Exam (elaborations)
Davita PCT Exam
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Exam of 7 pages for the course Davita PCT at Davita PCT (Davita PCT Exam)
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QDAVITA PCT EXAM QUESTIONS ANDANSWERS 100% SOLVED
What is important when monitoring weight and BP for acute patients? - keep patients wet to avoid
hypotensive episodes
What do you need to consider in regards to acute patents vascular access? - Usually have a CVC
- follow policy and procedure to prevent infections
Why is it important to know what caused your patient's CKD? - to inquire about possible problems
during data collection and assessments
Kt/V: What is K? - clearance of urea
What treatment factors decrease K? - not waiting 3-5 minutes after giving heparin with treatment
initiation to prevent clotting
What factors influence V (volume)? - sex, age, weight, height, amputations
Needle gauge and suggested BFR - 17: 200-250
16: 250-350
15: 350-450
14: >450
What do you do if a patient wants to get off early? - educate and document, still draw lab on habitual
patients, MUST NOTIFY NURSE
Lab draw mistakes that would falsely increase Kt/V - not waiting the full 15 seconds to draw the BUN
What is the role of the PCT prior to treatment initiation? - DATA COLLECTION
Squeezing the BP cuff can damage the machine: T/F - True
4 reasons we document in the medical record - 1. proof that care was rendered
2. provides data continuity and planning of patient care
3. permanent legal record
4. communication tool
Pre-treatment patient data collection/assessment - Data collection: before initiation
Assessment: 30 minutes into treatment
, Post treatment data collection/assessments - after treatment
-NOT DURING RINSEBACK
What are possible consequences of poor or incomplete documentation - attack on your care
What are the six items included in charting administered medications? - REASON FOR ADMINISTERING
What are the 5 W's to be used when completing an AOR - who should report an AOR
what type of incident
when should it be reported
where should they be reported
why
What are the four consequences of sodium loading during dialysis? - Thirsty
Increase Fluid Intake
Increased intradialytic weight gain
Increased ultrafiltration rate
What is the purpose of UF profiling? - fit to the patient to prevent crashing and allow for vascular refill
Why do we measure the pH in the dialysate - to verify acid-base balance is within an acceptable range
Conductivity and pH alarm causes - no concentrate
improper bicarb
calcium or magnesium precipitate
line of filter occlusion from debris
improper calibration
Temperature alarm causes - lower temperature, increases BP
hemolysis occurs at 42 degrees calcium which releases potassium
Power - the appropriate intervention is to remove venous line from air detector clamp before starting
hand crank
Arterial Pressure High alarm causes - separation of tubing
Venous pressure high alarm causes - kink in tubing
infiltration
clotting in the venous drip chamber
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