DAVITA QUESTIONS WITH CORRECT AND COMPLETE ANSWERS RATED A+

Ultrafiltration - When you add pressure removal by manipulation of hydrostatic pressure Diffusion - Higher concentration to lower concentration solutes Osmosis - Lower solute to highersolute fluids Dialysate - Dialysis quality water plus acid plus bicarb Counter current flow - Blood and dialysate flow in opposite directions Bicarb - How do you help with acidosis BUN - Waste products from protein metabolism Creatinine - Waste products from muscle metabolism Bicarb - HD helps normalize body PH through the diffusion of this from dialysate into the blood 15 - HD replaces what percent of normal kidney function Hypotension - This is 10 times more likely with LVH Hyperkalemia - Widening EKG cardiac arrest Autonomic neuropathy - Not responding as quickly because of this Parathyroidectomy - Need calcium supplement if you have this procedure done Phosphorus binders - These have to be given with meals A higher mortality rate - Preventing hypotension episodes during the dialysis treatment is important because they are associated with Wet - Are AKI patients better WET or too dry? Acute tubular necrosis - Most common cause of intra renal Oliguric - May experience excessive diuresis to the point of volume depletion if fluid and electrolyte replacement are inadequate Diabetes - Most common cause of CKD True - T or F Tubular draws have to be drawn in a certain order 15 - How many seconds do you wait bun lab draw post for AVF AVG and CVC From arterial line False positive - If you exceed the blood amount it can create a Dialysis - What needs to be written on tube draw if occurs during treatment 2 hours - When do you draw labs after dialysis Hand hygeine - The single most important way to prevent HAI Several days - How long does MRSA survive on plastic and vinyl 60-70% - How much alcohol is in sanitizer to be effective Catheters - Staph and bacteremia most common cause in dialysis True - T or F if patients refuse gloves when holding pressure we hold it for them Documentation and infection control - What are the two methods of training and education provided to know? Hub and migration of skin - Two most common routes of CVC infection