Ccht Exam Latest Update 2023

CCHT EXAM LATEST UPDATE 2023 Adequacy of dialysis( monthly) - 96% or greater KV/T ( monthly) - greater or equal to 1.2 URR (monthly) - greater or equal 65% Calcium (LEVEL monthly) - greater or equal 60% Phosphorus (monthly) - less than or equal to 55% Glomnular filtration rate - S1 90% change in diet S2 60-89% no erythroprotein production S3 30-59% vascular access S4 15-29% symptomatic S5 15% began dialysis HEMOGLOBIN - 10-12 G/DL HEMOCRIT - 30-36% GLUCOSE - 65-110 PLASMA INTACT PTH - 150-300 PG/ML UREMIA - BUILD UP OF WASTE B.U.N - 60-80 G/DL CREATININE - 2-15 MG/DL MALES= 0.5-1.5 FEMALES=0.5-1.3 CHANGES=MUSCLE MASS OR DOSE HAS CHANGE SODIUM NA+ - 135-143 HIGH NA+ = EXCESSIVE THIRST GIVEN=PASSING OUT, DIZZY, CRAMPING ALWAYS LOWER @ END TO TAKE NA+ BACK OUT TO PREVENT LOW BP TO REMOVE MORE H20 ADD MORE SALT POTASSIUM K+ - 3.5 -6 HIGH k+= DEATH OR IMMEDIATE DIALYSIS CAN BRING BLOOD LEVEL BACK TO NORMAL HIGH K+ FOODS =Odos PHOSPHORUS - 3.5-5.5 HIGH PHOS=HEART STOP & PERICARDITIS HIGH (P) Foods= bone muscle&joint pain MAGNESIUM MG+ - 1.7-2.5 CALCIUM CA+ - 8.4-9.5 CONTROLS BLOOD CLOTTING SERRIN FERRETIN IRON - 200 NG/DL MEN 12-300 FEMALE12-150 TRANSFERRIN - 20-50% ALBUMIN - GREATER THAN 4.0 ( 3.5-5.0) = MALNURISHED PARATHYROID HORMONE - 150-300 PG/DL HIGH PTH= OSTEODYSTROPHY=BRITTLE BONES BLOOD & PH - 7.4 ADULTS= 2.7-3 LITERS 7-8% BODY WEIGHT ANEMIA - SHORTAGE OF RBC'S LOW HEMOGLOBIN LEAD TO LVH LESS THAN 6 = BLOOD TRANSFUSION CALCITROL - ACTIVE FORM OF VITAMIN D HIGH CA+ = HEART ATTACK FLUID OVERLOAD - = LEFT VENTRICE HYPERTROPHY =DEATH TEMPERATURE - TOO HOT= HEMOLYSIS TOLD COLD= SLOW DIFFUSION DIFFUSION - REMOVES SOLUTES OUT BLOOD SOLUTES WILL MOVE UNTIL THEIR EQUAL OSMOSIS - PULL H2O OUT OF BLOOD