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CCHT Dialysis Exam Latest 2025 What factors decrease K .....ANSWER.....Incorrxr pump speed, low BFR Factors that influence V .....ANSWER.....Height, weight, age, amputation, sex BFR for 17G needle .....ANSWER.....200-250 BFR for 16G needle .....ANSWER.....250-350 BFR FOR 15G needle .....ANSWER.....350-450 BFR for 14g needle .....ANSWER.....>450 Post BUN lab draw steps .....ANSWER.....Turn off UF, bring down dialysate flow rate to 50, wait 15 seconds, obtain sample form arterial port False KT/v (increase) .....ANSWER.....BFR not decreased, did not wait 15 seconds before drawing, drew from venous line 1 / 4
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Low KT/V causes .....ANSWER.....Diluted sample(saline) Why is weight and BP important when monitoring AKI patients .....ANSWER.....Keep them wet so they don't dry out!AKI hypotensionepisodes due to .....ANSWER.....Less blood flow going to the kidneys causing ischemia Why is it important to know what caused PT chronic renal failure?.....ANSWER.....So we can treat complications and zone in on things during data collection When is a pre-treatment assessment by the licensed nurse required? .....ANSWER.....AKI patients or state mandate DQI purpose .....ANSWER.....A way for facilities to measure performance to improve our Pt quality of life When is it okay for a PT to be released from TX .....ANSWER.....Evaluate effectiveness of the Tx, and compare pre Tx to post Tx 2 / 4
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- reasons why we document on a medical record
- Provides data continuity
- Permanent legal record
- Communication tool
.....ANSWER.....1. Proof care was rendered
When to chart .....ANSWER.....Medication given, and Pt response Times for documentation .....ANSWER.....Pre and post tx REM may be seen on the test as .....ANSWER.....AOR Consequence of sodium overloading .....ANSWER.....Increased thirst, increased fluid weight gain, higher UF rate, more hypotension Foods high in phosphorus .....ANSWER.....Chocolate, dairy products, legumes, dark pop Binders work by .....ANSWER.....Prevention of absorption in the gut(remember magnet) 3 / 4
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Diffusion .....ANSWER.....Higher to lower concentration (down) Osmosis .....ANSWER.....Lower to higher, opposite of diffusion Movement of bicarb from dialysate to blood .....ANSWER.....Helps normalize body's PH Bicarb in dialysate acts as a .....ANSWER.....BUFFER Excretory Functions of Kidney(to get rid of) .....ANSWER.....Normalizing electrolytes, removing waste and fluid Conditions for coverage .....ANSWER.....A CMS regulation that the dialysis provider must meet A surveyor sees a covered vascular access, and this can result in a .....ANSWER.....IJ(immediate jeopardy) What precautions do you take when handling lab specimens .....ANSWER.....Universal precautions(everything is infectious) Lavender tubes .....ANSWER.....Inverted, no clotting, no shaking
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