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Davita - PCT Study Guide Questions And Answers Graded A+ 2024.
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Davita - PCT Study Guide Questions And Answers Graded A+ 2024. Chlorine/Chloramine testing: - correct 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 a...

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  • October 11, 2024
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Davita - PCT Study Guide Questions And
Answers Graded A+ 2024.


Chlorine/Chloramine testing: - correct 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 - correct 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 - correct answer. - Obstruction
- Volume Depletion
- Impaired Cardiac Function

Give examples of intra-renal causes of AKI - correct answer. - Ischemic ATN
- Sepsis
- SIRS
- Septic Shock
- Anaphylaxis Drugs
- Goodpasture Syndrome
- Acute Glomerulonephritis
- Trauma
- Open Heart Surgery

Give examples of post-renal causes of AKI - correct answer. - Obstruction
- Oliguric
- Bladder Rupture

,- Pregnancy

How do you help in restoring kidney function? - correct answer. Find the cause of the
AKI

How do you protect kidneys from further injury? - correct 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? - correct 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? - correct answer. -
Hypovolemia
- Hypotension

What do you need to consider in regards to their (AKI patients') vascular access? -
correct answer. Patients will typically have a dialysis catheter, so be careful to avoid
catheter related infections

Explain the difference between AKI and CKD - correct 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 - correct 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? - correct answer. - DM
- HTN
- PKD

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

In Kt/V, what is 'K'? - correct answer. Clearance of urea

What treatment factors decrease 'K'? - correct answer. - Inadequate coagulation
- Decreased BFR
- Poor priming

, - Not following eP&P
- Patient not staying on TX as prescribed

What treatment factors increase 'K'? - correct answer. - Increased BFR
- Correct DFR
- Correct dialyzer
- Correct target weight-amputation factor

In Kt/V, what is 't'? - correct answer. Time of dialysis session

What factors influence 't'? - correct answer. Running prescribed TX time
- Follow physician orders
- Encourage pt. to run entire TX [Getting off early will impact time (missing tx also
impact tx time)]

In Kt/V, what is 'V'? - correct answer. - Volume of urea distribution
- Volume of patient's body water in which urea is distributed

What factors influence 'V'? - correct answer. - Amputation
- Height
- Sex
- Age
- Type of access (less efficient access reduces the volume process of a patient's blood)

Suggested BFR for 17 gauge needles - correct answer. 200-250

Suggested BFR for 16 gauge needles - correct answer. 250-350

Suggested BFR for 15 gauge needles - correct answer. 350-450

Suggested BFR for 14 gauge needles - correct answer. 450+

Procedure for Post BUN lab draw - correct answer. 1. Turn off UFR or decrease it to
50
2. Decrease DFR to 300 or put in bypass
3. Decrease BFR to 100
4. Wait 15 secs for all access types and draw post

Lab draws mistakes that would falsely increase Kt/V - correct answer. - BFRs not
reduced
- Waiting only 5 seconds
- Drawing post BUN from venous line

Lab draws mistakes that would falsely decrease Kt/V - correct answer. - Accidently
diluting pre tx Arterial BUN blood sample with saline
- Waiting longer than 15 seconds to draw blood sample

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