DaVita PCT Training Exam (Final Exam for STAR Program)
Already Graded A
What is adequacy? - ANSWER>>-How well dialysis tx is working
-measured by green post BUN lab
- Kt/V goal is 1.2 or 65%
What affects Kt/V? - ANSWER>>- time of tx
-frequency of tx
-increasing BFR and DFR increase Kt/V
Needle gauge sizes vs. BFR - ANSWER>>- 17g=200-250
- 16g = 250-350
- 15g = 350-450
- 14g = 450 and ^
procedure for post BUN lab draw - ANSWER>>turn off UF
DFR to 300
decrease BFR to 100 ml/pm
WAIT 15 SEC.
draw from arterial line port
What causes Kt/V to be falsely high? - ANSWER>>if you take it before waiting the full 15
secs
what causes kt/v to be falsely low? - ANSWER>>if you wait longer than 15 sec to take it
, Consideration for pt with AKI - ANSWER>>don't want them too dry; better to leave them
with a little extra fluid than to take too much off
CKD vs AKI - ANSWER>>CKD = longstanding disease to the kidneys leading to renal
failure
AKI = abrupt decrease in renal function; kidney function can return but not at 100%...can
also lead to CKD
why is it important to know each pt primary dx? - ANSWER>>so you know how to
monitor and treat each pt specifically
what is a fever? - ANSWER>>anything above 100 F or 2 degrees above baseline temp
What can cramping cause? - ANSWER>>low bp (hypotension)
normal chlorine check result - ANSWER>>< 0.1 ppm
what does chlorine in blood cause? - ANSWER>>hemolysis
how can you tell that hemolysis is occurring? what do you do? - ANSWER>>-blood is
bright red (cherry kool-aid colored)
- you would stop tx and NOT return pt blood
What do you do if a pt starts seizing? - ANSWER>>
why do we recirc machines? - ANSWER>>to get rid of any air in lines
what do you do if a pt has an air embolism? - ANSWER>>left side trendelenburg
position
Already Graded A
What is adequacy? - ANSWER>>-How well dialysis tx is working
-measured by green post BUN lab
- Kt/V goal is 1.2 or 65%
What affects Kt/V? - ANSWER>>- time of tx
-frequency of tx
-increasing BFR and DFR increase Kt/V
Needle gauge sizes vs. BFR - ANSWER>>- 17g=200-250
- 16g = 250-350
- 15g = 350-450
- 14g = 450 and ^
procedure for post BUN lab draw - ANSWER>>turn off UF
DFR to 300
decrease BFR to 100 ml/pm
WAIT 15 SEC.
draw from arterial line port
What causes Kt/V to be falsely high? - ANSWER>>if you take it before waiting the full 15
secs
what causes kt/v to be falsely low? - ANSWER>>if you wait longer than 15 sec to take it
, Consideration for pt with AKI - ANSWER>>don't want them too dry; better to leave them
with a little extra fluid than to take too much off
CKD vs AKI - ANSWER>>CKD = longstanding disease to the kidneys leading to renal
failure
AKI = abrupt decrease in renal function; kidney function can return but not at 100%...can
also lead to CKD
why is it important to know each pt primary dx? - ANSWER>>so you know how to
monitor and treat each pt specifically
what is a fever? - ANSWER>>anything above 100 F or 2 degrees above baseline temp
What can cramping cause? - ANSWER>>low bp (hypotension)
normal chlorine check result - ANSWER>>< 0.1 ppm
what does chlorine in blood cause? - ANSWER>>hemolysis
how can you tell that hemolysis is occurring? what do you do? - ANSWER>>-blood is
bright red (cherry kool-aid colored)
- you would stop tx and NOT return pt blood
What do you do if a pt starts seizing? - ANSWER>>
why do we recirc machines? - ANSWER>>to get rid of any air in lines
what do you do if a pt has an air embolism? - ANSWER>>left side trendelenburg
position
