Davita
pct
final
exam
2024/2025
Water
and
dialysate
cultures
are
drawn
every
month
in
the
dialysis
unit
to
monitor
-
ANSbacteria
and
endotoxins
what
problems
will
cause
a
more
positive
(less
negative)
pre-pump
arterial
pressure.
-
ANSblockage
of
arterial
blood
flow
from
the
vascular
access.
what
is
the
most
likely
reason
for
a
blood
leak
detector
alarm
during
recirculation
-
ANS-air
bubbles
in
the
dialysate,
dirty
sensor
-check
dialysate
connections,
bleach
machine
what
is
an
appropriate
interventions
with
an
air/foam
detector
alarm?
-
ANSlook
at
circuit
for
blood
in
the
system.
DO
NOT
return
blood
with
air
in
the
system.
what
will
cause
a
more
negative
pre-pump
arterial
pressure?
-
ANSKinking
of
the
arterial
blood
line
between
the
vascular
access
and
arterial
monitor
if
clotting
occurs
in
a
high
flux
dialyzer,
the
transmembrane
pressure
(TMP)
will
-
ANSdecrease
what
could
be
the
reasons
for
a
conductivity
alarm
on
the
dialysis
machine
-
ANSwhen
the
dialysate
is
mixed
incorrectly
or
there
is
no
water
acid
or
bicarb.
the
person
responsible
for
implementation,
adherence,
and
training
of
the
facility
specific
emergency
management
plan
(EMP)
and
applicable
policy
and
procedures
is
-
ANSFa
or
designee
Teammates
MUST
be
able
to
readily
identify
patients
who
may
require
additional
assistance
in
the
event
of
an
emergency
evacuation.
This
will
include
patients
who
need
help
with
or
are
unable
to
-
ANSboth
b
and
c
what
is
an
important
action
prior
to
returning
a
patients
blood
using
the
hand
crank
in
the
event
of
a
power
failure
?
-
ANSremove
the
venous
line
for
the
line
clamp
Per
physician
order
and
based
on
individual
patient
needs,
Chronic
Kidney
Disease
Mineral
and
Bone
Disorder
(MBD)
is
treated
with
-
ANSphosphate
binders,
Vit
D
(Hectorol),
and
Cinacalcet
Poor
wound
healing
is
directly
related
to
-
ANSlow
protein
intake
Phosphate
binders
are
prescribed
to
prevent
phosphorus
in
meals
from
being
absorbed.
When
is
the
best
time
to
take
them
?
-
ANSwith
meal The
definition
of
Health
Literacy
is
-
ANSability
to
obtain,
read,
understand,
and
use
healthcare
information
in
order
to
make
appropriate
health
decisions
and
follow
instructions
for
treatment
If
you
notice
that
a
patient's
caretaker
is
struggling
to
meet
the
demands
of
the
patients
treatment
regime
you
should
-
ANScontact
social
worker
The
Psychosocial
Assessment
completed
by
the
social
worker
-
ANSan
evaluation
of
a
person's
mental
health,
social
status,
and
functional
capacity
within
the
communityCompeted
initially
and
annually
The
Clinical
Pyramid
includes
:
-
ANS•
The
Fundamentals:
Immunizations,
Iron,
Dialysis
Access,
Calcium,
Phosphorus,
Hb,
Kt/V,
Target
Weight,
Access,PTH,
etc.•
Complex
Programs:
Fluid
Management,
Infection
Management,
Diabetes
Management,
Med
Management,
CVCManagement,
Palliative
/
EOL
Care,
Infection
Surveillance,
Transition
of
Care,
CKDEducation,
Depression,
Missed
Treatments,
etc.•
Measures
of
Effectiveness
•
Mortality,
Hospitalization
/Re-hospitalization,
Patient
Experience
of
Care•
What
Matters
Most
•
Our
patient's
health-related
Quality
of
Life
DaVita
Quality
Index
(DQI)
success
is
achieved
-
ANSencourage
continuous
improvement
across
aboard
range
of
disease
management
processes
(all
of
the
above
)
What
can
be
the
most
likely
result
if
the
surveyor
sees
a
patient
with
a
covered
vascular
access
-
ANSimmediate
jeopardy
A
surveyor
asks
you
a
question.
Which
of
the
following
statements
would
be
a
good
answer
?
-
ANSI
do
not
know
the
answer
but
I
will
find
out.
Intra-renal
causes
of
AKI
-
ANSIschemic
ATN,
Sepsis,
SIRS,
Septic
Shock,
Anaphylaxis
Drugs,
Goodpasture
Syndrome,
Acute
Glomerulonephritis,
Trauma,
Open
Heart
Surgery
Knowing
what
caused
your
patients
kidney
failure
-
ANScan
cause
complications
to
treatment
A
patient
with
acute
kidney
injury
dialyzes
in
the
out-patient
facility.
With
regards
to
the
patients
target
weight,
why
is
being
"wet"
better
that
being
too
dry?
-
ANS
The
excretory
function
of
the
kidneys
include
-
ANSremove
access
water,
urea,
and
metabolic
wastes
from
the
blood.
Acid
concentrate
replaces
the
excretory
function
of
normal
kidney
function
by
-
ANSHemodialysis
removes
urea,
salts,
and
excess
water
from
the
blood
normalizing
electrolytes,
removes
metabolic
acidosis,
Ultrafiltration
is
defined
as
-
ANScontrolled
fluid
removed
by
manipulation
of
hydrostatic
pressure