AKI
3 examples of post-renal causes of Bladder or ureteral malignancy, kidney stones, benign prostatic
AKI hyperplasia
3 examples of pre-renal causes of Volume depletion (hemorrhage, burns), decrease in cardiac output, renal
AKI vascular obstruction
many citations in one area, must be corrected within 30-90 days;
3 types of CMS deficiencies:
Condition potential for decertification
potential for or actual harm to patients. survey/dialysis may stop until
3 types of CMS deficiencies:
Immediate jeopardy immediate correction
Failure to meet the regulations in one or more areas
3 types of CMS deficiencies:
Standard
3 words for access evaluation Look, Listen, Feel
5 stages of grief denial, anger, bargaining, depression, acceptance
Acceptable level for Dialysate 0.25 Eu/ml
endotoxin testing results
Below 50 cfu/ml
Acceptable level for Water/dialysate
culture results
, 0.12 Eu/ml
Acceptable level for water
endotoxin testing results
0.1 mg/L or less
Acceptable result for
chlorine/chloramine testing
Repeat the test if still too high, move on to secondary post test
Action if results are too high post
primary tank for
chlorine/chloramine testing
0.25 Eu/ml to less than 0.50 Eu/ml
Action level for Dialysate endotoxin
testing results
50-99 cfu/ml
Action level for Water/dialysate
culture results
0.12 Eu/ml to less than 0.25 Eu/ml
Action level for water endotoxin
testing results
completed all competencies on NFACT skills checklist + expert
Advanced Cannulator for NFACT assessment & cannulations skills documented
Hyper fatty soaps and lotion, emotional support
Advice for a pt that complains of
dry, itchy skin
unarmed air detector, empty saline bag, leak or loose connection,
air embolism causes unclamped catheter lumans
air bubbles enter the blood stream and are carried to a vessel small
Air embolism definition enough to be blocked by the air
Place pt in trendelenburg position (left hand side), observe and treat
Air embolism Intervention symptoms, give oxygen
, visible air in venous line, chest tightness or pain, dyspnea and coughing,
Air embolism symptoms cyanosis
AKI pts are at increased risk for hypovolemia (loss of fluid volume in blood) which leads to hypotension
which complications?
Aluminum in water used for Nausea/vomiting, anemia, and bone disease
dialysis causes
ETO allergy, reacting to germicide in blood line, medication
symptoms: tachycardia hives, wheezing, low back pain, periorbital
Anaphylaxis causes and symptoms edema, chest tightness
Anaphylaxis definition rapid severe immune response to an allergy (allergic reaction)
ensure vancomycin allergy is marked in chart, always check for
Anaphylaxis prevention allergies before administering meds
Anti-HBcIgM Hepatitis B Core antibody IgM; Antibodies from getting disease
Anti-HBs Hepatitis B Surface antibody; Antibodies come from vaccine
statistic line (e line) that you're getting in every 30 min.
Appropriate times for observations
during treatment
after treatment
Appropriate times for post-
treatment data collection/assessment
, prior to treatment
Appropriate times for pre-treatment
patient data collection
Appropriate times for pre-treatment Prior to treatment
safety checks
28 days
At what time are medications
containing a preservative discarded?
< 6 months of experience, < 10 successful cannulations on established
Beginner cannulator for NFACT fistula
Loss of blood
Blood Loss definition and cause cause: dislodgment of needle, clotted symptoms
1.5 inches away from needle tips
Cannulation rules for distance
between needle tips
cannulation rules for distance from 1.5 inches away from anastomosis
anastomosis
Cannulation rules for evaluation of check the thrill and bruit; look, listen, feel
blood flow
cannulation rules for flipping the not necessary because the arterial needle has a back eye
needle/complications