CCHT Dialysis exam 100% SOLUTION REVISION 2023//2024

CCHT Dialysis exam 100% SOLUTION REVISION 2023//2024 What factors decrease K - ANSWER Incorrxr pump speed, low BFR Factors that influence V - ANSWER Height, weight, age, amputation, sex BFR for 17G needle - ANSWER 200-250 BFR for 16G needle - ANSWER 250-350 BFR FOR 15G needle - ANSWER 350-450 BFR for 14g needle - ANSWER 450 Post BUN lab draw steps - ANSWER Turn off UF, bring down dialysate flow rate to 50, wait 15 seconds, obtain sample form arterial port False KT/v (increase) - ANSWER BFR not decreased, did not wait 15 seconds before drawing, drew from venous line Low KT/V causes - ANSWER Diluted sample(saline) Why is weight and BP important when monitoring AKI patients - ANSWER Keep them wet so they don't dry out! AKI hypotensionepisodes due to - ANSWER Less blood flow going to the kidneys causing ischemia Why is it important to know what caused PT chronic renal failure? - ANSWER So we can treat complications and zone in on things during data collection When is a pre-treatment assessment by the licensed nurse required? - ANSWER AKI patients or state mandate DQI purpose - ANSWER A way for facilities to measure performance to improve our Pt quality of life When is it okay for a PT to be released from TX - ANSWER Evaluate effectiveness of the Tx, and compare pre Tx to post Tx 4 reasons why we document on a medical record - ANSWER 1. Proof care was rendered 2. Provides data continuity 3. Permanent legal record 4. Communication tool When to chart - ANSWER Medication given, and Pt response Times for documentation - ANSWER Pre and post tx REM may be seen on the test as - ANSWER AOR Consequence of sodium overloading - ANSWER Increased thirst, increased fluid weight gain, higher UF rate, more hypotension Foods high in phosphorus - ANSWER Chocolate, dairy products, legumes, dark pop Binders work by - ANSWER Prevention of absorption in the gut(remember magnet) Diffusion - ANSWER Higher to lower concentration (down) Osmosis - ANSWER Lower to higher, opposite of diffusion Movement of bicarb from dialysate to blood - ANSWER Helps normalize body's PH Bicarb in dialysate acts as a - ANSWER BUFFER Excretory Functions of Kidney(to get rid of) - ANSWER Normalizing electrolytes, removing waste and fluid Conditions for coverage - ANSWER A CMS regulation that the dialysis provider must meet A surveyor sees a covered vascular access, and this can result in a - ANSWER IJ(immediate jeopardy) What precautions do you take when handling lab specimens - ANSWER Universal precautions(everything is infectious) Lavender tubes - ANSWER Inverted, no clotting, no shaking What do you do if a tube breaks in the centrifuge? - ANSWER Take sleeve out, remove opposing sleeve Importance of V tags - ANSWER Infection control, CMS regulation Most frequent infectious complicaitons - ANSWER Vascular access infection Most common germ we experience - ANSWER MRSA Why do we wear gloves? - ANSWER Reduces risk of hand contamination Why prefor