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functional unit of the kidney or the structure in the kidney that does the work? Nephron The leading cause of chronic kidney disease for adults in the United States is Diabetes A nephron is made up of? A glomerulus and a tubule system Which of the following is not a symptom of uremia? (A) Elevated hematocrit * (B) decreased ability to concentrate (C) itching (D) lack of appetite Which of the following is a cause of hypo tension during and after dialysis treatme...

What is an infection? An invasion of body tissue by organisms that are invisible to the eye. Dialysis surfaces must be disinfected with what solution? 1:100 bleach solution Large blood spills over 10ml must be disinfected with what solution? 1:10 bleach solution What is Aseptic technique? Practices and procedures performed under carefully controlled conditions. Minimizing contamination by pathogens. When sterile meets sterile.. It remains sterile When ster...

What are some of the responsibilities and requirements of the medical director of a dialysis facility? Being knowledgeable of and responsible for the integrity of the water treatment system in the facility. Prior to beginning dialysis, what must the physician order include? 1. Specific Dialyzer 2. Blood Flow Rater 3. Duration of the dialysis To be eligible to sit for the Certified Clinical Hemodialysis Technicians - Advanced (CCHT-A) exam, the technician must have which of the ...

True or False: Peritoneal dialysis (PD) differs from hemodialysis in that PD access is by an intra-abdominal catheter TRUE The term :sieving coefficient of a membrane" refers to the: a. fraction of solute that passes through the membrane by convection b. amount of water required for solute drag through the membrane c. concentration of pores in the membrane d. seize of the pores in the membrane a. fraction of solute that passes through the membrane by convection Water moves f...

d. Both A and C An AV/V fistula is preferred access for hemodialysis because: a. There is a lower incidence of complications b. Surgeons are more experience and prefer creating AV fistulas c. There is a lower incidence of thrombosis d. Both A and C c. Transmembrane Pressure The pressure difference between the blood side and the dialysate side of the dialyzer is called a. Ultrafiltration Factor b. Dialysate Flow Rate c. Transmembrane Pressure d. Urea Reduction Ration b...

the function unit of the kidney, or the structure in the kidney that does the work, is the nephron the leading cause of chronic kidney disease for adults in the united states: diabetes a nephron is made up a glomerulus and a tubule system which of the following is not a symptom of uremia elevated hematocrit Mrs. smith's dry weight is 62 kg. her pretreatment weight when she came in for treatment on monday was 67kg. the priming saline amount is 240ml, fluid from me...

What are 2 main types of dialysis? Hemodialysis and peritoneal dialysis How are dialysis clinics paid by Medicare? Prospective payment system bundles What does "Pay for performance" mean Clinics that dont meet certain quality standards will have their payments cut Which of the following are dialysis clinics required to work with ESRDS networks Which of the following is a responsibility of the ERDS networks? 1. Collect and report data about dialysis 2. Handle P...

While technical staff are preforming duties in the dialysis unit which team member must always be present A. Registered nurse B. Medical director for unit C. Lab technician A. Registered nurse Two techs are heatedly discussing pt care situation. Which team member is responsible for disciplinary action A. Registered practical nurse B. Human resource manager C. Dialysis nurse manager C. Dialysis nurse manager Which credentialing agency for dialysis includes items such as wate...

Which of the following practices helps to build a patient's immunity to hepatitis B? Vaccination A patient asks the technician, "What does uremia mean?" The technician response should be based on the understanding that uremia is an increase of wasters in the blood A central venous catheter may be used as a vascular access when a patient has inadequate blood vessels in the limbs Before a dialysis treatment, the patient tells the technician, "Yesterday, I felt terrible ...

