LECCHRIS

What is the minimal acceptable value for Total Chlorine? - ANSWER <0.1ppm What do you do if the first chlorine check is positive? - ANSWER Check the Secondary port Notify Biomed, Charge Nurse, FA Re-Check every 30 mins If port is (-) every 30 mins it is still safe to dialysate Acceptable BFR range for needle gauges - ANSWER 17G; 200-250 mL/min 16G; 250-350 mL/min 15G; 350-450 mL/min 14G; <450 mL/min

The reasonable and prudent standard of care for nephrology nursing key concepts: (6) - ANSWER -care which a reasonable and prudent nephrology nurse would give under the same or similar circumstances -actions a reasonable and prudent nephrology nurse would do, as well as actions to avoid doing -nephrology nursing is keyed to this speciality and the skills and knowledge expected of a nephrology nurse (priming) -following standards of care makes the care given defensible and avoids negligence -...

Ultrafiltration is defined as: - ANSWER Fluid pushed through the semipermeable membrane If a patient with acute kidney injury (AKI) dialyzes in the outpatient facility, one task of the patient care teammates is to monitor blood pressure and weight closely. Why is this important? - ANSWER Hypovolemia and hypotensive episodes can cause renal ischemia and can further damage the kidneys. ***The underlying cause of prerenal kidney failure is hypovolemia or poor perfusion. Care must be taken to ...

Water and dialysate cultures are drawn every month in the dialysis unit to monitor - ANSWER bacteria and endotoxins what problems will cause a more positive (less negative) pre-pump arterial pressure. - ANSWER blockage of arterial blood flow from the vascular access. what is the most likely reason for a blood leak detector alarm during recirculation - ANSWER -air bubbles in the dialysate, dirty sensor -check dialysate connections, bleach machine what is an appropriate interventions wit...

Intra-renal causes of Acute Kidney Injury (AKI) - ANSWER Sepsis, trauma, anaphylaxis, drugs, acute glomerulus Knowing what caused your patients' renal failure - ANSWER Is important to figure about possible problems during data collection and assessment A patient with acute kidney injury (AKI) dialyzes in the out-patient facility. In regards to the patient's target weight, why is being "wet" better than being too dry? - ANSWER Being wet helps avoid hypovolemia and hypotensive ep...

What are the 3 meds PCTs can administer per DaVita P&P? - ANSWER Saline, Heparin, Lidocaine What are the 6 items included in documenting administered medications - ANSWER Time and date, route of administration, reason for giving, medication dosage, reason for administering, patient response At what time are medications containing a preservative discarded? - ANSWER 28 days (except when the manufacturer specifies differently such as Epogen MDV

Number 1 & 2 cause of (CKD) chronic kidney diease - ANSWER 1- diabetes 2-hypertension In (AKI) acute kidney injury it is better to keep patients? - ANSWER too wet, rather than too dry with fluid removal goals 3 sub-groups of ckd? - ANSWER 1-pre-renal-interferes w/ BF to the kidneys, causes-injuries/renal artery clot

1. The functional unit of the kidney, or the structure in the kidney that does the work, is the: a. Calyx b. Cortex c. Medulla d. Nephron - ANSWER d 2. The leading cause of chronic kidney disease for adults in the United States: a. Diabetes b. Glomerulonephritis c. Hypertension d. Urinary obstruction - ANSWER a 3. A nephron is made up of: a. A glomerulus and a tubule system b. The bladder and the ureters c. The cortex and a capsule

The 4 indicators of nutrition status - ANSWER 1) Albumin >/= 4.0 (protein) 2) Stable, desirable target weight 3) Adequate fat stores and muscle mass 4) Appropriate appetite and intake Importance of protein - ANSWER Protein is essential for growth, maintenance, preventing infection and anemia. It is important for wound healing and repair. The dietitian will guide the patient in choosing foods that will meet their protein needs.

Ultrafiltration (UF): - ANSWER Fluid pushed through the semipermeable membrane (SPM) membrane Convection: - ANSWER Solutes dragged across SPM along with fluid Hyperkalemia: - ANSWER > 6.5 mEq Symptoms: extreme muscle weakness, abnormal heart rhythm, and possible cardiac arrest Hypokalemia: - ANSWER < 3.5 mEq Symptoms: fatigue, muscle weakness, paralysis, and respiratory failure, cardiac instability, arrhythmias, cardiac arrest