DaVita PCT Training Exam (Final Exam for STAR Program) with Complete Solutions

What is adequacy? - ANSWER--How well dialysis tx is working -measured by green post BUN lab - Kt/V goal is 1.2 or 65% What affects Kt/V? - ANSWER-- time of tx -frequency of tx -increasing BFR and DFR increase Kt/V Needle gauge sizes vs. BFR - ANSWER-- 17g=200-250 - 16g = 250-350 - 15g = 350-450 - 14g = 450 and ^ procedure for post BUN lab draw - ANSWER-turn off UF DFR to 300 decrease BFR to 100 ml/pm WAIT 15 SEC. draw from arterial line port What causes Kt/V to be falsely high? - ANSWER-if you take it before waiting the full 15 secs what causes kt/v to be falsely low? - ANSWER-if you wait longer than 15 sec to take it Consideration for pt with AKI - ANSWER-don't want them too dry; better to leave them with a little extra fluid than to take too much off CKD vs AKI - ANSWER-CKD = longstanding disease to the kidneys leading to renal failure AKI = abrupt decrease in renal function; kidney function can return but not at 100%...can also lead to CKD why is it important to know each pt primary dx? - ANSWER-so you know how to monitor and treat each pt specifically what is a fever? - ANSWER-anything above 100 F or 2 degrees above baseline temp