HYPER DIALYSIS BONENT REVIEW QUESTIONS WITH COMPLETE ANSWERS GRADED TO PASS

According to aami standards how often should equipment be cleaned - daily What is the most effective treatment for muscle cramping during the treatment - hypertonic saline in venous line How are chloramines most effectively removed by the water system - activated carbon What is a practical method for determining the direction of flow in a fistula or graft segment - occlude flow with one finger and determine on which side has a pulse What is a system of water treatment that removes pyrogens as well as solutes - reverse osmosis Which substance is omitted from the dialysate - phosphorus How do you evaluate an internal access prior to treatment - observe for signs and symptoms of infection Which side effect may occur if the rollers of the blood pump are occluded - hemolysis If a patient complains of a cold hand especially in the fingers the pct should tell them what - poor blood flow to the hand A patient is in the third hour of treatment when you notice yawning, the patient says he feels fine what is your action - check blood pressure What is the least likely psyche action for patients - guilt A patient complains of feeling dizzy, the pct notes that the patient is pale and cyanotic has elevated blood pressure and respirations increase in rate in depth what is this - hypoxemia What problem is commonly associated with recirculating systems and central dialysate delivery systems - gram-negative bacterial contamination If a patient is started on iv vitamin d what should the pct expect - calcium and phosphorus will increase and pth should decrease What will not improve the blood flow rate in a cvc - rotating or further inserting the catheter Your patient arrives for treatment and complains of feeling poorly. Assessment reveals increase apical pulse elevated blood pressure scattered rails and 2 + jugular vein distention. What can be anticipated during the treatment - dyspnea hypotension and cramping Who is responsible for maintaining water purity levels for treatment - medical director If the conductivity of one machine is not up safe limits within 15 minutes what should the tech not investigate - temperature of incoming water What is an acceptable volume loss in reuse dialyzers - 20% If a recent lab shows kt over v of 1.0 what should happen - increase the treatment time What is not true of a hepatitis b vaccine - passive hep b immunity Checking lines for kinks and twists helps prevent hemolysis which could result in what - hyperkalemia Three things that affect the total pressure in the blood circuit - bfr resistance to flow and needle gauge Where is the air detector monitor located - the venous blood line Which lab finding is not affected by diet and uses an indicator of renal failure - creatinine The system in which fresh dialysis delivered in a counter current flow has a maximum gradient all treatment - recirculating system What does heparin do - prevents clots in dialyzer