FRESENIUS WATER TREATMENT
EXAM, FRESENIUS HEMODIALYSIS
STUDY GUIDE
Types of water sources? - Correct Answers -Surface and Ground
Examples of surface water? - Correct Answers -lakes, streams, rivers, reservoirs
Examples of ground water? - Correct Answers -Wells, springs
FMC follows water quality standards according to who's standards? - Correct Answers -
AAMI
Bone disease can be caused by ________ in product water? - Correct Answers -
Aluminum
Aluminum in product water put the patient at risk for ________? - Correct Answers -
Anemia
Aluminum, chloramphenicol, copper or zinc may cause _______ when present in water
used for dialysis? - Correct Answers -Hemolysis
The presence of bacteria in the bloodstream is? - Correct Answers -Sepsis
Parts of a bacteria cell wall, released from dead bacteria is? - Correct Answers -
Endotoxin
What are characteristics of bacteria/viruses? - Correct Answers -1. Grows rapidly
2. Too large to cross an intact dialysis membrane, but can cross a damaged/torn
membrane
3. May produce endotoxins or biofilm
Safe range for total chlorine is? - Correct Answers -Less than 0.1 ppm (0.00-0.09 ppm)
A serious side effect if chlorine crosses the dialyzer membrane is? - Correct Answers -
Hemolysis
, Chloramphenicol is a combination of ________ and _________ ? - Correct Answers -
Chlorine and Ammonia
Chlorine and chloramphenicol are added to city water for what reason? - Correct
Answers -To reduce or eliminate bacteria
A patient complication due to the exposure of blood to chlorine an chloramines is? -
Correct Answers -Hemolysis
Examples of the symptoms the patient might experience from Hemolysis. - Correct
Answers -1. Chest pain
2. Shortness of breath
3. Cherry pop red / translucent blood
Where does the water pathway start in the dialysis facility? - Correct Answers -City
Water Inlet
The first piece of equipment that the water goes through in the dialysis facility is the? -
Correct Answers -Backflow Preventer
What is the function of the backflow preventer? - Correct Answers -Prevents water from
flowing back into the city's water suppl.
The recommended water temperature for ideal RO operation is? - Correct Answers -77
degrees F
What is the function of the water booster pump? - Correct Answers -Boosts incoming
city water pressure
What is the function of the Captive Air Tank (bladder tank)? - Correct Answers -Help
maintain a minimum pressure
What is the function of the Chemical Feed pump? - Correct Answers -Help adjust the
pH level of the water
What is the function of the Sediment Filters? - Correct Answers -Removes larger
particles from the incoming water
What is the function of the multimedia filter? - Correct Answers -Removes particles 10
microns in size or larger
What is the size of particulate matter removed by the multimedia filter? - Correct
Answers -10
What is the function of the Carbon Filter/Tank? - Correct Answers -To remove chlorine
and Chloramines and other organic materials.
EXAM, FRESENIUS HEMODIALYSIS
STUDY GUIDE
Types of water sources? - Correct Answers -Surface and Ground
Examples of surface water? - Correct Answers -lakes, streams, rivers, reservoirs
Examples of ground water? - Correct Answers -Wells, springs
FMC follows water quality standards according to who's standards? - Correct Answers -
AAMI
Bone disease can be caused by ________ in product water? - Correct Answers -
Aluminum
Aluminum in product water put the patient at risk for ________? - Correct Answers -
Anemia
Aluminum, chloramphenicol, copper or zinc may cause _______ when present in water
used for dialysis? - Correct Answers -Hemolysis
The presence of bacteria in the bloodstream is? - Correct Answers -Sepsis
Parts of a bacteria cell wall, released from dead bacteria is? - Correct Answers -
Endotoxin
What are characteristics of bacteria/viruses? - Correct Answers -1. Grows rapidly
2. Too large to cross an intact dialysis membrane, but can cross a damaged/torn
membrane
3. May produce endotoxins or biofilm
Safe range for total chlorine is? - Correct Answers -Less than 0.1 ppm (0.00-0.09 ppm)
A serious side effect if chlorine crosses the dialyzer membrane is? - Correct Answers -
Hemolysis
, Chloramphenicol is a combination of ________ and _________ ? - Correct Answers -
Chlorine and Ammonia
Chlorine and chloramphenicol are added to city water for what reason? - Correct
Answers -To reduce or eliminate bacteria
A patient complication due to the exposure of blood to chlorine an chloramines is? -
Correct Answers -Hemolysis
Examples of the symptoms the patient might experience from Hemolysis. - Correct
Answers -1. Chest pain
2. Shortness of breath
3. Cherry pop red / translucent blood
Where does the water pathway start in the dialysis facility? - Correct Answers -City
Water Inlet
The first piece of equipment that the water goes through in the dialysis facility is the? -
Correct Answers -Backflow Preventer
What is the function of the backflow preventer? - Correct Answers -Prevents water from
flowing back into the city's water suppl.
The recommended water temperature for ideal RO operation is? - Correct Answers -77
degrees F
What is the function of the water booster pump? - Correct Answers -Boosts incoming
city water pressure
What is the function of the Captive Air Tank (bladder tank)? - Correct Answers -Help
maintain a minimum pressure
What is the function of the Chemical Feed pump? - Correct Answers -Help adjust the
pH level of the water
What is the function of the Sediment Filters? - Correct Answers -Removes larger
particles from the incoming water
What is the function of the multimedia filter? - Correct Answers -Removes particles 10
microns in size or larger
What is the size of particulate matter removed by the multimedia filter? - Correct
Answers -10
What is the function of the Carbon Filter/Tank? - Correct Answers -To remove chlorine
and Chloramines and other organic materials.
