HEMODIALYSIS BONNET EXAM REVIEW
QUESTIONS WITH COMPLETE
ANSWERS
Osmosis - Answer-movement of fluid across a semipermeable membrane from an area
of lower concentration to higher concentration
Diffusion - Answer-movement of dissolved particles across a semipermeable membrane
from an area of higher concentration to lower concentration
Ultrafiltration - Answer-water is removed from blood because there is pressure gradient
across the membrane
Ultrafiltration Rate - Answer-The rate at which fluid moves from blood into the dialysate
through the semipermeable membrane
Calculation for Ultraflitration rate - Answer-dividing the amount of fluid to be removed by
the minutes of tx time
Transmembrane Pressure (TMP) - Answer-The pressure across the dialyzer
membrane(Blood compartment plus dialysate compartment pressure)
In dialyzer reprocessing this chemical is used for disinfection - Answer-Paracetic Acid
Amount of time water must stay in contact with charcoal in carbon tanks in order to
allow chlorine and chloramines to be removed - Answer-Empty Bed Contact Time
Minimum number of minutes of contact time in carbon tanks - Answer-10 or 5 in each
tank
Diabetes - Answer-Number one cause for CKD
Intrarenal Failure - Answer-Renal failure due to injury to the kidneys
Example of Intrarenal failure - Answer-Blow to kidneys, drug/poison, glomerulonephritis
Postrenal Failure - Answer-when a blockage causes urine to back up and harm the
kidneys
Example of Postrenal failure - Answer-Enlarged prostate, Stones, Kinked Ureter
Prerenal failure - Answer-when kidneys dont get enough blood
, Example of Prerenal failure - Answer-Trauma Severe dehydration, heart disease
Two hormones the kidneys produce - Answer-Erythroprotein, Calcitriol
Erythropoietin - Answer-triggers bone marrow to make red blood cells
Calcitriol - Answer-Controls the balance of calcium/phosphorus
Location of the kidneys - Answer-In the back of the body above the waste
Size and weight of the kidneys - Answer-the size of a fist, and 5 oz
The dialyzers semipermeable membrane - Answer-allows some substances such as
wastes and excess water out but keeps others such as blood in
Access for pd is through a - Answer-catheter
where is the catheter placed in a pd pt - Answer-abdomen
what acts as a filter in pd - Answer-lining of the abdomen
Dialysis Disequilibrium Syndrome - Answer-caused by the rapid removal of urea during
hemodialysis;
Back flow prevention device - Answer-Stops water from the tx system from flowing back
into the feed water
Large Amounts of aluminium in water can cause - Answer-Bone Disease
How often should the ro operating parameters be checked - Answer-Daily
What is added to municipal water supply to make it clearer - Answer-alum
Differential - Answer-measuring pressure before and after filter
water softener - Answer-softens hard water by taking out some of the magnesium and
calcium that form the scale
booster pump - Answer-used to increase water flow or pressure
Carbon Tank - Answer-Contains granular activated charcoal that absorbs low molecular
weight from particles
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