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Davita PD exam review Questions with complete Answers
Davita PD exam review Questions with complete Answers
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Davita PD exam review Questionswith complete Answers
What does DQI stand for? - -DaVita Quality Index
-What is the purpose of DQI? - -It is a score/report *Create a focus on
patient outcomes that will affect patient health*
How do current outcomes affect our patients? example: peritonitis trends
going up, implementing monthly infection quiz to decrease
-What does CMT stand for? - -Clinical Management Tool
-What is the purpose of CMT? - -Creates a patient flowsheet that highlights
labs, treatments, etc. Used in core team meetings to identify focus/unstable
patients.
-How often do core team meetings occur and what tool do we use? - -
Weekly & clinical management tool (CMT)
-Quick score - -reimbursement
-Bundled medications - -Medicaid, some private insurance companies will
pay.
Covers following:
- Access mngmt: *heparin*
- Access pain: *lidocaine/prilocaine EMLA*
- Anemia: *Epogen*
- Antibiotics PO: *Cephalexin, Cefdinir, Sulfamethaxozole/Trimethoprim,
Ciprofloxacin*
- Antibiotics topical: *gentamicin, mupriocin, bactroban, anasept*
- Fluid mngmt: *Furosemide, Bumetanide, Torsemide (any duiretic w/IDE),
ethacrynic acid*
MBD: *Cincalcet, Calcitriol, Hectorol, Zemplar*
-Welldyne - -dispensing pharmacy
-Calcimimetics that are bundled are ordered through what? - -clinical insight
-T/F: Giving patients medication from facility stock to administer at home is
a violation of the nurse's scope of practice. - -True
-What electrolyte is the "driver" - -PO4
, -In relation to MBD labs, kidney disease causes... - -*PO4 increases* which
causes PTH to increase; causing Calcitriol to increase. *Ca will decrease* in
bones/teeth/blood and "Free" Ca will increase.
(side note: Serum Ca is protein + free = "total "& Ionized Ca = "free" )
-What does QAPI stand for? - -- Quality Assessment & Performance
Improvement
-What does QAPI implement? - -- facility health records (data from hard
chart, POA's, etc...)
- CMS regulated and required
- *Goal is to provide safe care through improvement of prev. outcomes*
-Target hgb of Epogen is... - -less than or equal to 11
-DaVita lab reports wbc as... - -TNC or total nucleated cells
- enables lab to report unclassified cells in addition to the standard wbcs
(neutro, eos, baso, meso)
-DaVita lab reports neutrophils as... - -PMN or polymorphonuclear
-Peritonitis can be diagnosed in two of the following ways (there are 3 total)
- -1) *Patient reports abdominal pain/effluent cloudy*
2) Dialysis effluent *WBC/TNC > 100* or > 0.1 109/L *after a minimum 2 hr
dwell* with *> 50% neutrophils/PMN*
3) Positive dialysis effluent culture
-TNC or WBC count should be obtained after how long? - -*4 hour dwell*
anything less than/more than could be inaccurate because the cell count will
vary with length of dwell time
-The PMN or neutrophil count is more accurate because - -> 50 % of PMN's
is strong evidence of peritonitis, even if the absolute TNC count is <100 uL
-Peri cap - -PD cath repair kit
-When training a patient, always allow for how long of a break? - -2 hours
-Gram stains go in a... - -red tube
-Kinetic PET - -2.5% solution over night and during the day 0 hr, 2 hr and 4
hr
-Modified PET - -2.5% overnight & 4.25% solution during the day. *Patient
does not have UF*
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