AAMI Chemical Analysis of water used for hemodialysis is tested: annually monthly semi-annually quarterly annually A 58-year old patient who is blind comes to treatment accompanied by his wife. Which of these approaches should the dialysis technician use when interacting with the patient? Avoid using phrases that refer to sight, such as "It looks like..." Describe the activities in the immediate environment Give instructions to his wife instead of him Touch th...

if a dialysis patient is very large in both stature and weight, which of the following is most likely to improve the effectiveness of hemodialysis? a. increase slat restriction b. decrease tx time c. increase dialyzer size d. change to PD C. increase dialyzer size This increases the clearance of waste products. The nephrologist prescribes the size of the dialyzer based on the patient's size and the prescribed duration of treatment. Another intervention that can increase the effectiven...

which of the following terms indicates a solution that has the same concentration of solutes as blood? isotonic a patient's potassium levels has been running high between dialysis treatment, so the patient has been working with the renal dietician to restrict potassium in the diet. which of the following fruits should the patient avoid? bananas during osmosis, which of the following movements takes place? fluid moves from an area of lower concentration to higher. a patie...

1.Which of the following best describes the reason for wearing gloves when handling machine prior to blood? a) patient comfort b) asepsis c) universal precautions d) HIV c) universal precautions 2 You test for sterilant levels in a hemodialysis machine prior to patient use. The test is positive for sterilant. This means the machine: a) is sterile & bacteria free b) needs further rinsing c) needs more sterilant d) is in conductivity b) needs further rinsing 3.Choose the...

The functional unit of the kidney, or the structure in the kidney that does the work, is the: Nephron A nephron is made up of: A glomerulus and a tubule The endocrine functions of the kidney includes: Making erythropoietin and the active form of vitamin D The leading cause of End-Stage Renal Disease for adult in the United States is: Diabetes Patients with kidney failure often complain of itching, which is likely to be caused by: Hyperphosphatemia Why do k...

Abscess An abscess is an infection under the skin. It looks lika blister or pimple filled with fluid or pus. If needles are inserted into or near an abscess, infection of a dialysis access or other tissues may occur. Access An access -vascular access- is a route into the bloodstream that allows enough blood flow for hemodialysis. For permanent access, a surgeon connects a vein to an artery. This can be done directly - fistula- or with a piece of synthetic tubing - graft. For shor...

Why is water treatment necessary for dialysis? -Patient safety *very large exposure volume *little or no renal excretion *dialyzer membrane is sole barrier -Prevent equipment damage How much water does the average person drink per week? 10-14L What is the average amount of water a dialysis patient is exposed to per week? 360L Water contaminants aluminum, chloramines, copper, and zinc can cause what symptom? Anemia Water contaminants aluminum and fluoride can c...

Invisible radiation used to alter the DNA of bacteria is provided by a UV LIGHT Wave length of UV Light is 254 Pre Filters for the Reverse Osmosis machine are sized at 5 microns A delta pressure of ____ would indicate the pre filter needed to be changed 10 The RO should produce water that meets AAME Standards Product water is called Permeate The TDS (Total Dissolve Solids) Setting on the RO should be set at ____ times the TDS reading 2 How ...

Carbon tanks Used to remove chlorine and chloramines out of the water < .01 The water post carbon tank has to be ______ total chlorine post carbon tank #1 for patients to dialyze 2nd carbon tank If carbon tank #1 limits are exceeded then a test would be performed after the _____ _______ _____. Can continue If the test results are below <.01 then patient treatment _____ ______. Process of adsorption. ( works like a sponge) How does the carbon tank remove chl...

City water entering the facility begins the ____ Pathway Fluid Optimal temp of incoming water is 77 The booster pump works together with the captive air tank to ____ Boost volume of water for use in the facility The "SMART SYSTEM" is a sodium bisulfite injection system aids ____ control and the removal of _____ pH, Chlorine What is the size of particles removed by the multi-media tanks (sediment filters) equal of less that 10 microns What do carbon tanks...

How long must a indirect feed distribution system run before you test for total chlorine ... What is a indirect distribution system This feeds RO water into storage tanks Cms requires chlorine testing when? The start of each day , the start of each shift and every four hours if your clinic does not have set shifts The chloromine level is the Difference between free chlorine and total chlorine Free chlorine ... Total Chlorine ... Why do we add an ac...