Davita RISE PCT Study Guide Exam Questions & Answers 2024/2025
8 views 0 purchase
Module
Davita RISE PCT
Institution
Davita RISE PCT
Davita RISE PCT Study Guide Exam Questions & Answers 2024/2025
List the four transport mechanisms that play a role in hemodialysis - ANSWERSUltrafiltration
Convection
Diffusion
Osmosis
Explain ultrafiltration in hemodialysis - ANSWERSFluid is pushed through the semipermeable membrane (SP...
Davita RISE PCT Study Guide Exam
Questions & Answers 2024/2025
List the four transport mechanisms that play a role in hemodialysis - ANSWERSUltrafiltration
Convection
Diffusion
Osmosis
Explain ultrafiltration in hemodialysis - ANSWERSFluid is pushed through the semipermeable membrane
(SPM). Think: wringing out a wet rag.
Explain convection in hemodialysis - ANSWERSSolutes DRAG across the semipermeable membrane with
fluid
Explain diffusion in hemodialysis - ANSWERSPARTICLES move from HIGH concentration to LOW
concentration
Explain osmosis in hemodialysis - ANSWERSFLUID moves LOW concentration to HIGH concentration
What are the kidneys' excretory functions? - ANSWERSTo normalize electrolytes, remove wastes, provide
fluid and nutrient balance
How do we replace normal excretory kidney functions? - ANSWERSBy using acid concentrate to help
normalize electrolytes and ultrafiltration to provide fluid balance
What is the function of acid concentrate - ANSWERSProvides the concentration gradient for diffusion and
helps normalize electrolytes
What is the function of bicarbonate in the dialysate solution? - ANSWERSIt buffers the acid concentrate
,What is the function of bicarbonate when it diffuses into the patient's blood? - ANSWERSIt normalizes
body pH
What are some S/Sx of hyperkalemia? - ANSWERSK+ > 6.5 mEq
extreme muscle weakness, dysrhythmias, and possible cardiac arrest
What are some S/Sx of hypokalemia? - ANSWERSK+ < 3.5 mEq
What is the normal blood pH range? - ANSWERS7.35 - 7.45
What are the kidneys' endocrine functions? - ANSWERSRenin secretion
Erythropoietin secretion
Vitamin d activation
How do we replace normal endocrine kidney functions? - ANSWERSBy providing medications
How much of normal kidney function is replaced by HD? - ANSWERS15%
What is uremia? - ANSWERSUremia is a buildup of wastes in the blood due to kidney failure
What does uremia affect? - ANSWERSUremia affects all body systems
What are the most common causes of CKD in the US? - ANSWERSdiabetes, HTN and polycystic kidney
disease
List the treatment goals for a pt. w/ CKD - ANSWERS-slowing the progression of CKD
-managing comorbidities and complications
, -controlling symptoms
-minimizing the effects if CKD on pt. lifestyles
-kidney replacement therapy modality education
-encouraging patients to actively participate in their healthcare
Why is it so important to know what caused your pt.'s CKD? - ANSWERSSo the RN and PCT can ask about
possible problems during data collection and assessment
List some S/Sx of fluid imbalance - ANSWERSHTN, edema, and SOB
Why is sodium balance important? - ANSWERSLeads to volume expansion,
increased cardiac output,
increased peripheral vascular resistance
and increased BP
List some systemic effects of CKD - ANSWERS-Dry, itchy skin
-Peripheral neuropathy in the extremities
-GI problems (N/V)
-Psychological problems (anxiety, depression)
What would you advise for a pt. with dry, itchy skin? - ANSWERS-use hyper-fatted soaps and lotions
-assess for safety at home
-provide emotional support
-control diabetes and phosphorus
What would you advise for a pt. with peripheral neuropathy? - ANSWERS-Monitor pt. for changes in
motor function, decreased strength in legs, C/O restless legs, and burning feet.
-Advise not to walk barefoot
-Practice good foot care
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Bensuda. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.56. You're not tied to anything after your purchase.
