according to aami standards how often should equipment be cleaned - Answer- daily
what is the most effective treatment for muscle cramping during the treatment - Answer-
hypertonic saline in venous line
how are chloramines most effectively removed by the water system - Answer- activated carbon
what is a practical method for determining the direction of flow in a fistula or graft segment - Answer- occlude flow with one finger and determine on which side has a pulse
what is a system of water treatment that removes pyrogens as well as solutes - Answer-
reverse osmosis
which substance is omitted from the dialysate - Answer- phosphorus
how do you evaluate an internal access prior to treatment - Answer- observe for signs and symptoms of infection
which side effect may occur if the rollers of the blood pump are occluded - Answer- hemolysis
if a patient complains of a cold hand especially in the fingers the PCT should tell them what - Answer- poor blood flow to the hand
a patient is in the third hour of treatment when you notice yawning, the patient says he feels fine what is your action - Answer- check blood pressure
what is the least likely psyche action for patients - Answer- guilt
a patient complains of feeling dizzy, the PCT notes that the patient is pale and cyanotic has elevated blood pressure and respirations increase in rate in depth what is this - Answer- hypoxemia
what problem is commonly associated with recirculating systems and Central dialysate Delivery Systems - Answer- gram-negative bacterial contamination
if a patient is started on IV vitamin D what should the PCT expect - Answer- calcium and
phosphorus will increase and pth should decrease what will not improve the blood flow rate in a CVC - Answer- rotating or further inserting the catheter
your patient arrives for treatment and complains of feeling poorly. Assessment reveals increase apical pulse elevated blood pressure scattered rails and 2 + jugular vein distention. What can be anticipated during the treatment - Answer- dyspnea hypotension and cramping
who is responsible for maintaining water Purity levels for treatment - Answer- medical director
if the conductivity of one machine is not up safe limits within 15 minutes what should the
tech not investigate - Answer- temperature of incoming water
what is an acceptable volume loss in reuse dialyzers - Answer- 20%
if a recent lab shows KT over V of 1.0 what should happen - Answer- increase the treatment time
what is not true of a hepatitis B vaccine - Answer- passive Hep B immunity
checking lines for Kinks and twists helps prevent hemolysis which could result in what - Answer- hyperkalemia
three things that affect the total pressure in the blood circuit - Answer- bfr resistance to flow and needle gauge
where is the air detector monitor located - Answer- the venous blood line
which lab finding is not affected by diet and uses an indicator of renal failure - Answer- creatinine
the system in which fresh dialysis delivered in a counter current flow has a maximum gradient all treatment - Answer- recirculating system
what does Heparin do - Answer- prevents clots in dialyzer
what are the two most important factors in choosing a dialyzer - Answer- biocompatibility and membrane size
why should staff not eat or drink in the treatment - Answer- May spread infections
within the first hour treatment your patient complains of chills, decreased blood pressure
and discolored blood returning back to Patient. What do you suspect - Answer- pyrogenic reaction