DaVita PCT Training Exam (Final Exam for STAR Program) with Complete Solutions
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DaVita PCT
Institution
DaVita PCT
DaVita PCT Training Exam (Final Exam for STAR Program) with Complete Solutions
DaVita PCT Training Exam (Final Exam for STAR Program) with Complete Solutions
What is adequacy? - ANSWER--How well dialysis tx is working
-measured by green post BUN lab
- Kt/V goal is 1.2 or 65%
What affects K...
DaVita PCT Training Exam ( Final Exam for STAR Program) with Complete Solutions
What is adequacy? - ANSWER--How well dialysis tx is working
-measured by green post BUN lab
- Kt/V goal is 1.2 or 65%
What affects Kt/V? - ANSWER-- time of tx -frequency of tx
-increasing BFR and DFR increase Kt/V
Needle gauge sizes vs. BFR - ANSWER-- 17g=200-250
- 16g = 250-350
- 15g = 350-450
- 14g = 450 and ^
procedure for post BUN lab draw - ANSWER-turn off UF DFR to 300
decrease BFR to 100 ml/pm
WAIT 15 SEC.
draw from arterial line port
What causes Kt/V to be falsely high? - ANSWER-if you take it before waiting the full 15 secs
what causes kt/v to be falsely low? - ANSWER-if you wait longer than 15 sec to take it
Consideration for pt with AKI - ANSWER-don't want them too dry; better to leave them with a little extra fluid than to take too much off
CKD vs AKI - ANSWER-CKD = longstanding disease to the kidneys leading to renal failure
AKI = abrupt decrease in renal function; kidney function can return but not at 100%...can also lead to CKD
why is it important to know each pt primary dx? - ANSWER-so you know how to monitor
and treat each pt specifically
what is a fever? - ANSWER-anything above 100 F or 2 degrees above baseline temp
What can cramping cause? - ANSWER-low bp (hypotension) normal chlorine check result - ANSWER-< 0.1 ppm
what does chlorine in blood cause? - ANSWER-hemolysis
how can you tell that hemolysis is occurring? what do you do? - ANSWER--blood is bright red (cherry kool-aid colored)
- you would stop tx and NOT return pt blood
What do you do if a pt starts seizing? - ANSWER-
why do we recirc machines? - ANSWER-to get rid of any air in lines
what do you do if a pt has an air embolism? - ANSWER-left side trendelenburg position
What can possibly happen if its a pts first time receiving dialysis tx? - ANSWER-they can have an allergic rx to dialyzer; may go into anaphylaxis
what do you do if a pt has angina during tx? - ANSWER-call the nurse - they will give fluid, slow BFR, turn off UF
what causes angina during dialysis? - ANSWER-dehydration and electrolyte imbalance
what is disinfectant infusion? + s/s - ANSWER-when there is leftover disinfectant in the machine
- s/s is pain at venous needle site at beginning of tx
When must RN pre-assessment be done? - ANSWER-PRIOR to tx initiation (state of CA)
when must RN post assessment be done? - ANSWER-before the pt is aloud to leave
Why is it important to document? - ANSWER-- if you don't document it did not happen
- continuity of care
When must machine safety checks be done and documented? - ANSWER-before putting pt on the machine
when can you start post tx vitals and assessment? - ANSWER-AFTER tx is done and stopped; cannot start till tx is completely done
what do you have to do if if you give saline? - ANSWER-notify RN and document under medication
how much saline can a PCT give before notifying RN for further intervention? - ANSWER-200ml
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