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Exam (elaborations)

DaVita - PCT Study Guide Exam Review Questions (229 Terms) with Correct Solutions .

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DaVita - PCT Study Guide Exam Review Questions (229 Terms) with Correct Solutions .

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  • November 29, 2023
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  • DaVita - PCT Study Guie Exm Revew Qstions (22
  • DaVita - PCT Study Guie Exm Revew Qstions (22
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DaVita - PCT Study Guide




DaVita - PCT Study Guide Exam
Review Questions (229 Terms) with
Correct Solutions 2024-2024.

, DaVita - PCT Study Guide




Chlorine/Chloramine testing: - Answer: When: R/O runs 15 mins before patient
shift every 4 hours
Where: After Primary carbon tank sample port
Acceptable result: Less than or equal to 0.1 mg/L
Action if results are too high post primary tank: Repeat the test


Define the term AKI - Answer: - Term incorporates a wide spectrum of kidney
issues
- Includes acute kidney failure as well as less catastrophic kidney function changes
- May dialyze in an out-patient facility until kidney function recovers


Give examples of pre-renal causes of AKI - Answer: - Obstruction
- Volume Depletion
- Impaired Cardiac Function


Give examples of intra-renal causes of AKI - Answer: - Ischemic ATN
- Sepsis
- SIRS
- Septic Shock
- Anaphylaxis Drugs
- Goodpasture Syndrome
- Acute Glomerulonephritis

, DaVita - PCT Study Guide


- Trauma
- Open Heart Surgery


Give examples of post-renal causes of AKI - Answer: - Obstruction
- Oliguric
- Bladder Rupture
- Pregnancy


How do you help in restoring kidney function? - Answer: Find the cause of the
AKI


How do you protect kidneys from further injury? - Answer: Avoid substances to
the kidney which may be toxic (radiographic contrast, amphotericin B, low dose
aspirin, NSAIDS)


What is important when monitoring weight and BP? - Answer: Keep a little extra
fluid on them so it is available to the kidneys when they start
filtering/ultrafiltrating on their own


AKI patients are at increased risk for which complications? - Answer: -
Hypovolemia
- Hypotension

, DaVita - PCT Study Guide


What do you need to consider in regards to their (AKI patients') vascular access? -

Answer: Patients will typically have a dialysis catheter, so be careful to avoid
catheter related infections


Explain the difference between AKI and CKD - Answer: Eliminating the cause of
the AKI can often lead to the return of kidney function. You cannot eliminate the
cause of CKD which is HTN, Diabetes, and genetic disorders (PKD)


Outline the treatment goals for a patient with CKD - Answer: - Slowing the
progression of CKD
- Managing comorbidities and complications
- Controlling symptoms
- Minimizing the effects of CKD on patients' lifestyles
- Kidney replacement therapy modality education
- Encouraging patients to actively participate in their healthcare


What are the most common causes for CKD in the USA? - Answer: - DM
- HTN
- PKD


Why it is important to know what caused your patient's CKD? - Answer: So the
nurse and PCT can inquire about possible problems during data collection and
assessment

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