean it
1st choice - Correct Answers -Fistula ~ fewer complications and last much longer
2nd choice - Correct Answers -Graft ~ artificial and is more prone to complications
3rd choice - Correct Answers -catheter ~ prone to more complications and infections
Anuerysms - Correct Answers -weakened area of internal access
sign of anuerysms - Correct Answers -Large bump at access site
infiltration - Correct Answers -when needle is pushed thru other side of wall vein
blood pump should be at _____ when priming - Correct Answers -150
the blood pump should be at what when in recirculation - Correct Answers -300-400
Thrombosis - Correct Answers -blood clot
trendelenburg position - Correct Answers -laying on back side with head lower than feet
HyperKalemia can result in - Correct Answers -Cardiac Arrhythmia , sudden cardiac
death
What alarm will not stop the blood pump - Correct Answers -Blood Pressure Alarm
